Information

  • Document No.

  • Audit Title

  • Personnel

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Assessment Type

Site Induction

  • Site Induction Completed

  • RAMS Read and Signed

  • Permit To Works Completed

  • Drug & Alcohol On Site Testing

  • Personnel Qualification Cards

  • UKATA

  • Ipaf

  • CSCS card

  • Personnel wearing current PPE and

  • Hard Hat

  • High Viz Vest

  • Safety Boots / Shoes

  • Safety Gloves

  • Safety Glasses

  • Ear Defenders / Plugs

  • Does engineer have basic tube installation tools

  • Tube Saw

  • Tube Deburrer

  • Tape Measure & Spirit Level

  • Stocko Crimping Pliers

  • Electronic Side Cutters

  • General Hand Tools

Pneumatic Tube System

  • System Type

  • Tube and Cable Installation<br>

  • Brackets installed and at correct distance apart 2.5m intervals

  • Tube installed straight and level

  • Tube sets correct

  • Cable installed and clipped to tube work every 1.5m

  • Remote Station Installation

  • Kiosk

  • Correct Station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve and station card installed correctly

  • Valve cover fitted

  • Top Hat Fitted

  • Cabled install clipped and hidden behind tube

  • Cafe

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve and station card installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cable install clipped and hidden behind tube

  • Pharmacy

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve and station card installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cabled install clipped and hidden behind tube

  • Opticians

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cable install clipped and hidden behind tube

  • George Desk

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cable install clipped and hidden behind tube

  • Photo Shop

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve and station card installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cable install clipped and hidden behind tube

  • MVG / Tech Desk

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve and station card installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cable install clipped and hidden behind tube

  • Electrical Desk

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and station secure

  • Valve and station card installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cable install clipped at hidden behind tube

  • GM Desk

  • Correct station fitted and installed at correct height

  • Correct station brackets fitted and secure

  • Valve and station card installed correctly

  • Valve cover fitted

  • Top hat fitted

  • Cable install clipped and hidden behind tube

  • Main-bank Checkout Station Installation

  • Underfed Cash Tube

  • Trench tube work, merges installed correct

  • Overfed Cash Tube

  • Tube work, merges and bends installed correctly

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.