Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
Safe Place of Work
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Is there a safe access for all on site to reach their place of work ie good roads, gangways, passageways, hoists, staircases, ladders and scaffolds?
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Is artificial lighting required on site?
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Are there proper arrangements for the disposal of waste?
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Other hazards
Working at Height
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Is adequate types of access in place? Ie crawl boards/ladders etc?
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Edge protection for materials/people?
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Are there roof lights?
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Are people working below requiring protection from falling objects?
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Is scaffolding required?
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Does the scaffolding require permits?
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Is MEWP necessary?
Electricity
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Is there an electric underground cable near the work being carried out, has it been located and marked and precautions take to avoid contact?
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Are there overhead lines within confine of site?
Mobile Plant
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Has location been identified for the storage of onsite plant and equipment?
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Would the equipment noise output have a significant impact on the surrounding environment?
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Is general noise going to be a problem during site access/egress and on site?
Health Risks
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Have harmful materials been identified?
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Safety equipment required PPE?
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Are protective measures required within the work areas?
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Is confined space works required?
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Is dust screening required?
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HA vibrations?
Risks to the public
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Does the work create risks to members of the public? Eg materials falling, site plant, access and egress
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Is the site perimeter fencing adequate to keep out the public?
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Is the site secure during non working hours and periods?
Welfare
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Are there toilets?
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Are there wash basins, hot water, soap and towels?
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Is there a room or area where clothes can be dried?
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Is there a room where workers can shelter and have meals with facilities to boil water?
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Is there a supply of drinking water provided?
Fire and emergencies
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Are hot works going to be carried out?
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Fire extinguishers required?
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Additional escape routes?
Compressed gases
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Are cylinders to be stored on site?
Traffic routes and vehicles
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Does the work require traffic management?
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Is there suitable parking for onsite vehicles?
Environmental
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Is a water course on site?
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Is there flora or fauna protection of planted areas?
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Is it a Cultural Heritage area?
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Are there endangered or protected species?
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Is the building listed or protected?
Existing Infrastructure
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Are there existing structures close to the worksite that may be damaged by the works?
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Is there existing cabling and equipment close to the worksite that may be damaged by the works?
Worksite
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Sketch detailing the proximity of worksite to existing infrastructure.
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Additional information
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Signature