QTS IRATA Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• 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

  Yes

  No

  N/A

• Risk Assessments & COSHH Assessments

  Yes

  No

  N/A

• Vibration Assessments

  Yes

  No

  N/A

• IRATA Pre-start (QTS/F/101)

  Yes

  No

  N/A

• IRATA Daily Log (QTS/F/100)

  Yes

  No

  N/A

• Records of Trigger Times

  Yes

  No

  N/A

• Instructions for Equipment

  Yes

  No

  N/A

• Unique Rescue Plan

  Yes

  No

  N/A

Site Staff

L3 Supervisor

• Name

• Expiry Date of L3 Certificate

  Date

• Expiry Date of First Aid Certificate

  Date

• Sentinel Card Number

• Expiry Date

  Date

Log Book

• Date of Last Entry

  Less than 6 months

  More than 6 months

• Signatures of Supervisors

  Satisfactory

  Unsatisfactory

• Hours on Ropes Detailed

  Satisfactory

  Unsatisfactory

• Details of Tasks

  Satisfactory

  Unsatisfactory

• Comments

Technician

• Name

• Level

  Select Level 1 Level 2 Level 3

  • Level 1
  • Level 2
  • Level 3

• Expiry Date

  Date

• Sentinel Card Number

• Expiry Date

  Date

• Competences

  Select NPTC Abrasive Wheels Other

  • NPTC
  • Abrasive Wheels
  • Other

• Expiry Date

  Date

• Competences

  Select NPTC Abrasive Wheels Other

  • NPTC
  • Abrasive Wheels
  • Other

• Expiry Date

  Date

Log Book

• Date of Last Entry

  Less than 6 months

  More than 6 months

• Signatures of Supervisors

  Satisfactory

  Unsatisfactory

• Hours on Ropes Detailed

  Satisfactory

  Unsatisfactory

• Details of Tasks

  Satisfactory

  Unsatisfactory

• Comments

Technician

• Name

• Level

  Select Level 1 Level 2 Level 3

  • Level 1
  • Level 2
  • Level 3

• Expiry Date

  Date

• Sentinel Card Number

• Expiry Date

  Date

• Competences

  Select NPTC Abrasive Wheels Other

  • NPTC
  • Abrasive Wheels
  • Other

• Expiry Date

  Date

• Competences

  Select NPTC Abrasive Wheels Other

  • NPTC
  • Abrasive Wheels
  • Other

• Expiry Date

  Date

Log Book

• Date of Last Entry

  Less than 6 months

  More than 6 months

• Signatures of Supervisors

  Satisfactory

  Unsatisfactory

• Hours on Ropes Detailed

  Satisfactory

  Unsatisfactory

• Details of Tasks

  Satisfactory

  Unsatisfactory

• Comments

Technician

• Name

• Level

  Select Level 1 Level 2 Level 3

  • Level 1
  • Level 2
  • Level 3

• Expiry Date

  Date

• Sentinel Card Number

• Expiry Date

  Date

• Competences

  Select NPTC Abrasive Wheels Other

  • NPTC
  • Abrasive Wheels
  • Other

• Expiry Date

  Date

• Competences

  Select NPTC Abrasive Wheels Other

  • NPTC
  • Abrasive Wheels
  • Other

• Expiry Date

  Date

Log Book

• Date of Last Entry

  Less than 6 months

  More than 6 months

• Signatures of Supervisors

  Satisfactory

  Unsatisfactory

• Hours on Ropes Detailed

  Satisfactory

  Unsatisfactory

• Details of Tasks

  Satisfactory

  Unsatisfactory

• Comments

PPE

• Helmets

  Yes

  No

  N/A

• Add media

  Media

• Gloves

  Yes

  No

  N/A

• Dust Masks

  Yes

  No

  N/A

• Visor

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

  N/A

• Hi Viz

  Yes

  No

  N/A

• Waterproofs

  Yes

  No

  N/A

• Safety Boots

  Yes

  No

  N/A

• Ear Defenders/Plugs

  Yes

  No

  N/A

Plant and Equipment

• Item

• Asset Number

• Service Record /Label

  Yes

  No

  N/A

• Condition

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Thorough Examination

  Yes

  No

  N/A

• Expiry Date

  Date

• Guards

  Yes

  No

  N/A

Plant and Equipment

• Item

• Asset Number

• Service Record /Label

  Yes

  No

  N/A

• Condition

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Thorough Examination

  Yes

  No

  N/A

• Expiry Date

  Date

• Guards

  Yes

  No

  N/A

Plant and Equipment

• Item

• Asset Number

• Service Record /Label

  Yes

  No

  N/A

• Condition

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Thorough Examination

  Yes

  No

  N/A

• Expiry Date

  Date

• Guards

  Yes

  No

  N/A

Plant and Equipment

• Item

• Asset Number

• Service Record /Label

  Yes

  No

  N/A

• Condition

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Thorough Examination

  Yes

  No

  N/A

• Expiry Date

  Date

• Guards

  Yes

  No

  N/A

Rope Access Equipment

Certificate of Thorough Examination

• Certificate No

• Expiry Date

  Date

• Name of Examiner

Rope Access Equipment in Use

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

• Item

  Select Karabiner Croll Stop Shunt Duck Ascender Harness Rope Cowtail Rescue Kit

  • Karabiner
  • Croll
  • Stop
  • Shunt
  • Duck
  • Ascender
  • Harness
  • Rope
  • Cowtail
  • Rescue Kit

• Reference No

• On certificate

  Yes

  No

General Operations

• Use of Rope Access

  Yes

  No

  N/A

• Operating Tools

  Yes

  No

  N/A

• Operators secured by 2 ropes

  Yes

  No

  N/A

• Hand tools secured by lanyards

  Yes

  No

  N/A

• Anchor Point Protection

  Yes

  No

  N/A

• Rescue Plan Practiced

  Yes

  No

  N/A

• General Operation

  Yes

  No

  N/A

• Finished Quality

  Yes

  No

  N/A

• Welfare

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Traffic Management

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Spill Kit

  Yes

  No

  N/A

• Rescue Kit

  Yes

  No

  N/A

Auditor

• Auditor

  Sign

I confirm the above actions have completed

• Name

• Signature

  Sign