PFM C21 HSQE Internal Audit

• Contract Number and Name

• Site Manager

• Supervisor

• CDM Duty Holder

  Select Client Principal Designer Principal Contractor Sub Contractor

  • Client
  • Principal Designer
  • Principal Contractor
  • Sub Contractor

• Client Name

• Conducted on

  Date

• Auditor

• Location
  Address

• The scoring of this Audit is based on Statutory, Legislative and the relevant ISO Standard.

Previous Actions Close Out.

• Have all previous NCRs been suitably closed out ?

  Yes

  No

  N/A

• If 'NO' Identify the Root causation for the failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Compliance Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

HSQE Site Management, Documentation etc.

• Is this Section to be Audited / Inspected ?

  Yes

  No

• H&S Management Plan on site, reviewed/ revised as necessary

• Wallchart populated and current

• Site HSQE Filing Index in use

• Previous H & S reports actioned

• Permits (not covered elsewhere)

• Daily Check Sheets Completed

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• HSQE Documentation Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

RAMS / Communication

• Is this Section to be Audited / Inspected ?

  Yes

  No

• In place for current activities, and filed

• MS reviewed and amended

• RA reviewed in hard copy

• Communicated & signed by all

• Records of Daily Pre Start Task Briefing

• Records of Tool Box Talks

• Site inductions undertaken

• Workforce Consultation

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• RAMS / Communication Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Excavations

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Management of Permit system

• Underground services identified/controlled

• Method of support

• Protection of falls – materials / people

• CAT / GPR scans carried out

• Safe Access / Egress

• Stability of adjacent structures

• Stop blocks in place

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Excavations Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Work at Height

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Scaffolds “Scaf tagged” & in date

• Scaffolds in good order

• MEWPS in good order

• Ladders tied/secured/good order/gated

• Inspection records in place

• Safe access in place

• TG20:13 Compliance Sheets and Handover Certificates

• PASMA towers set up correctly

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Work at Height Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

LOLER

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Test certificates on site

• Weekly/Daily inspections recorded

• Serviceability SWL Marked

• Lifts planned & authorised

• Materials slung correctly

• Lifts controlled by Slinger / Banksman

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• LOLER Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Temporary Works and Roads and Streetworks

• Is this Section to be Audited / Inspected ?

  Yes

  No

• TW Design in place

• TW Register

• TW Design Checking being carried out

• TW Co-ordinator identified

• TW Inspections carried out

• TW compliance to BS5975

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Temporary Works Rating

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Confined Spaces

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Management of Permit system

• Tally Board system

• Testing for gases

• Rescue arrangements

• Emergency man-lifting arrangements

• Other

• Identify Root causation for any failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Confined Spaces Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Plant

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Test certificates on site

• Weekly/Daily inspections recorded

• Serviceability

• Guards

• Equipment used correctly

• HAVS RA & procedure in place

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• PUWER Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Electricity and Services

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Current Service Drawings and utility information

• 110v equipment

• Installation certificate

• Appropriate temporary power

• Generator earthed appropriately

• Up to date PAT register in place

• Power leads in good order

• Overhead services identified/controlled

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Electricity and Services Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Site Vehicle Management

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Appropriate lighting

• Safe access to work areas

• Access / Egress around site

• Traffic Routes Marked appropriately

• Use of Vehicle Banksman

• One way system

• Pedestrian segregation

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Site Access / Site Vehicle Management Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Gases

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Management of Permit system

• Cylinders properly secured

• Fitted with flash back arrestors

• Stored safely

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Gases Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

PPE

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Covered in RAMS

• Issued

• Worn & fit for purpose

• Serviceability

• Face fit-test status

• Evidence of RPE inspections

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• PPE Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Environmental Management (Section a) Procedures and b) Controls) also Ref: QP11 Waste Management.

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Contract EMP in place; revised as necessary

• Environmental RA in place

• Drainage Plan if required

• Contingency Plan(s) required

• EA consent to discharge

• Consent to discharge to foul sewer

• Emergency measures in place

• SWMP in place (where contractually reqd.)

• Haz. Waste registered site (Wales only)

• Waste transfer / consignment notes available and correctly processed

• Waste Carrier Registrations valid

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Environmental Procedures Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

b) Environmental Controls

• Is this Section to be Audited / Inspected ?

  Yes

  No

• a) Nuisance

• Noise prevention for plant

• Environmental Noise Assessment

• Dust suppression / control

• Road sweeping (if required)

• Other

• b) Land

• Spill kits in place with signs

• Dirt / Mud control measures in place

• Bowsers locked when not used

• Invasive / harmful plants

• Protected animals / habitats

• Other

• c) Water

• 10m rule followed

• Drip trays used

• Silt Controls in place

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Environmental Controls Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Supplier Assessment and Control of Subcontractors

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Evidence of initial Supplier assessment

• S/C RAMS Review

• Competence checking

• Improvement / Prohibition Notices

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Control of Subcontractors Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Security / Protection / Signage

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Fencing of site

• Fencing of hazards

• Warning signs

• Secured appropriately

• Other

• Identify Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Security / Protection / Signage Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Housekeeping / Storage / Waste Management.

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Skips / bins labelled

• Clean access routes around site

• Segregation of waste

• Safe stacking/storage

• Good Housekeeping evident

• Waste timber denailed

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Housekeeping / Storage / Waste Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Health Hazards / COSHH

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Have harmful materials (e.g. asbestos, contaminants) been identified & precautions taken?

• Weills Disease control measures

• Noise protection (H&S aspects)

• Posters in place, e.g. dermatitis, VWF

• Substance COSHH assessed

• Communicated / Signed

• Appropriate COSHH Storage

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Health Hazards / COSHH Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Welfare Facilities

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Clean/tidy/appropriate housekeeping

• Suitable rest & cooking areas

• Adequate lighting & heating

• Suitable toilets / washing facilities

• Drying rooms / lockers

• Potable hot & cold water

• Smoking / Vaping shelters

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Welfare Facilities Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Fire, Emergency and Response

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Emergency procedures in place

• Fire alarms in place & tested

• Fire RA in place

• Updated Fire Plan in place

• Extinguishers present / checked weekly

• Flammable liquids stored appropriately

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Fire and Emergency Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

First Aid / RIDDOR

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Trained first aider on site

• Check accident book

• Contents of first aid box

• Emergency procedures & signs in place

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• First Aid / RIDDOR Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Training / Competence

• Is this Section to be Audited / Inspected ?

  Yes

  No

• CPCS Plant Operators

• CSCS

• Designated Driver / Licence Checks

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Training / Competence Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

Manual Handling

• Is this Section to be Audited / Inspected ?

  Yes

  No

• Has a RA been done

• Can mechanical means be used

• Are appropriate sized materials used

• Other

• Identify the Root causation for failings.

  Select Management Procedural/Systems Resource Environmental Training & Competence Plant Equipment N/A

  • Management
  • Procedural/Systems
  • Resource
  • Environmental
  • Training & Competence
  • Plant Equipment
  • N/A

• Manual Handling Rating:

  Compliant

  Opportunity for Improvement

  Minor NCR

  Major NCR

  Critical

• Auditors General Close Out Comments.

• Audited by:

  Sign

• Site Representative:

  Sign