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

  • Analyst?

  • Type of air monitoring

  • Preferred Analyst

  • CDM Applicable?

  • Principle Contractor

  • CDM Client

  • CDM Co-Ordinator

  • Welfare?

  • What and supplied by who?

  • Other Sub-contract Works?

  • Other Sub-Contractors

  • Sub-Contractors
  • Sub Contractor Details

  • 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

  • Project Start Date

  • Project Completion Date

  • Start Time

  • Finish Time

  • Weekend Working

  • Start Time

  • Finish Time

  • 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

  • Project Start Date

  • Project Completion Date

  • Start Time

  • Finish Time

  • Weekend Working

  • Start Time

  • Finish Time

  • 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

COSHH Assessments

  • Wet Strip

  • Spray Tak

  • Expanding Foam

  • MMMF

  • General Dusts

  • Smoke Fluid

  • X-Tex Artex Removal Agent

  • Other

  • Other RA's
  • Add media

Risk Assessments

  • Asbestos

  • Live Mechanical Services

  • Live Electrical Services

  • Confined space

  • Poor Lighting

  • Electric Plant & Equipment

  • Slips, Trips & Falls

  • Noise

  • Hand Cutting Timber

  • Hand Tools

  • Power Tools Cutting/Grinding

  • Hand Arm Vibration (HAVS)

  • Hand Cutting Timber

  • Manual Handling - less than 20kg

  • Manual Handling - more than 20kg

  • Fire

  • Working At Height - Steps

  • Working At Height - Podium Steps

  • Working At Height - Access Towers

  • Working At Height - Scaffolding

  • Working At Height - Roof

  • Working At Height - MEWP's

  • Needles & Sharps

  • Traffic Management Plan (CDM)

  • Vehicle Movements & Deliveries

  • Drug Use

  • Bio-Hazard (vermin/animal infestation)

  • Pigeon Guano

  • Dry Ice

  • 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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.