Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Project Contract Details

  • Site Address
  • Photo of Site Entrance

  • Client Details

  • Client
  • Client

  • Client Contact

  • Site Contact

  • Number or operatives (Inc. Supervisor)

  • Number of Days

  • Welfare?

  • What and supplied by who?

  • Other Sub-contract Works?

  • Other Sub-Contractors

  • Sub-Contractors
  • Sub Contractor Details

  • Analyst Requirements

  • Analyst Requirements
  • Who?

  • What?

  • Waste Management
  • Waste Management

  • How many bags?

  • Skip or collection?

  • How many bags?

  • Who?

  • Add media

Project Details

  • Are the works Non-Notifiable?

  • Scope of Works

  • Comments

  • Site Survey Details

  • Additional Site PPE

  • What?

  • Site Parking

  • Site Parking Location

  • Parking Photo

  • DCU required?

  • Attached to the enclosure

  • Location Details

  • Location Photo

  • Power

  • Water

  • Pre-Start Checks
  • Pre-Start Checks? (e.g. Isolations, site temps etc.)

  • Comments

  • Asbestos to be removed

  • What?

  • Respirator Zone
  • Access Equipment

  • Fixings

  • Pre-Clean?

  • What and Where

  • Enclosure Sheeting

  • Airlock & Baglock

  • Why?

  • Airlocks/Baglock Construction

  • What Size?

  • Vision Panels and/or CCTV

  • Negative Pressure Unit Vented to Atmosphere

  • Why?

  • Negative Pressure Unit With Roving Head

  • Height x Width x Length

  • Comments
  • Comments

  • Photo

  • Are the works Notifiable?

  • Scope of Works

  • Comments

  • Site Survey Details

  • Additional Site PPE

  • What?

  • Site Parking

  • Site Parking Location

  • Parking Photo

  • Skip requirement

  • Skip Size

  • Skip Location

  • Skip Location Photo

  • Decontamination Unit

  • DCU
  • Attached to the enclosure

  • Location Details

  • Location Photo

  • Power

  • Water

  • Pre-Start Checks
  • Pre-Start Checks? (e.g. Isolations, site temps etc.)

  • Comments

  • Enclosure Details

  • Enclosures
  • Asbestos to be removed

  • What?

  • Access Equipment

  • Fixings

  • Pre-Clean?

  • What and Where

  • Enclosure Sheeting

  • Airlock & Baglock

  • Why?

  • Airlocks/Baglock Construction

  • What Size?

  • Vision Panels and/or CCTV

  • Negative Pressure Unit Vented to Atmosphere

  • Why?

  • Negative Pressure Unit With Roving Head

  • Height x Width x Length

  • Comments
  • Comments

  • Photo

Risk Assessments

  • Asbestos

  • Comments

  • Photo

  • Live Mechanical Services

  • Comments

  • Photo

  • Live Electrical Services

  • Comments

  • Photo

  • Confined space

  • Comments

  • Photo

  • Poor Lighting

  • Comments

  • Photo

  • Electric Plant & Equipment

  • Comments

  • Photo

  • Slips, Trips & Falls

  • Comments

  • Photo

  • Noise

  • Comments

  • Photo

  • Hand Cutting Timber

  • Comments

  • Photo

  • Hand Tools

  • Comments

  • Photo

  • Power Tools Cutting/Grinding

  • Comments

  • Photo

  • Hand Arm Vibration (HAVS)

  • Comments

  • Photo

  • Hand Cutting Timber

  • Comments

  • Photo

  • Manual Handling

  • Comments

  • Photo

  • Fire

  • Comments

  • Photo

  • Working At Height

  • Comments

  • Photo

  • Needles & Sharps

  • Comments

  • Photo

  • Vehicle Movements & Deliveries

  • Comments

  • Photo

  • Drug Use

  • Comments

  • Photo

  • Bio-Hazard (vermin/animal infestation)

  • Comments

  • Photo

  • Pigeon Guano

  • Comments

  • Photo

  • Dry Ice

  • Comments

  • Photo

  • Other

  • Other RA's
  • Add media

Drawing

  • Add drawing

  • Add media

Additional Infomation

  • Add media

Caswell Group Representative Signature

  • Who?

  • Add signature

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.