Monaghans Audit Form

• Project

• Contractor

• Conducted on

  Date

• Auditor

• Persons Involved in the Audit

• Any Further Information

Relevent Documentation

• Documents Relating to the Audit:

  Select Task Risk Assessment Area Risk Assessment Safe System of Work Site Specific Risk Assessment Method Statement Contractor Questionnaire Pre-Use Check None

  • Task Risk Assessment
  • Area Risk Assessment
  • Safe System of Work
  • Site Specific Risk Assessment
  • Method Statement
  • Contractor Questionnaire
  • Pre-Use Check
  • None

Findings

• Established Construction Phase Plan on site

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Site security, signage, protection of the public

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Site register maintained on site

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Site safety induction given to all contractors

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Contractors RA & MS retained on site

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Safe access and egress to all work areas

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Fire Safety Plan, Signage, Alarm, FP's, wardens

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Hazardous substances, COSHH and data sheets

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Site housekeeping, trips, slips, materials and storage

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Personal safety awareness, attitude

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Permit to Work system, register, certificates

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Staging and towers, condition inspection

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Work at height

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Electric safety, supply, cables, distribution

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• PPE, helmets, boots, goggles, gloves and others

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• First Aid Points, First Aider (appointed person)

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Competent, trained operatives, evidence

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Pre-use inspection records for plant, tools etc.

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Audits, Inspections, Site Monitoring

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Noise, Protection Zones, Control Measures

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• Accidents, Incidents, Near misses, records

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• SOP - Travel

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• SOP - Welfare

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• SOP - Working on Site

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• SOP - Logistics

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

• SOP - Meetings & Briefings

  Positive Observation

  Negative Observation

  Minor Non-Conformance

  Major Non-Conformance

  N/A

Additional Notes

Audit Sign Off

• Auditor

  Sign

• Is a site representative available to counter-sign?

  Yes

  No

• Manager or Supervisor

  Sign