Title Page
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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
Section 1: Security Of Plantroom
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A) Are the entry doors locked to prevent access?
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B) Is access restricted?
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C) Are all ladders chained up and locked?
Section 2: Cleanliness
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A) Are floors clean?
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B) Are walls/ceilings clean?
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C) Is furniture (if applicable) in good condition?
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D) Are containers provided for waste?
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E) Are spillages cleaned up?
Section 3: Heating, ventilation, Air Conditioning
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A) Is there a written preventative maintenance plan?
Section 4: Safe Working Practices
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A) Is hot pipework lagged?
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B) Are chemical delivery pipes labelled?
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C) If applicable is there an asbestos risk assessment? If you answer no to this question comment on reason for no assessment?
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D) If yes to Question C, is it available to contractors?
Section 5: Maintenance
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A) If there is an external liquid fuel storage tank is it bunded?
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B) If Liquid Petroleum Gas (LPG) is stored on site is it maintained to HSE guidance?
Section 6: Examination/Inspection
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A) Is there evidence of last boiler inspection?
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B) Is there evidence of inspection of ventilation system in the last six months?
Section 7: Lighting
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A) Is there evidence of the last emergency lighting inspection?
Section 8: Electrical
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A) Is there evidence that RCD's are installed and tested quarterly?
Section 9: Coshh
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A) Are all COSHH material data sheets available?
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B) Is there evidence that training has been recorded for plant operatives?
Section 10: Personal Protective Equipment
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A) Is there a PPE station?
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B) Are there adequate chemical suits?
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C) Are there adequate face protection?
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D) Are there adequate boots?
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E) Are there adequate gauntlets?
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D) Are there adequate respirators?
Section 11: Drench Shower
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A) Is there a drench shower installed?
Section 12: Chemical Storage
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A) Are storage areas clearly marked?
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B) Is there a control measure to restrict access?
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C) Are bunds sufficient?
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D) Are bunds capable of retaining spillage?
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E) Is there a record of tank tests?
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F) Are they capable of holding 110% of chemical stored?
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G) Is storage area ventilated?
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H) Is storage area ventilation intake within 25meters? (If less than 25 meters confirm distance in comment section)
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I) Are solid materials stored on pallets to avoid contact with floor?
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J) Are containers protected against direct sunlight and hot pipework?
Section 13: Chemical Delivery To Site
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A) Has a risk assessment been completed for chemical deliveries?
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B) Have precautions been taken to protect public/staff?
Section 14: Fire
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A) Is there evidence that chemical storage areas have a maximum of half hour fire resistance on doors and walls?
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B) Have all the fire extinguishers been tested in the last 12 months?
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C) Are all gangways to fire exits kept clear?
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D) Are all fire doors free from external obstructions?
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E) Are all push bars on fire doors operational?
Section 15: Lone Worker
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A) Is there a risk assessment for lone working in the plantroom?
Section 16: First Aid
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A) Has the weekly checklist been completed to include plantroom first aid box?
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B) Are the eyewash bottles within the expiry period?
Section 17: Housekeeping
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A) Answer yes if site do NOT store any of the following in the plantroom, if you answer no indication site DO store any of these items then list which ones are stored and organise removal of these items or install a fire proof storage cabinet away from the boilers.
Audit Remedial Log/Signoff
Remedial Sign Off
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Remedial 1 Tech/GM Sign Off And Date
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Remedial 2 Tech/GM Sign Off And Date
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Remedial 3 Tech/GM Sign Off And Date
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Remedial 4 Tech/GM Sign Off And Date
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Remedial 5 Tech/GM Sign Off And Date
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Remedial 6 Tech/GM Sign Off And Date
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Remedial 7 Tech/GM Sign Off And Date
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Remedial 8 Tech/GM Sign Off
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Remedial 9 Tech/GM Sign Off And Date
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Remedial 10 Tech/GM Sign Off And Date
