Title Page

  • Site conducted

  • SPC Name

  • Gang Number / Name

  • Work being carried out

  • Date and Time of Inspection

  • Prepared by

  • Site reference / SABRE number

  • Gang Number / n

  • Site Location
  • INSTRUCTIONS

    1. Please answer "Yes", "No" or "N/A" on the questions below.
    2. Add Photos and Notes (Details and Appendix) by clicking on the Paperclip icon
    3. To add a Corrective Action click on the Paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

Vehicle

  • Vehicle Check Sheet Completed

  • FORS Certificate in Vehicle

  • Vehicle Free from Defects

  • Is Side Protection in Place on Vehicle

  • Vehicle Fall Arrest Bars in place

PWT/PWT-EH

  • Did the PWT Check Ops Sentinel Cards

  • Did the PWT Check Trackion Current.

  • Did the PWT Give a Platform Briefing

  • Did the PWT Brief about HAV

  • Did the PWT sufficiently brief TBT’s / Safety alerts

  • Did the PWT have all Documention

PPE and Certification

  • Is PPE in good condition

  • Do staff have all mandatory PPE on their person

  • Do operatives have Training certification

  • Are operatives wearing all mandatory PPE when working

  • Are operatives wearing face masks where required

  • Do all operatives have in house manual handling training certification

  • Does the allocated First Aider(s) hold an in date certificate on their person

  • Is there a certificated Track Trolley operative(s) within the group

  • Is there spare PPE available

Equipment

  • Equipment Tagged and in date

  • Tools and equipment In good condition

  • Correct plant & equipment being used for the task(s)

  • Are operatives being rotated when using vibrating tools

  • Do all operatives have head torch?

  • People working to close to plant

  • Are HAVs being monitored and recorded

  • Is Noise being controlled on site

  • Spill kits / Drip Trays available

Documentation, Permits and Licences

  • Is the P.I.C.E.R completed and certification checked by the SPC

  • Site File / SPC Folder on site & sufficient

  • In Date Storage licences in place

  • If doing hot works is there an in date Hot Works Permit

  • Is there a Site specific; in date MOMs licence in place

  • Is there fire isolation in place, if hot works is being carried out

Work Procedures

  • Are there robust Safe Systems of Work

  • Is adequate Site / Task lighting in place

  • Is Asset Protection being used

  • Escalators supervised at all times while asset is being used for M.O.M

  • Has Tool Check List Completed

  • Has Track Trolley or Iron Man Check List Completed

On-site Behavior and Discipline

  • SPC keeping discipline

  • Proper Manual Handling techniques used

  • Operatives taking instruction from the SPC

  • No Unsafe Acts

  • No hazards on site – e.g. slips / trips

  • SPC briefings being delivered at the beginning of the shift, with detailed information

  • Is the protection briefing understood and is the information correct

  • Check operative understanding of recently issued TBT’s / Alerts

Work Areas

  • Is the storage area being well managed

  • Is there a Fire Point & First Aid kit on site.

  • Is good Housekeeping maintained throughout the shift

  • Envionmental

  • If materials are being taken out of the station, is this operation being supervised by an SPC

  • Is there means of Safe Track Access

Appendix

  • Please click on "Add Appendix" button

  • Appendix
  • Specify the appendix

Completion

  • Notes

  • Inspected by: (Name and Signature)

  • Email a copy to the PWT

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.