QAC1 - duplicate

• Document No.

• Audit Title

• Name of Audit being carried out?

• Conducted on

  Date

Title: Quality Assurance Check Form QAC1

• Please Select Site

  Select Blue Tower Dock 10 The Garage The Greenhouse The Heart The Holiday Inn The Lowry MEC Number One Orange Tower The Pie Factory The Public Realm The White Tower

  • Blue Tower
  • Dock 10
  • The Garage
  • The Greenhouse
  • The Heart
  • The Holiday Inn
  • The Lowry
  • MEC
  • Number One
  • Orange Tower
  • The Pie Factory
  • The Public Realm
  • The White Tower

• Media City UK
  101 Broadway
  Salford
  Manchester
  M50 2EQ

• Service Centre : North West

• Engineer's Name

  Select Alex Sutton Ben Brook Bill Patel Carl Riley Gary Connell Gary Peacock Graham Bate Kieran Duffy Mark Fairclough Mark Spall Mark Williams Mike Nairn Mike Turner Neil Campbell Paul Kelly Ray Sharpe Sam Speakman Steve Speakman Tom Houlker Tony Brook Tony Holland Paul Grady

  • Alex Sutton
  • Ben Brook
  • Bill Patel
  • Carl Riley
  • Gary Connell
  • Gary Peacock
  • Graham Bate
  • Kieran Duffy
  • Mark Fairclough
  • Mark Spall
  • Mark Williams
  • Mike Nairn
  • Mike Turner
  • Neil Campbell
  • Paul Kelly
  • Ray Sharpe
  • Sam Speakman
  • Steve Speakman
  • Tom Houlker
  • Tony Brook
  • Tony Holland
  • Paul Grady

• Date Of Inspection

  Date

• Inspector's Name

  Jeff Cottam

  Graham Bate

  Martin Hamlett

  Mike Turner

  Ray Sharpe

• Is The Engineer Present?

  Yes

  No

  N/A

• Task Number Checked

• Type Of Task?

  Service

  Repair

  Install

Subcontractor (Only)

• 1, Were We Happy With Office Contact?

  Yes

  No

  N/A

• 2, Did The Office Respond To Our Satisfaction?

  Yes

  No

  N/A

• 3, Did The Engineer Show His ID Card?

  Yes

  No

  N/A

• 4, Did The Engineer Wear His Uniform?

  Yes

  No

  N/A

• 5, Did The Engineer Report On Arrival & Departure?

  Yes

  No

  N/A

• Engineer means either COFELY Engineer Or Subcontractor Engineer

Engineer

• 1, Were Suitable Safety Precautions Taken

  Yes

  No

  N/A

• 2, Was PPE Used?

  Yes

  No

  N/A

• 3, Is A Spill Kit Available?

  Yes

  No

  N/A

• 4, Was The Work Area Left Clean And Tidy?

  Yes

  No

  N/A

• 5. Was The Outcome Of the Visit Reported Back To The Office?

  Yes

  No

  N/A

• 6, Corrective Action Required?

  Yes

  No

  N/A

Plant Room

• 1, Is The Plant Room Clean and Tidy

  Yes

  No

  N/A

• 2, Has All Waste Been Removed?

  Yes

  No

  N/A

• 3, Is The Site Logbook Up To Date?

  Yes

  No

  N/A

• 4, Is There A PPM Planning Chart?

  Yes

  No

  N/A

Paperwork

• 1, All Paperwork Fully Completed And Legible?

  Yes

  No

  N/A

• 2, Were Any Warning Notices Issued?

  Yes

  No

  N/A

• 3, Waste Consignment Notes Available?

  Yes

  No

  N/A

• 4, Were Any Defects Reported?

  Yes

  No

  N/A

• 5, Have Copies Of The Paperwork Been Left With The Customer?

  Yes

  No

  N/A

• 6, Are All Documents Current And Up To Date?

  Yes

  No

  N/A

Equipment?

• 1, Was Equipment Left Serviceable?

  Yes

  No

  N/A

• 2, Was The Task Carried Out Correctly?

  Yes

  No

  N/A

ACRIB Engineer's

• Check All Gas Cylinders For CTR1 Tags?

  Yes

  No

  N/A

• 2, Check Engineer Has A Copy Of OP3A?

  Yes

  No

  N/A

• 3, Check Engineer Has Current ACRIB Card?

  Yes

  No

  N/A

• 4, Check Engineer Has RCR1 & CRT1 Books

  Yes

  No

  N/A

Inspector's Conclusions

• Overall Rating Of Standard Of Engineers Work?

  Poor

  Fair

  Good

  V Good

• Was Equipment Dismantled For QA Inspection Or Visual Inspection Only?

  Dismantled

  Visual

• Comments On The Performance Of The Engineer / Further Training Required:

• Inspector's Signature

  Sign