QMS069 - Internal

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit information

• Assessor

• Person in charge

• Job/Project no:

• Customer(Network)

• Type of Work

  Yes

  No

  N/A

• Northpower Project Manager

  Audrey Labuschagne

  Craig Grant

  Steve Gibbons

• Customer Project Manager

• Team members

Site Safety

• The worksite area is clearly defined. Public safety barriers, covers, and access requirements are in place

  Yes

  No

  N/A

• Comments

• Visitors are managed and inducted on to the site

  Yes

  No

  N/A

• Comments

• Safety observer appointed and clearly identifiable where required

  Yes

  No

  N/A

• Comments

• Requirements of Permits to work are in place

  Yes

  No

  N/A

• All Hazards have been identified and communicated

  Yes

  No

  N/A

• MAD measured, recorded and communicated

  Yes

  No

  N/A

Personnel

• Correct authorisation and competency certificates of staff are available

  Yes

  No

  N/A

• Personnel understand the task they are performing

  Yes

  No

  N/A

• Safe work practices are being followed

  Yes

  No

  N/A

• Personnel are aware of emergency procedure(s)

  Yes

  No

  N/A

Documents

• Tailgate is complete, and signed by everyone on site

  Yes

  No

  N/A

• All necessary permits to work are on site and current

  Yes

  No

  N/A

• A work plan is on site

  Yes

  No

  N/A

• Relevant standards, procedures and drawings are on site

  Yes

  No

  N/A

• Material safety data sheets (MSDS) are available

  Yes

  No

  N/A

• Traffic management plans are available on site

  Yes

  No

  N/A

Equipment

• Tools and equipment in use is appropriate fir the task

  Yes

  No

  N/A

• Tools and equipment are in good condition and are in test (if applicable)

  Yes

  No

  N/A

• Owner/Serial numer