Pump Site

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Signage

• Noise/hearing protection required

  Yes

  No

  N/A

• Authorised personnel only

  Yes

  No

  N/A

• Moving Parts

  Yes

  No

  N/A

• Hot surface

  Yes

  No

  N/A

• Trip hazard

  Yes

  No

  N/A

• PPE must be worn

  Yes

  No

  N/A

• Confined Spaces

  Yes

  No

  N/A

Housekeeping

• Waste materials removed

  Yes

  No

  N/A

• Combustible plant materials kept clear

  Yes

  No

  N/A

• Battery storage in good condition

  Yes

  No

  N/A

• Fuel storage in good condition

  Yes

  No

  N/A

• Fuel storage area bunded

  Yes

  No

  N/A

• No leaking from fuel tank and pipes

  Yes

  No

  N/A

• No oil leaks

  Yes

  No

  N/A

PPE

• PPE Available and in good condition

  Yes

  No

  N/A

Guarding

• Guards fitted to all risk areas

  Yes

  No

  N/A

• Guards secure and in good condition

  Yes

  No

  N/A

• Mesh size satisfactory

  Yes

  No

  N/A

• Ends of rotating shafts covered

  Yes

  No

  N/A

• Mesh covers fitted to stand pipes

  Yes

  No

  N/A

• Mesh fitted to intake pipes

  Yes

  No

  N/A

Access

• Access clear

  Yes

  No

  N/A

• Walkways in good condition and secure

  Yes

  No

  N/A

• Platform in good condition and secure

  Yes

  No

  N/A

• Handrails fitted and secure

  Yes

  No

  N/A

Lighting

• Adequate lighting

  Yes

  No

  N/A