Title Page
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Document No.
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Audit Title
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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
Health and Safety
Personal Protective Equipment (PPE)
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Hard Hat, suitable, being worn, good condition
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Safety glasses/goggles suitable, being worn, good condition
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Hand protection (gloves), suitable, being worn, good condition
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Safety boots/shoes, suitable, being worn, good condition
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item in PPE scores average or below detail follow up requirements
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If any item in PPE scores average or below photographic evidence is required
Electrics
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Task lighting, required, suitable and in place
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Electrical/wandering lead management
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Electrical tools hierarchy observed battery, 110v, lastly 240v connected via RCD
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item in electrics scores average or below detail follow up items
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If any item in electrics scores average or below photographic evidence is required
Work at Height
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Leading edge protection suitable and in place
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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All handrails in place where required and suitable for the task
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Exposed openings protected
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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All Colt mobile towers suitable, tagged and erected by competent operatives
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item in Work at height scores average or below detail follow up items
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If any item in working at height scores average or below photographic evidence is required
Scaffolding
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Scaffolding complete, toe boards in place, edges protected, ladders secured and in good condition, all guard rails in place and loading platforms in place where required
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item in scaffolding scores average or below detail follow up items
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If any item in scaffolding scores average or below photographic evidence is required
Plant and Tools
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Mobile Elevating Work Platform (MEWP)
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Plant description
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Plant suitable, supplied with user manual and thorough examination certificate. competent operator information available on site
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Hand tools
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Operatives Name
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If any item in plant and tools scores average or below detail follow up items
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If any item in plant and tools scores average or below photographic evidence is required
Houskeeping
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General housekeeping in work area
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Material and plant storage
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Waste storage
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item in house keeping scores average or below detail follow up items
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If any item in house keeping scores average or below photographic evidence is required
Risk Assessment and Method Statement (RAMS) and Other Site Documentation
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Risk assessment available, site specific and signed by all operatives on site
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Method statement available, reflects work in progress and signed by all operatives on site
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Tool box talks register on site and signed by all relevant operatives
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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DABS register on site and signed by all relevant operatives
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Equipment register available and up to date
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item in risk assessment and method statement scores average or below detail follow up items
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If any item in risk assessment and method statements scores average or below photographic evidence is required
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Select date
General Comments
Accident and Near Miss Data
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Give details of any near misses reported
Near Miss
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Give details of any accidents reported
Accident Report
Quality
Material Deliveries
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Were all materials delivered as per the contract requirements?
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Condition of material as delivered to site: This reflects the packaging, transportation and quality of materials prior to installation
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item scores average or below detail follow up items
Quality of Installation Work
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Was the work carried out to the customer's satisfaction
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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Quality of supervision: Was the supervisor in attendance on a daily basis?
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item scores average or below detail follow up items
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Inspections: Were planned inspections carried out to assess the quality of installation, whilst work was in progress?
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
Paperwork/Drawings
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Have all drawings been supplied and used during the installation?
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
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If any item scores average or below detail follow up items
Photographic Evidence If Required
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Tap add element to add photographic evidence
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Add media
General Comments
Environmental
Training
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Have all operatives been briefed on their environmental responsibilities?
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
COSHH
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Have any hazardous materials been used during the installation of this project and were all precations and assessments in place?
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
Risk Assessment
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Has an environmental risk assessment been carried out?
- Very Good
- Good
- Average
- Poor
- Very Poor
- Not Applicable
Photographic Evidence If Required
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tap add element to add photographic evidence
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Add media
General Comments
Approvals
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Auditee's details
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Auditor's details