Title Page

  • Conducted on

  • Prepared by

  • Location - Please provide full address
  • Engineer Name

  • Engineer Skills - Please select all that apply

  • Audit ID

  • Project Source

  • Please provide project source (e.g. supplier)

  • Project Name

  • Job Reference Number

  • Please provide the name of the Lead Engineer of the installation

  • property Tenanted / Void

Doorstep Protocol

  • Has the engineer parked their vehicle in a suitable position?

  • Select all that apply

  • Select all that apply

  • Select all that apply

  • Select all that apply

  • Is the engineer wearing the correct uniform?

  • Select the correct code

  • Did engineer arrive at agreed appointment time?

  • Select correct code

  • Is the engineers ID badge displayed?

  • Select correct code

  • On arrival did the engineer confirm the address and job details with the customer?

  • Select correct code

  • On arrival did the engineer explain the work to be undertaken?

  • Select correct code

  • Was the engineer polite and courteous?

  • Select correct code

Point of Work Risk Assessment

  • Has the engineer conducted an initial risk assessment of the property and the working area?

  • Select the correct code

  • Where specific hazards have been identified, has the engineer taken the appropriate measures?

  • Please select all that apply

  • Please select all that apply

  • Please select all that apply

  • Please select all that apply

  • Has the engineer cordoned off the working area (appropriate barriers placed/discussed with the customer working area and requested them to remain away)

  • Select correct code

Engineer

Audit Inspection Elements

  • Please select the elements of the installation that you are witnessing the engineer perform. Select all that apply

  • Please provide specific details on the elements witnessed.

Health and Safety

  • Did the engineer select and apply the correct PPE when required and/or when deemed necessary?

  • Select correct code

  • Is the engineer's PPE properly cared for and maintained?

  • Select correct code

  • Did the engineer apply a proactive approach to health and safety?

  • Select correct code

  • Can the engineer explain what near misses and hazards are?

  • Select the correct code

  • Can the engineer explain the process for reporting Accidents, Incidents, Near Misses and Hazards?

  • Select correct code

Customer Engagement

  • Was the engineer sensitive to the customer's needs?

  • Select correct code

  • Did the engineer keep the customer informed of progress?

  • Select correct code

  • Did the engineer demonstrate how to use the equipment and app where applicable?

  • Select correct code

  • Did the engineer identify any customer vulnerabilities?

  • Select all that apply

  • Select all that apply

  • Select all that apply

  • Select all that apply

Use of Tools and Equipment

  • Was the engineer proficient in the use of tools and equipment?

  • Select all that apply

  • Select all that apply

  • Select all that apply

  • Select all that apply

  • Did the engineer select the correct tools and equipment when required and/or when deemed necessary?

  • Select correct code

  • Are the engineer's tools and equipment properly cared for and maintained?

  • Select correct code

Competence

  • Did the engineer have their competency certs and documentation?

  • Select the correct code

  • Can the engineer demonstrate where and how to access the RAM's and SSOW's?

  • Select the correct code

Administration

Administration

  • Has the engineer taken the relevant photographs?

  • Select the correct code

  • Has the engineer left the correct paperwork/leaflets with the customer?

  • Select the correct code

  • Has the engineer correctly completed an Electrical Installation Certificate and/or Minor Works Certificate - where applicable?

  • Select the correct code

  • Has the engineer correctly completed all job details on the handheld device e.g. Jump Tech/On Route etc?

  • Select the correct code

Audit Completion

  • Audit Outcome

  • Select all that apply

  • CAT 1

  • CAT 2

  • CAT 3

  • Was coaching provided during audit?

  • Please provide details of coaching given

  • Suggested Actions

  • Provide justification for suggested action

  • Auditor Feedback

  • Engineer

  • Auditor

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.