Q12a Site Audit

• Site conducted

  Select

• Q12a Form Revision 1

• Date of review: May 2021

• Area Code

• Customer

• Conducted on

  Date

• Prepared by

• Location
  Address

Audit Summary

• Auditor

• Date of Audit

  Date

• Site Code

• Customer

• Location

• Technicians Name

• Technicians code

• Employee Number

• Housekeeping Score

• Corrective Actions (Qty)

• Raised Against:

  Select PA-05 SM-71 P6-06 SM-29 SM-31 SM-42 SM-23 PA-08 PA-11 SM-43 SM-11 SM-13 P6-12 SM-32 HR-11 & SM-26 5S SM-25

  • PA-05
  • SM-71
  • P6-06
  • SM-29
  • SM-31
  • SM-42
  • SM-23
  • PA-08
  • PA-11
  • SM-43
  • SM-11
  • SM-13
  • P6-12
  • SM-32
  • HR-11 & SM-26
  • 5S
  • SM-25

• Comments

Customer Feedback

• Customer Feedback?

  Available

  Not Available

• Customer Contact

• Customer Feedback

Executive Summary

• Executive Summary

SM-24 Training

• 1. Are you sufficiently trained for the company products you support?

  Yes

  No

• Actions

• Root Cause

• 2. Is specialist training completed and up to date (i.e. TE / Pyroban)?

  Yes

  No

  N/A

• Actions

• Root Causes

• 3. Are training records on the company database complete & up to date?

  Yes

  No

• Actions

• Root Causes

• Summary

SM-42 Communication

• 1. Does the Technician have access to the intranet / After Sales SharePoint?

  Yes

  No

• Actions

• Root Causes

• 2. Is the Site IT equipment in good working order and condition?

  Yes

  No

• Actions

• Root Causes

• 3. Can the technician demonstrate competence in accessing QHSE ShaprePoint?

  Yes

  No

• Actions

• Root Causes

• Summary

Thorough Examination of Lifting Equipment

• 1. Does the Technician undertake Thorough Examinations as part of their duties?

  Yes

  No

• i. Does the Technician show understanding concerning the requirement for impartiality?

  Yes

  No

• Actions

• Root Causes

• ii. does the technician understand his responsibilities when encountering equipment which would pose an existing or imminent risk of serious personal injury?

  Yes

  No

• Actions

• Root Causes

• iii. How and when does the Technician undertake remedial work following a TE inspection?

  Yes

  No

• Actions

• Root Causes

• Summary

SM-11 Team Member Accident Reporting

• 1. Is the technician aware of the Team Member Accident Reporting procedure and who to contact?

  Yes

  No

• Actions

• Root Causes

• 3. Is there a copy of the Team Member Accident Reporting Procedure displayed?

  Yes

  No

• Actions

• Root Causes

• 4. Is the Technician aware of the Near Miss Reporting and Unsafe Circumstance Procedure?

  Yes

  No

• Actions

• Root Causes

SM-13 Customer Accident Reporting

• 1. Is the technician aware of the TMHUK Customer Incident / Accident Reporting Procedure?

  Yes

  No

• Actions

• Root Causes

• 2. Is the technician aware that they should never admit liability to the customer or provide formal statements without authority from senior management?

  Yes

  No

• Actions

• Root Causes

P6-12 Equipment Defect Report & Service History

• 1. Is there a Defect Reporting System in place?

  Yes

  No

• Sample

• Actions

• Root Causes

• 2. Are Records kept in a logical manner for future reference?

  Yes

  No

  N/A

• Actions

• Root Causes

P6-06 parts Delivery and Storage

• 1. Are new parts delivered suitably packed & labeled with correct delivery notes?

  Yes

  No

• Actions

• Root Causes

• 2. Are parts deliveries satisfactory?

  Yes

  No

• Actions

• Root Causes

• 3. Is there appropriate storage for all parts held on site?

  Yes

  No

• Actions

• Root Causes

• 4. Is there clear segregation between stock and non-stock parts

  Yes

  No

• Actions

• Root Causes

• 5. Are all parts stored in accordance with 5S methodology, with the area well managed and parts clearly labeled?

  Yes

  No

• Actions

• Root Causes

• 6. Are all parts held kept to a minimum using across the lines methodology?

  Yes

  No

• Actions

• Root Causes

• Sample Stock Check

• Sample 1

• Does sample taken match warehouse holdings?

  Yes

  No

• Actions

• Root Causes

• Sample 2

• Does sample taken match warehouse holdings?

  Yes

  No

• Actions

• Root Causes

• Summary

PA-08 Return and Disposition of Spare Parts

• 1. Is the technician aware of the returns process on T-Stream?

  Yes

  No

• Actions

• Root Causes

• 2. Are there a suitable number of return and warranty labels available?

  Yes

  No

• Actions

• Root Causes

• 3. Sample Returns Information

• 4. Is the return process being followed correctly (Back Office Check)

  Yes

  No

• Actions

• Root Causes

• Summary

SM-25 Work Equipment

• Hand Tools

• 1. Are all hand tools stored correctly, utilizing 5S methodology?

  Yes

  No

• Actions

• Root Causes

• 2. Are all hand tools used appropriate and sufficient to carry out duties?

  Yes

  No

• Deficiencies

• Actions

• Root Causes

• 3. Are all hand tools in a good condition and well maintained?

  Yes

  No

• Actions

• Root Causes

• Power Tools

• 1. Are all electrical powered tools 110v or Battery operated?

  Yes

  No

• Actions

• Root Causes

• 2. Is all electrical equipment correctly stored?

  Yes

  No

• Actions

• Root Causes

• 3. Does the Transformer have an RCD Fitted?

  Yes

  No

  N/A

• Actions

• Root Causes

• 4. Do all Pneumatic tools have 'leader hoses' fitted in accordance with SWP-15 Para 3.2?

  Yes

  No

  N/A

• Actions

• Root Causes

• Special and Mandatory Tools

• 1. Is the Multi-meter in good condition with insulated leads?

  Yes

  No

• Actions

• Root Causes

• 2. Torque Wrenches in good condition and stored correctly

  Yes

  No

• Actions

• Root Causes

• 3. Are all Jacks in good condition and stored appropriately?

  Yes

  No

• Actions

• Root Causes

• 4. Are Blocks in good order and correctly stored?

  Yes

  No

• Actions

• Root Causes

• 5. Is there a Padlock and Lock Off Label available?

  Yes

  No

• Action

• Root Causes

• 6. Is there a Chain Gauge available and in good condition, stored correctly?

  Yes

  No

• Actions

• Root Causes

• 7. Are Feeler Gauges available and fit for purpose?

  Yes

  No

• Actions

• Root Causes

• 8. Is there a 3Mtr Tape Measure available and is it fit for purpose?

  Yes

  No

• Actions

• Root Causes

• 9. Are all slings in good condition with tags intact showing serial numbers?

  Yes

  No

• Actions

• Root Causes

• 10. Are all shackles present, in good condition and clearly identified by tech number?

  Yes

  No

• Actions

• Root Causes

• 11. Is there a Punch Holder Present?

  Yes

  No

• Actions

• Root Causes

• Summary

Maintenance of Work Equipment

• 1. Are all items subject to inspection listed on the Special Tool Examination Planner?

  Yes

  No

• Discrepences

• Actions

• Root Causes

• 2. Are all items within inspection, calibration or test date?

  Yes

  No

• Items out of date

• Actions

• Root Causes

• 4. Are all electrical items within PAT date?

  Select Yes No

  • Yes
  • No

• 3. Date of last PAT

  Date

• Items not tested

• Actions

• Root Cause

• Date of last PAT

  Date

• Summary

SM-23 Personal Protective Equipment

• 1. Are the following PPE Items available and in good condition?

• i. Safety Helmet with Chinstrap?

  Yes

  No

• Actions

• Root Causes

• ii. Ear Defenders?

  Yes

  No

• Actions

• Root Causes

• iii. Safety Goggles?

  Yes

  No

• Actions

• Root Causes

• iv. Dust Masks?

  Yes

  No

• Actions

• Root Causes

• v. Hand Protection, Barrier Cream, Gloves etc

  Yes

  No

• Actions

• Root Causes

• vi. Is Safety Footwear worn and in good condition?

  Yes

  No

• Actions

• Root Causes

• vii. Are coveralls & Hi Vis clean and in a good condition?

  Yes

  No

• Actions

• Root Causes

• viii. Is the Safety Lanyard available and in good condition?

  Yes

  No

• Actions

• Root Causes

• ix. Is the Safety Harness and work position belt available and in good condition?

  Yes

  No

• Actions

• Root Causes

• x. Whistle and Lanyard Available?

  Yes

  No

• Actions

• Root Causes

• xi. Is there any additional PPE used?

  Yes

  No

• Additional PPE

• 2. Are all items of PPE stored appropriately?

  Yes

  No

• Actions

• Root Causes

• 3. Is the technician, trained and fully proficient in the wearing of PPE?

  Yes

  No

• Actions

• Root Causes

• 2. First Aid

• i. Is the First Aid Kit available and well stocked?

  Yes

  No

• Actions

• Root Causes

• ii. Are Eye Wash Bottles available?

  Yes

  No

• Actions

• Root Causes

• iii. Are all Items in date?

  Yes

  No

• Actions

• Root Causes

• Summary

SM-72 Unsafe Equipment Isolation

• 1. Does the Technician carry means of identifying defective equipment to the customer and end users?

  Yes

  No

• Actions

• Root Causes

• Media Used

• 2. Does the technician disable defective equipment if there is a safety issue to avoid inadvertent operation?

  Yes

  No

• Actions

• Root Causes

• Summary

SM-29 Chemical Handling

• Are there any substances held on site that are locally sourced?

  Yes

  No

• Are COSHH assessments and MSDS Sheets available for these unregistered substances?

  Yes

  No

• Items

• List contraband items

• Actions

• Root Causes

• 1. Are all oils stored appropriately with adequate bunding?

  Yes

  No

• Actions

• Root Causes

• 2.Are all items suitably labeled?

  Yes

  No

• Actions

• Root Causes

• 3. Is the COSHH / MSDS information accessible?

  Yes

  No

• Actions

• Root Causes

• 4. Are Hard Copies of COSHH / MSDS Information are used?

  Yes

  No

• Are Copies up to date and reviewed on a regular basis?

  Yes

  No

• Date of last review

  Date

• Actions

• Root Causes

• 5. Is there appropriate provisions for containment in the event of unplanned spillages?

  Yes

  No

• Actions

• Root Causes

• 6. Are all hazardous substances stored & labeled correctly?

  Yes

  No

• Actions

• Root Causes

• Summary

SM-31 Waste

• 1. Is the technician familiar with the company waste disposal procedure?

  Yes

  No

• Actions

• Root Cause

• Who is responsible for waste disposal on this site, Customer TMHUK or Both?

  Customer

  TMHUK

  Both

• Process

• Is the process followed correctly on M3?

  Yes

  No

• Sample

• Actions

• Root Causes

• Customer Process and responsibilities

• Is the process followed correctly on M3?

  Yes

  No

• Sample

• Actions

• Root Causes

• Summary

SM-43 Environmental Accident / Incident reporting / Investigation

• 1. Is the technician aware of his responsibilities when reporting incidents which could impact upon the environment?

  Yes

  No

• Actions

• Root Causes

• 2. Has the technician had any reportable environmental incidents?

  Yes

  No

• Details of incident

• Was the incident reported and investigated correctly?

  Yes

  No

• Actions

• Root Causes

Risk Assessments and Welfare facilities

• Are all work processes carried out in accordance with the generic risk assessment process?

  Yes

  No

  N/A

• Comments

• Root Cause

• Example

• Is the temperature in the working area comfortable? can the technician regulate it?

  Yes

  No

  N/A

• Comments

• Root Cause

• Is there adequate and sufficient ventilation in the area?

  Yes

  No

  N/A

• Comments

• Root Cause

• Is there sufficient lighting?

  Yes

  No

  N/A

• Comments

• Root Cause

• Are the toilets well ventilated, illuminated and clean?

  Yes

  No

  N/A

• Comments

• Root Cause

• Are hand washing facilities provided with hot and cold running water, soap and means for drying hands?

  Yes

  No

  N/A

• Comments

• Root Cause

5S

• Sift

• Observations

• Sort

• Observations

• Standardise

• Observations

• Spic and Span

• Observations

• Sustain

• Observations

• Does the standard of 5S constitute a CPA?

  Yes

  No

  N/A

• Actions

• Root Cause

P6-14 Site Housekeeping

• All information will be entered onto Site Housekeeping on the intranet

• 1. In addition to the points raised on the intranet are there any other causes for concern or exceptional practices being undertaken?

  Yes

  No

• Comments

• 2. Are there any opportunities for Improvement that may be undertaken to improve the site?

  Yes

  No

• Opportunities for Improvement

• Summary

SM-15 Site Safety

• All information will be recorded on the Q033 form with subsequent actions recorded on the Q034

• Additional Information:

• 1. Date of last Fire Extinguisher Inspection

  Date

• 2. Are there weekly fire alarm tests?

  Yes

  No

• Comments

• 3. Are there periodic emergency evacuation drills?

  Yes

  No

• Comments

• 4. Can the Technician explain the emergency evacuation procedure?

  Yes

  No

• Brief Outline

• Actions

• Root Causes

• Summary

Supporting Photographs

• Site Photographs

  Media

• Comments

Acknowledged by:

• Auditor

  Sign

• Auditee

  Sign

Corrective Preventative Actions and Root Cause Analysis (mandatory)

• It is the responsibility of the SSM / Service manager to ensure that all Corrective and Preventative Actions are carried out in a timely fashion. Some of the CPA's may raise safety issues which need to be addressed immediately. Leaders are reminded that they have a responsibility for team members under their care.

• SSM / Manager

  Sign