Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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Name:
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Workplace name:
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Picture of person you are taking audit on.
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Title:
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Experience on the job?? Name of Mentor? Any other information relevant to Assessment
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Task at hand when visiting person
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Location of interview for Assessment
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Add media
Current PPE
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Hardhat,
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Ear plugs
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Gloves
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Safety Boots
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Harness
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Add media
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Other PPE
Job task when you visited personnel (Section 3. JSA)
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Did they stop the job and make it safe to talk to you? (Picture)
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Add media
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Is there a JSA Onsite for the job?
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Add media
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Is the JSA complete with hazard mitigation, does it match the job at hand?
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Add media
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Have all parties involved with the job signed the JSA?
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Add media
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Describe Relevant NVQ unit
Section 1. General Provisions
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Describe Task at hand and relevance to NVQ unit
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What is the companies environmental policy?
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Who is responsible for environmental issues at work?
Section 2. SG4:15
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Is SG4:15 being used correctly?
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Add media
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Describe what kinds of systems can be used to cover SG4:15
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Tell me about your experience of using SG4:15
Section 3. Hazard Analysis
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Tell me about some of the safety signs that are posted around your workplace
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Add media
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Describe the information found on a HSE at work sheet and where are they located
Section 4. Erecting,Dismantling or Altering Scaffolds
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Describe under the unit which is relevant to the structure the characteristics,quality,uses,limitations and defects associated with the resources in relation to: tube and fitting, system scaffold, associated materials ( props, ropes, anchors, ties, boards, plates, beams, ladders, proprietary components etc.) hand toll, measuring and calculation tools and ancillary equipment.
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Give me an example of when you would use a design drawing .
Section 5. Operating Procedures
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Tell me about a risk assessment
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Tell me about a permit to work.
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Where are you written work procedures stored
Section 6. Safe Work Practices
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Are you currently operating under a method statement?
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Name an item that is on your document.
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What would you do if you find yourself with two conflicting safety rules?
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How are your risks identified around the work place?
Section 7. Training
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Describe a scafftag
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Tell me about training and when was the last time you attended any training?
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What safe work practices trainings have you attended?
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Are you on the rescue team? When was your last training session? What information was covered?
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Are you first aid trained, can you use an AED?
Section 8. industry Integrity
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Tell me about the maintenance of the firms equipment
Section 9. Pre-Start-up Review
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What or who is available if you come across any hazards at work ?
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Tell me about the pre start checks before you start a job or task ?
Section 10. Emergency Response and Control
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Describe the site alarms
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Describe:
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Do you have any roles during emergencies? What are they?
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Where is your muster point?
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How do you show accountability at the muster point?
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When and what was the last drill you were involved in?
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How is a man missing handled?
Section 11. Investigate of Incidents
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After an incident who does the investigation for this site?
Section 12. Audits
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What is the importance of reviewing your safety plan at regular intervals?
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Name some typical inspections and audits that happen on your site.
Section 13. Records and Documents
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What is the typical length of time you must keep a safety document on your site? (6years)
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After the job is complete where is the JSA stored?
