Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

Information

  • Location

  • JT No

  • Details of Operation

Numbers of Staff on Site

  • Supervisor Level 3

  • Level 3 Technician

  • Level 2 Technician

  • Level 1 Technician

Plant and Equipment in use

  • Chainsaws

  • Hedge Trimmer

  • Strimmers

  • Pole Saw

  • Disc Saw

  • Generator

  • Rock Drill

  • Spanex Guns

  • Compressors

  • Hand Drill

  • Grout Pump

  • Other

DOCUMENTATION

  • WPP/TBS/Method Statement

  • Risk Assessments & COSHH Assessments

  • Vibration Assessments

  • IRATA Tool Box Talk (QTS/F/101)

  • IRATA Daily Log (QTS/F/100)

  • Records of Trigger Times

  • Instructions for Equipment

  • Unique Rescue Plan

Site Staff

L3 Supervisor

  • Name

  • Expiry Date of L3 Certificate

  • Expiry Date of First Aid Certificate

  • Sentinel Card Number

  • Expiry Date

Log Book

  • Date of Last Entry

  • Signatures of Supervisors

  • Hours on Ropes Detailed

  • Details of Tasks

  • Comments

Technician

  • Name

  • Level

  • Expiry Date

  • Sentinel Card Number

  • Expiry Date

  • Competences

  • Expiry Date

  • Competences

  • Expiry Date

Log Book

  • Date of Last Entry

  • Signatures of Supervisors

  • Hours on Ropes Detailed

  • Details of Tasks

  • Comments

Technician

  • Name

  • Level

  • Expiry Date

  • Sentinel Card Number

  • Expiry Date

  • Competences

  • Expiry Date

  • Competences

  • Expiry Date

Log Book

  • Date of Last Entry

  • Signatures of Supervisors

  • Hours on Ropes Detailed

  • Details of Tasks

  • Comments

Technician

  • Name

  • Level

  • Expiry Date

  • Sentinel Card Number

  • Expiry Date

  • Competences

  • Expiry Date

  • Competences

  • Expiry Date

Log Book

  • Date of Last Entry

  • Signatures of Supervisors

  • Hours on Ropes Detailed

  • Details of Tasks

  • Comments

PPE

  • Helmets

  • Gloves

  • Dust Masks

  • Visor

  • Safety Glasses

  • Hi Viz

  • Waterproofs

  • Safety Boots

  • Ear Defenders/Plugs

Plant and Equipment

  • Item

  • Asset Number

  • Service Record /Label

  • Condition

  • Signage

  • Thorough Examination

  • Expiry Date

  • Guards

Plant and Equipment

  • Item

  • Asset Number

  • Service Record /Label

  • Condition

  • Signage

  • Thorough Examination

  • Expiry Date

  • Guards

Plant and Equipment

  • Item

  • Asset Number

  • Service Record /Label

  • Condition

  • Signage

  • Thorough Examination

  • Expiry Date

  • Guards

Plant and Equipment

  • Item

  • Asset Number

  • Service Record /Label

  • Condition

  • Signage

  • Thorough Examination

  • Expiry Date

  • Guards

Rope Access Equipment

Certificate of Thorough Examination

  • Certificate No

  • Expiry Date

  • Name of Examiner

Rope Access Equipment in Use

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

  • Item

  • Reference No

  • On certificate

General Operations

  • Use of Rope Access

  • Operating Tools

  • Operators secured by 2 ropes

  • Hand tools secured by lanyards

  • Anchor Point Protection

  • Rescue Plan Practiced

  • General Operation

  • Finished Quality

  • Welfare

  • Lighting

  • Traffic Management

  • First Aid Kit

  • Fire Extinguisher

  • Spill Kit

  • Rescue Kit

Auditor

  • Auditor

I confirm the above actions have completed

  • Name

  • Signature

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