QFT.10 Site Health, Safety, Quality and Environmental Inspection Report Copy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Circuit and Voltage

• PMT

• Site Number

• Team Leader

• Team Members

• Client

• Works Order Number

• Target Date Met

  Yes

  No

  N/A

• Site Type

• Audit Type

  Live

  Post

• Weather Conditions

• General Work Type

• Specific Work Type

• First impressions of the site.

Risk Assessments and Checks

• Is the risk assessment complete?

  Yes

  No

• Have all plant and vehicle checks been carried out?

  Yes

  No

Site Setup

• Is the correct signage being used for this site?

  Yes

  No

  N/A

• Has the signage been erected correctly?

  Yes

  No

  N/A

• Picture of site setup.

  Media

• What is the standard or the site setup?

  Good

  Fair

  Poor

  N/A

• Are cones required?

  Yes

  No

  N/A

• If cones are required have they been set out correctly?

  Yes

  No

  N/A

• Comments

• Is there sufficient staff for the site and task?

  Yes

  No

• Are all staff wearing company branded clothing?

  Yes

  No

• If no please specify.

Condition of PPE

• Gloves

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Hard hat

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Visor

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Ear Protection

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Protective Boots

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Chainsaw Trousers

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Hi Viz Long Sleeved Top

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Hi Viz Trousers (if applicable)

  Good

  Fair

  Poor

  N/A

• Corrective action if answered poor.

• Pictures of any Non Complying PPE

  Media

LOLER

• Is there any climbing required on site?

  Yes

  No

• If climbing required on site....

• What is the general condition of the climbing kit?

  Good

  Fair

  Poor

  N/A

• Picture of any Non Complying climbing equipment

  Media

• What is the general condition of the rigging kit?

  Good

  Fair

  Poor

  N/A

• Picture of any Non Complying rigging equipment

  Media

• Comments

• Is there a rescue kit available?

  Yes

  No

• Has the climber got a personal first aid kit?

  Yes

  No

• Is the rescue climber qualified?

  Yes

  No

• Is the operation being carried out to industry best practise?

  Yes

  No

• Is there a ladder onsite?

  Yes

  No

• Picture of ladder(if applicable)

  Media

• Condition of ladder.

  Good

  Fair

  Poor

  N/A

• Comments

Small Tool Check

• What items of small tools are being used?

• Condition and comments about

• Pictures of any Non Complying equipment

  Media

Insulated Rods

• Are insulated tools required?

  Yes

  No

• If insulated rods are required....

• What condition are they in?

  Good

  Fair

  Poor

  N/A

• Are they in date?

  Yes

  No

• Is the certificate present?

  Yes

  No

• What operations are being carried out?

• Does the work instruction clearly describe the work required to enable correct work to be undertaken and invoiced?

  Yes

  No

• Does the map(if required) match the work description?

  Yes

  No

  N/A

• Are pruning operations being carried out to the latest British Standards?

  Yes

  No

  N/A

• Overall opinion of pruning operations?

  Yes

  No

  N/A

• Are fencing operations being undertaken?

  Yes

  No

• Comments

• Has the environmental risk assessment been filled in?

  Yes

  No

  N/A

• Has the work been programmed to be carried out at a time to minimise risk of harm to wildlife/habitat?

  Yes

  No

• Is machinery turned off when not in use?

  Yes

  No

  N/A

• Is there a designated refuelling area for small plant onsite?

  Yes

  No

  N/A

• Is there a spill kit present?

  Yes

  No

• What condition is the spill kit in?

  Good

  Fair

  Poor

  N/A

• Comments

• Pictures

  Media

Vehicles (excluding all MEWPS)

• Vehicle and Registration 1

• Condition of vehicle.

  Good

  Fair

  Poor

  N/A

• Does the vehicle have a first aid kit?

  Yes

  No

• Is the first aid kit in date?

  Yes

  No

• Vehicle and Registration 2

• Condition of vehicle.

  Good

  Fair

  Poor

  N/A

• Does the vehicle have a first aid kit?

  Yes

  No

• Is the first aid kit in date?

  Yes

  No

• Vehicle and Registration 3

• Condition of vehicle.

  Good

  Fair

  Poor

  N/A

• Does the vehicle have a first aid kit?

  Yes

  No

• Is the first aid kit in date?

  Yes

  No

• Vehicle and Registration 4

• Condition of vehicle.

  Good

  Fair

  Poor

  N/A

• Does the vehicle have a first aid kit?

  Yes

  No

• Is the first aid kit in date?

  Yes

  No

• Comments

• Pictures of any damage.

  Media

Plant (excluding all MEWPS)

• What plant is on site?

• Condition of plant?

  Good

  Fair

  Poor

  N/A

• Condition of plant?

  Good

  Fair

  Poor

  N/A

• Condition of plant?

  Good

  Fair

  Poor

  N/A

• Condition of plant?

  Good

  Fair

  Poor

  N/A

• Are any items towed on a trailer?

• Condition of trailer?

  Good

  Fair

  Poor

  N/A

• Condition of trailer?

  Good

  Fair

  Poor

  N/A

• Condition of trailer?

  Good

  Fair

  Poor

  N/A

• Pictures of any damaged plant

  Media

MEWPS (including vehicle mounted)

• Is there a MEWP present onsite?

  Yes

  No

• Serial number/Registration

• Does it have a valid in date LOLER?

  Yes

  No

• Is there a full body harness available?

  Yes

  No

• Have all staff members using this equipment had adequate training in operating and rescuing?

  Yes

  No

• Comments

• Pictures of any Non Complying equipment

  Media

• Findings/Feedback/Comments

• Auditor signature

  Sign

• Team Leader signature

  Sign