Personnel Audit Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Competencies check

• CSCS card held and valid?

  Yes

  No

  N/A

• SSTS card held and valid?

  Yes

  No

  N/A

• PTS card held and valid?

  Yes

  No

  N/A

Validity of Competencies

• PTS

• IWA

• COSS

• SW

• LKT

• Other

• Card validity checked with NCCA?

  Yes

  No

  N/A

• Are your competency assessments/log book up to date?

  Yes

  No

  N/A

Medical Details

• Have you had a medical and D&A screen?

  Yes

  No

  N/A

• Are you aware of P&T Ltd's and Network Rails policy on Drug and Alcohol?

  Yes

  No

  N/A

• Evidence

• Medical Examination Certificate validity?

  Yes

  No

  N/A

• Any changes in your medical state since the last audit?

  Yes

  No

  N/A

• Details

• Do you need to wear glasses or contact lenses while on site?

  Yes

  No

  N/A

• If yes, does the individual have a spare set with them?

• Do you know P&T Ltd's and Network Rails policy on Safe Working Hours?

  Yes

  No

  N/A

• Evidence

• What do you need to do if you are asked to exceed these hours?

• A risk assessment should be produced and approved by senior management, then filed for audit purposes.

PPE Check

• Highways Spec PPE?

  Yes

  No

  N/A

• Rail Industry All Orange PPE?

  Yes

  No

  N/A

• Do you know what to do in the event of needing more PPE?

• Is all PPE in good condition?

  Yes

  No

  N/A

• Comments/Actions

• Hard Hat?

  Yes

  No

  N/A

• Glasses?

  Yes

  No

  N/A

• Boots?

  Yes

  No

  N/A

• Gloves?

  Yes

  No

  N/A

Task Specific PPE - Vegetation Control

• Chainsaw Trousers?

  Yes

  No

  N/A

• Chainsaw Boots?

  Yes

  No

  N/A

• Ear Defenders?

  Yes

  No

  N/A

Task Specific PPE - Chemical Weed Spraying

• Chemical Spray Suit?

  Yes

  No

  N/A

• Chemical gloves?

  Yes

  No

  N/A

• Applicable respiratory protection?

  Yes

  No

  N/A

Safety Briefings

• Did you receive a daily site briefing today?

  Yes

  No

  N/A

• Have you received an overall site induction?

  Yes

  No

  N/A

• Can you name your designated First Aiders on this site?

• Can you name your designated Team Leader/COSS on this site?

• Can you show me where you access the site based paperwork for this site?

Any Other Questions

• Please note any further questions and their responses below.

• Auditor Signature

  Sign

• Employee Signature

  Sign

• Please photograph the employee

  Media

• Supporting Photograph

  Media

• Supporting Photograph

  Media

• Supporting Photograph

  Media

• Supporting Photograph

  Media