Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Access & Manning

Shift Start Time

  • Select date

Shift Finish Time

  • Select date

Noise Restrictions

  • Please Select

  • Notes

Site Induction

  • Please Select

  • Site Induction Notes

Vehicle Parking

  • Please Select

  • Parking Notes

RAMS

  • Please Select

  • Rams Notes

Secondary Contact Details (out of hours)

  • Please state name, contact number and position held

Site Specific Work Notes

  • Brief notes for expansion at the office

Man Power confirmation

  • Please Select number of men

  • Manpower Notes

DuctWork Audit

Confirmation of Ducting Layout

  • Ducting as per schematic

  • Ductwork Schematic adjustment notes

Inaccessible Ductwork?

  • Is any areas inaccessible

  • Inaccessible Ductwork Notes

  • Percentage of Total Duct that is Inaccessible %

Access Portes

  • Have we asked the client to fit access Portes?

  • Number of Portes requested

  • Has the client to installed the access Portes?

  • Number of Portes fitted

Access Panel Requirements

  • Are we required to fit access doors?

  • Door Type

  • Select from range

  • Please state the door sizes

  • Door Type

  • Select from range

  • Please state the door sizes

Specialist Access Equipment

  • Please Select

  • Specialist Access Equipment Notes

Specialist Cleaning Equipment

  • Please Select

  • Please Select

  • Please Select

  • Specialist Equipment Notes

Specialist Equipment Safe Storage Location

  • Please state the location for access equipment to stored / used safely

Plant Room Location

  • Please State the location of the plant room if applicable

Fan Isolator Switch Location

  • Please state clearly the location

Fan Isolator Operation

  • Please Select

  • Please Select

  • Please Select

  • Notes

Notes

  • Additional Notes

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.