Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Health and Safety

Personal Protective Equipment (PPE)

  • Hard Hat, suitable, being worn, good condition

  • Safety glasses/goggles suitable, being worn, good condition

  • Hand protection (gloves), suitable, being worn, good condition

  • Safety boots/shoes, suitable, being worn, good condition

  • If any item in PPE scores average or below detail follow up requirements

  • If any item in PPE scores average or below photographic evidence is required

Electrics

  • Task lighting, required, suitable and in place

  • Electrical/wandering lead management

  • Electrical tools hierarchy observed battery, 110v, lastly 240v connected via RCD

  • If any item in electrics scores average or below detail follow up items

  • If any item in electrics scores average or below photographic evidence is required

Work at Height

  • Leading edge protection suitable and in place

  • All handrails in place where required and suitable for the task

  • Exposed openings protected

  • All Colt mobile towers suitable, tagged and erected by competent operatives

  • If any item in Work at height scores average or below detail follow up items

  • If any item in working at height scores average or below photographic evidence is required

Scaffolding

  • 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

  • If any item in scaffolding scores average or below detail follow up items

  • If any item in scaffolding scores average or below photographic evidence is required

Plant and Tools

    Mobile Elevating Work Platform (MEWP)
  • Plant description

  • Plant suitable, supplied with user manual and thorough examination certificate. competent operator information available on site

  • Hand tools

  • Operatives Name

  • If any item in plant and tools scores average or below detail follow up items

  • If any item in plant and tools scores average or below photographic evidence is required

Houskeeping

  • General housekeeping in work area

  • Material and plant storage

  • Waste storage

  • If any item in house keeping scores average or below detail follow up items

  • If any item in house keeping scores average or below photographic evidence is required

Risk Assessment and Method Statement (RAMS) and Other Site Documentation

  • Risk assessment available, site specific and signed by all operatives on site

  • Method statement available, reflects work in progress and signed by all operatives on site

  • Tool box talks register on site and signed by all relevant operatives

  • DABS register on site and signed by all relevant operatives

  • Equipment register available and up to date

  • If any item in risk assessment and method statement scores average or below detail follow up items

  • If any item in risk assessment and method statements scores average or below photographic evidence is required

  • Select date

General Comments

Accident and Near Miss Data

  • Give details of any near misses reported

  • Near Miss
  • Give details of any accidents reported

  • Accident Report

Quality

Material Deliveries

  • Were all materials delivered as per the contract requirements?

  • Condition of material as delivered to site: This reflects the packaging, transportation and quality of materials prior to installation

  • If any item scores average or below detail follow up items

Quality of Installation Work

  • Was the work carried out to the customer's satisfaction

  • Quality of supervision: Was the supervisor in attendance on a daily basis?

  • If any item scores average or below detail follow up items

  • Inspections: Were planned inspections carried out to assess the quality of installation, whilst work was in progress?

Paperwork/Drawings

  • Have all drawings been supplied and used during the installation?

  • If any item scores average or below detail follow up items

Photographic Evidence If Required

    Tap add element to add photographic evidence
  • Add media

General Comments

Environmental

Training

  • Have all operatives been briefed on their environmental responsibilities?

COSHH

  • Have any hazardous materials been used during the installation of this project and were all precations and assessments in place?

Risk Assessment

  • Has an environmental risk assessment been carried out?

Photographic Evidence If Required

    tap add element to add photographic evidence
  • Add media

General Comments

Approvals

  • Auditee's details

  • Auditor's details

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.