PSDP Compliance Audit Report

• Form Ref : PSDP-15 (Rev 03) Effective Date: 11.11.2019

• Project Name

• Project Location
  Address

• Audit Date

  Date

• PSCS: (Site Point of Contact)

• Distribution List

• Nature of Site Visit

  Select Preliminary Plan Preparation / Update Meeting with PSCS Design Team Meeting Co-ordination Visit

  • Preliminary Plan Preparation / Update
  • Meeting with PSCS
  • Design Team Meeting
  • Co-ordination Visit

• Programme Changes on site which may affect Health & Safety?

  Yes

  No

  N/a

• Any changes in scope / design on site which may affect health & safety?

  Yes

  No

  N/a

• Method Statements (sample / any concerns?)

  Yes

  No

  N/a

• Boundaries & Access

• Ground Conditions

• Existing Structures

• Other work activities

• Security Arrangements

• Existing Services

• Environmental Issues

• Traffic Management

• Deliveries Loading / Uploading

• Storage Arrangements

• Road Cleaning

• Waste Management

• Hazardous Materials

• Other

  Yes

  No

  N/A

• Comments/Notes

• Photos to support comments/notes

  Media

• Burial under earthfalls

  Yes

  No

  N/a

• Engulfment in swampland

  Yes

  No

  N/a

• Falling from height

  Yes

  No

  N/a

• Chemical or Biological substance

  Yes

  No

  N/a

• Ionising radiation

  Yes

  No

  N/a

• High voltage power lines

  Yes

  No

  N/a

• Risk of drowning

  Yes

  No

  N/a

• Work on wells, underground earthworks and tunnels

  Yes

  No

  N/a

• Work carried out by divers

  Yes

  No

  N/a

• Work carried out in a caisson

  Yes

  No

  N/a

• Work involving explosives

  Yes

  No

  N/a

• Assembly or disassembly of heavy prefabricated items

  Yes

  No

  N/a

• COMMENTS / NOTES (incl. other significant risks identified)

• Photos of other significant risks identified

  Media

Temporary Works Design

• Elements identified which require Temporary Works Design Certificate (e.g. shuttering, non-standard scaffold, propping, bearing, bracing, loading, hoarding, ladders, trench-boxes, formwork, trench shoring/support, working platforms, traffic mgt., haul roads, safety netting/fall arrest systems, goalposts etc.):

  Yes

  No

  N/a

• Temporary Works Designer / Engineer / Specialist Responsible

Permanent Works Design

• Elements identified which require Permanent Works Design Certificate (e.g. roof, main structure, foundations, permanent walkways, ladders, working platforms, anchor systems, structural steel, edge protection, anchor design (FM-01/FM-02/FM-03):

  Yes

  No

  N/a

• Permanent Works Designer / Engineer / Specialist Responsible

Updates Required

• Design Risk Assessments

  Yes

  No

  N/a

• Design Change Certificate

  Yes

  No

  N/a

Verbal Discussion

• Issued to

• Brief Note

Written Direction

• Issued to

• Brief Note

Safety File

• Safety File Compilation Notes

General Comments

• Any other General Comments/Notes

  Yes

  No

  N/A

• Full Name

  Sign

• Full Name

  Sign