Information
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Document No.
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Audit Title
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Prepared by
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Conducted on
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Personnel
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Client / Site
PPE
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Wearing Hard Hat/Bump Cap/good condition/inspected/in date?
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Wearing appropriate safety footwear/in good condition?
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Wearing appropriate gloves suitable for task/in good condition?
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Wearing or has access to Wet Weather Gear/in good condition (where required)?
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Is hearing protection immediately available?
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Is Eye Protection immediately available?
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Wearing Hi Vis Jacket/Vest/good condition (class 3 for highway use)?
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Remedial Actions
Hygiene
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Do you have a Leptospirosis (pink Card)/Clean water (blue card)?
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Are Good Personal Hygiene Practices followed / hand wipes/anti bacterial gel available?
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Remedial Actions
First Aid
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Is First Aid kit Available/In Date/ Inspected/complete?
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Are you trained in first aid procedures?
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Remedial Actions
Vehicles
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Do you have a completed vehicle/plant Inspection Log?
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Is vehicle/plant in good condition/operation/defects logged?
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Is a flashing beacon available?
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Is a fire extinguisher available / Is it in date?
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Are COSHH sheets available?
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Remedial Actions
Lifting Equipment
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Is lifting equipment inspected/ in date/good condition?
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Remedial Actions
Gas Detection
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Is a gas monitor available?
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Are gas monitors calibrated/tested/certified/ in good condition readily available for use?
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Remedial Actions
Working with Electrical Equipment
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Are electrical tools PAT tested/in date/in good condition?
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Do you use an electrical tester?
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Is the electrical tester calibrated/in-date/in good condition?
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Remedial Actions
Essential Equipment
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Are red locks (x3) / personal safety locks available?
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Are isolation tags available?
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Is a working torch available?
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Are a set of drain rods available?
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Is a working ammonia meter and test kits available?
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Is a BOD tube available?
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Are a set of manhole lifting keys available?
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Remedial Actions
Misc
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Additional Comments?
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Signature