QTS Minor Works

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Details

• Job Name and Number

• Nature of Site Works

• Auditor Signature

  Sign

• Team Leader/COSS Signature

  Sign

• Photo of Team Leader/COSS

  Media

General Documentation

• QTS Method Statement & Risk Assessment document?

  Yes

  No

  N/A

• QTS COSS Daily Check Sheets?

  Yes

  No

  N/A

• Life saving rules displayed?

  Yes

  No

  N/A

• WPP?

  Yes

  No

  N/A

• SSOW Pack?

  Yes

  No

  N/A

• Task Briefing Document?

  Yes

  No

  N/A

• Environmental Incident reporting forms on site?

  Yes

  No

  N/A

• Relevant COSHH forms on site?

  Yes

  No

  N/A

• Noise, Hand Arm Vibration Assessments on site?

  Yes

  No

  N/A

• Tool Box Talks undertaken this week?

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant photograph

  Media

PPE Questions?

• Hi-Vis clothing in good order and all present?

  Yes

  No

  N/A

• Foot Protection?

  Yes

  No

  N/A

• Head Protection?

  Yes

  No

  N/A

• Eye Protection?

  Yes

  No

  N/A

• Hand Protection?

  Yes

  No

  N/A

• Ear Protection?

  Yes

  No

  N/A

• Face Protection?

  Yes

  No

  N/A

• Respiratory Protection?

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant Photograph

  Media

Areas Audited

• Emergency Procedure?

  Yes

  No

  N/A

• First Aiders appointed and made know to all?

  Yes

  No

  N/A

• Safe access and egress routes known and clear?

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant photograph

  Media

General Site Issues

• Welfare Facilities?

  Yes

  No

  N/A

• Fire Extinguishers?

  Yes

  No

  N/A

• Site Tidiness?

  Yes

  No

  N/A

• Materials Storage & Stacking?

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant photograph

  Media

Construction Safety

• Access equipment, scaffold and ladders?

  Yes

  No

  N/A

• Protection from falling at heights measures?

  Yes

  No

  N/A

• Excavations fenced off?

  Yes

  No

  N/A

• Underground services CATscanned and plans on site?

  Yes

  No

  N/A

• Site plant - condition, cleanliness and maintenance

  Yes

  No

  N/A

• Plant operatives certification?

  Yes

  No

  N/A

• Small tools in good condition?

  Yes

  No

  N/A

• Large plant in good condition?

  Yes

  No

  N/A

• Safe working near overhead services

  Yes

  No

  N/A

• Details of any area of concern

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant photograph

  Media

Workers On Site

• Safety brief given and understood?

  Yes

  No

  N/A

• ID cards and PTS cards on site?

  Yes

  No

  N/A

• Knowledge of Method Statement and site Risk Assessments?

  Yes

  No

  N/A

• Awareness of risks to health on site?

  Yes

  No

  N/A

• Workers obeying correct SSOW?

  Yes

  No

  N/A

• Workers wearing correct PPE?

  Yes

  No

  N/A

• Operatives undertaking the tasks they are trained to do?

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant photograph

  Media

Works Affecting the Public

• Falling materials risk?

  Yes

  No

  N/A

• Are noise levels acceptable ?

  Yes

  No

  N/A

• Are dust and fumes levels acceptable ?

  Yes

  No

  N/A

• Traffic management needed and in place to Chapter 8?

  Yes

  No

  N/A

• Public segregated from working areas?

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant photograph

  Media

Environmental Management

• Fuel/chemical spill kits on site?

  Yes

  No

  N/A

• Is the site area clear of spillage and other pollution ?

  Yes

  No

  N/A

• Relevant photograph

  Media

• Relevant photograph

  Media

Railway Environment

• NCCA certification of all operatives on site?

  Yes

  No

  N/A

• Valid SSOW pack on site?

  Yes

  No

  N/A

• Valid WPP on site?

  Yes

  No

  N/A

• Valid Task Briefing on site?

  Yes

  No

  N/A

• Evidence of COSS daily briefings taking place?

  Yes

  No

  N/A

• Evidence of operative adhering to COSS, SSOW, WPP and Task Briefing?

  Yes

  No

  N/A

• Knowledge of emergency procedure and contact details?

  Yes

  No

  N/A

• Any comments or actions?

• Relevant photograph

  Media

• Relevant photograph

  Media