Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Details

  • Job Name and Number

  • Nature of Site Works

  • Auditor Signature

  • Team Leader/COSS Signature

  • Photo of Team Leader/COSS

General Documentation

  • QTS Method Statement & Risk Assessment document?

  • QTS COSS Daily Check Sheets?

  • Life saving rules displayed?

  • QTS Construction phase safety plan available on site ?

  • QTS Working hours information available on site?

  • WPP?

  • SSOW Pack?

  • Task Briefing Document?

  • Briefing records for all paperwork up to date?

  • Environmental Incident reporting forms on site?

  • Accident/Near Miss reporting forms on site?

  • Relevant COSHH forms on site?

  • Noise, Hand Arm Vibration Assessments on site?

  • Tool Box Talks undertaken this week?

  • Any comments or actions?

  • Relevant photograph

  • Relevant photograph

PPE Questions?

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

  • Foot Protection?

  • Head Protection?

  • Eye Protection?

  • Hand Protection?

  • Ear Protection?

  • Face Protection?

  • Respiratory Protection?

  • Any comments or actions?

  • Relevant photograph

  • Relevant Photograph

Areas Audited

  • Emergency Procedure?

  • Fire Procedure?

  • Environmental Procedure?

  • Network Rail Emergency Procedure?

  • Accident Record Book?

  • First Aiders appointed and made know to all?

  • Safe access and egress routes known and clear?

  • Any comments or actions?

  • Relevant photograph

  • Relevant photograph

General Site Issues

  • Welfare Facilities?

  • Fire Extinguishers?

  • Appropriate lighting?

  • Site Security & Fencing of Work Areas?

  • Site Tidiness?

  • Materials Storage & Stacking?

  • Chemical Storage within secure facility?

  • Fuel Storage labelled and bunded?

  • Liquid Storage within bunded facility?

  • Any comments or actions?

  • Relevant photograph

  • Relevant photograph

Construction Safety

  • Access equipment, scaffold and ladders?

  • Protection from falling at heights measures?

  • Excavations fenced off?

  • Underground services CATscanned and plans on site?

  • Site plant - condition, cleanliness and maintenance

  • Plant operatives certification?

  • Small tools in good condition?

  • Large plant in good condition?

  • Any comments or actions?

  • Relevant photograph

  • Relevant photograph

Workers On Site

  • Safety brief given and understood?

  • ID cards and PTS cards on site?

  • Knowledge of Method Statement and site Risk Assessments?

  • Awareness of risks to health on site?

  • Workers obeying correct SSOW?

  • Workers wearing correct PPE?

  • Operatives undertaking the tasks they are trained to do?

  • Any comments or actions?

  • Relevant photograph

  • Relevant photograph

Works Affecting the Public

  • Falling materials risk?

  • Are noise levels acceptable ?

  • Are dust and fumes levels acceptable ?

  • Traffic management needed and in place to Chapter 8?

  • Public segregated from working areas?

  • Any comments or actions?

  • Relevant photograph

  • Relevant photograph

Environmental Management

  • Fuel/chemical spill kits on site?

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

  • Waste segregation facilities on site?

  • Waste Carriers License on site?

  • Waste transfer notes on site?

  • Relevant photograph

  • Relevant photograph

Road Rail Vehicles on Site

  • Enter details of vehicles on site ?

  • Is engineering acceptance in date and displayed ?

  • Has operator got the correct qualification ?

  • Are daily inspections up to date ?

  • Are lights brakes etc working, is the vehicle fit for use ?

  • Is the fire extinguisher and first aid kit available ?

  • Relevant photograph

  • Relevant photograph

Rope Access

  • Relevant photograph

  • Relevant photograph

  • Is the examination certificates available and in date?

  • Level 2 log book inspection enter names and log<br> Book details

  • Level 3Enter name and log book details

  • Are yropes and climbing equipment in a safe condition and details of inspection available and up to date ?

  • Has a practice rescue been carried out and details recorded ?

  • Has an IRATA tool box talk been carried out before the start of the shift ?

  • Has every climber attached securely by two ropes ?

  • Are anchor points secure suitable and safe ?

Vegetation Management

  • Relevant photograph

  • Have all operatives got the correct qualifications ?

  • Enter details of chainsaw qualifications of one site operative.

  • Has chipper got correct service tag, and hours run information and details in date ?

  • Are chainsaws and other small items of plant in a safe condition, service details in date ?

  • Have climbers got correct qualifications ?

  • Is climbing being carried out safely two anchor point where required ?

  • Are trees being cut in a sage manner, ropes being used where required ?

  • Relevant photograph

Quality Management

  • Inspection and test plan and quality check sheets

  • Relevant photograph

Railway Environment

  • NCCA certification of all operatives on site?

  • Valid SSOW pack on site?

  • Valid WPP on site?

  • Valid Task Briefing on site?

  • Evidence of COSS daily briefings taking place?

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

  • Knowledge of emergency procedure and contact details?

  • Any comments or actions?

  • Relevant photograph

  • Relevant photograph

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.