Title Page
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Site/Location
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Conducted on
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Auditor Name:
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Audit No.
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Area Engineer/Senior Field Engineer:
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Site Manager:
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Record of Schneider Engineering Service staff on site
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Sub Contractors on site
Section1 MANGEMENT REVIEW
This document covers all areas of the Engineering Services operation.Section 1 must be completed at all times; all other sections may be completed in part. Auditors must ensure that they review ALL previous audits and Safety Inspections (internal and external) to ensure all observations are addressed. A copy of this report must be sent to Engineering Services Q&SM and a copy maintained with site documentation.
Section 1 MANAGEMENT REWIEW
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Date of last Audit
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Audit No:
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Number of actions from last Audit
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Number of actions completed
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Outstanding actions
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Safety Inspections: What checks have been made ( documented evidence)
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Date of check
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By Whom
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Documented evidence
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Quality Assurance: What checks have been made (documented evidence)
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Date of Check
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By Whom
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Documented evidence
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Client Audits Completed (Requirement for Action)
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Date of Audit
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Auditor Name
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Requirement for Action
Section 2 COMMERCIAL VERIFICATION
Section 2 COMMERCIAL VERIFICATION
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CCF Details
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Number
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Has the Quotation on Tender number been referenced
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Client purchase order number
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Client purchase order recorded and correct
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Have all sections of CCF been completed in full.
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CCF details compliant
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CCF details comments
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Purchase Order System
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Record of purchase order
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Purchase order compliant
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Record of Goods Received Note
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Purchase Order Supports the Goods Received (Quality Checked)
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Purchase order system compliant
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Purchase order system Comments
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Sub-Contractor Assessment
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Are they on authorised list
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Have there been previous issues reported by Site Manager
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Has PO been raised for their work activity
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Record the scope of activity (Cross ref with actual)
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Sub-Contractor Assessment compliant
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Sub-contractor assessment comments
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Suppliers
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Has there been any issues reported to site manager
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Details of any issues reported if any
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Suppliers compliant
Section 3 SITE DOCUMENTATION
Section 3 SITE DOCUMENTATION AVAILABLE & COMPLETED
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Site Attendance Log (SD-01)
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Track signed in personnel/visitors (two)
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Have they signed out
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Site attendance log compliant
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Site attendance log comments
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Site Induction (SD-01)
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Induction form completed in full
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Authorisations recorded
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Were they take to the point of work ( plant identified required )
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Site induction compliant
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Site induction comments
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Out of Hours Inductions (SD-10)
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Check Substation Log Book for entries during CDM <br>(Record Names/ dates)
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Are entries compliant
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Out of hours inductions compliant
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Out of hours inductions comments
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Daily Site Log Diary (SD-02)
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Completed - Last entry
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Daily site log compliant
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Daily site log comments
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Work Spec' s Method statements & Risk Assessments
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RAMS Signed
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Cross check current work being undertaken in section10
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Sub-Contractor RAMS (Cross ref with Scope of PO)
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Has =S= review sheet been completed
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Work Spec' s Method statements & Risk Assessments compliant
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Work Spec' s Method statements & Risk Assessments comments
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Weekly Health and Safety Check (SD-18)
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Date last completed
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Any recorded observations
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Weekly Health and Safety Check (SD-18) compliant
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Weekly Health and Safety Check (SD-18) comments
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Name of person carrying out tests
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Test Records Available
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Completed records signed
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Test Records Available compliant
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Test Records Available comments
Section 4 SITE PERSONNEL SAFTY EQUIPMENT
Section 4 SITE PERSONNEL SAFETY EQUIPMENT
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Hard Hats (Compulsory) Chin straps available
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Availability
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Worn
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Condition
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Hard Hats compliant
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Eye Protection (Compulsory)
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Availability
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Worn
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Condition
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Eye Protection compliant
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Ear Defenders ( Check Section 10 noise Levels)
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Availability
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Worn
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Condition
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Ear defenders compliant
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Safety Footwear (Compulsory)
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Availability
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Worn
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Condition
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Safety Footwear compliant
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Gloves ( check gloves for the type of task being carried out)
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Availability
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Worn
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Condition
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Gloves compliant
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Overalls
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Availability
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Worn
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Condition
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Overall compliant
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First Aid Kit
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Availability
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Condition
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First Aid Kit Compliant
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Eye Wash Kit
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Availability
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Condition
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Eye Wash kit compliant
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Fire Horn
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Availability
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Condition
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Fire Horn compliant
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Site personnel safety equipment comments
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Safety Harnesses/Landyards
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User Name
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Asset No.
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Last inspected
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Next inspection
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Comment
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Compliant
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User Name
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Asset No.
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Last inspected
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Next inspection
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Comment
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Compliant
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User Name
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Asset No.
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Last inspected
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Next inspection
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Comment
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Compliant
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User Name
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Asset No.
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Last inspected
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Next inspection
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Comment
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Compliant
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User Name
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Asset No.
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Last inspected
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Next inspection
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Comment
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Compliant
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User Name
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Asset No.
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Last inspected
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Next inspection
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Comment
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Compliant
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User Name
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Asset No.
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Last inspected
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Next inspection
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Comment
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Compliant
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Drug & Alcohol Testing
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Test carried out by
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Name
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Test Type
- Drug Test
- Alcohol Test
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Results
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Name
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Test Type
- Drug Test
- Alcohol Test
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Results
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Name
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Test Type
- Drug Test
- Alcohol Test
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Results
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Name
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Test Type
- Drug Test
- Alcohol Test
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Results
Section 5 TOOLS AND TEST EQUIPMENT
Section 5 TOOLS AND TEST EQUIPMENT
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Asset No.
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Description
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Condition
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Calibration or test date
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Comments
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Compliant
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Asset No.
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Description
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Condition
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Calibration or test date
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Comments
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Compliant
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Asset No.
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Description
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Condition
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Calibration or test date
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Comments
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Compliant
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Asset No.
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Description
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Condition
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Calibration or test date
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Comments
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Compliant
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Asset No.
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Description
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Condition
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Calibration or test date
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Comments
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Compliant
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Asset No.
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Description
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Condition
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Calibration or test date
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Comments
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Compliant
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Asset No.
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Description
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Condition
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Calibration or test date
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Comments
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Compliant
Section 6 PLANT & EQUIPMENT
Section 6 PLANT & EQUIPMENT
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Scaffolding
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Type in use
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Kick boards & guardrails
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Weekly Check/inspection/Scaf-Tags
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If in use complete WAH safety inspection
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Scaffolding comments
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Scaffolding compliant
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Ladders
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In Use Yes/No
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Tied off/secured
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Inspected (tagged)
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Ladders comment
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Ladders compliant
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Plant Items
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In use Yes/No
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Are they recorded on register
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Test Certificates available
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Daily plant defect system completed and he'd as evidence
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Plant Items comments
Section 7 GENERAL SAFETY SIGNS, DOCUMENTS
Section 7 GENERAL SAFETY SIGNS, DOCUMENTS
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SITE SIGNS
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Safety Advice & Safety Moment Compliant
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COSHH Notice Compliant
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Electricity at Work Notice Compliant
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Site Contact Sheet Compliant
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First Aid Notice Compliant
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Hospital Route Compliant
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Company Sign Compliant
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Safety Plan available changes required Compliant
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Health & Safety Law Notice Compliant
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Electric Shock Notice Compliant
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Access, Egress & Contact compliant
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F10 Notice (CDM only) Record start date
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F10 Notice (CDM Only) Record Total Days
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F10 Notice (CDM only) Compliant
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30 Minute Rule (SSE Only) Compliant
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SSE Client Family Safety Information compliant
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Accident Book Details of Accident Entries
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Accident Book compliant
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Has Street Works been identified start date
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Has Street Works been identified finish date
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Issues arising from street works
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Street works compliant
Section 8 Training
Section 8 TRAINING
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Are Training Records available
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Are they up to date
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Are Training Records available
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Training records compliant
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Authorisations, (SSE/SPEN/WPD/UKPN)
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Rule Book carried (names checked)
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Authorisation review Date
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Authorisations comments
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Authorisations compliant
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Tool Box Talks Actioned
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Record what areas have been covered
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Tool box talks comments
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Tool box Talks compliant
Section 9 ENVIRONMENTAL
Section 9 ENVIRONMENTAL
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Aspect and Impact Register
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Areas for improvement recorded
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Aspect and Impact Register comments
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Aspect and Impact Register compliant
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Has the Aspect and Impact Register been completed
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What Waste has been identified
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Has it been segregated
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Has any waste been removed from site if so is Consignment or Transfer Note held yes/no
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If Yes record TRN and verify content for completion
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What Waste has been identified comments
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What Waste has been identified compliant
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COSHH materials observed on site
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Record what materials and Safety Data Sheet number
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Is it stored safely
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COSHH materials observed on site comments
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COSHH materials observed on site compliant
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Asbestos records
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Has survey been reviewed
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Asbestos records comments
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Asbestos records compliant
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Oil management
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Are Drums stored using a bunded system
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Are Drums covered or turned over
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Are there any spillages
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Are spillage Kits available where appropriate
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Oil management comments
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Oil management compliant
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Noise, Dust or Fumes
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Are there an issues with Noise, Dust or Fumes
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Noise, Dust or Fumes comments
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Noise, Dust or Fumes compliant
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Other Environmental Impacts
Section 10 SITE OPERATION
SITE OPERATION (House Keeping -Health & Welfare
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Safety Documents (Permits ) Issued
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Document type and number
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Have site staff inc contractors been made aware of Permit<br>(Check Permit Register)
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Have Earths been connected-Positions known
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Safety Documents (Permits ) Comments
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Safety Documents (Permits ) Compliant
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Demarcation Have safe areas been set up
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Type Permit to Work
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Type limitation of access
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Are there any issues with the demarcation areas
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Entrance Sign up to date
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Are there signs that demarcation has been moved <br>(If yes contact SAP)
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SAP contacted
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Are Danger signs on all LIVE equipment
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Demarcation comments
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Demarcation compliant
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Transformer Works Signage
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Danger Live
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Transformer Valve Status (Open/Closed)
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Transformer Woks Signage comments
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Transformer Woks Signage compliant
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Project Programme
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Is it available
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Is it up to date
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Are site staff aware of programme
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Project Programme comments
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Project Programme compliant
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Site Activities (Record)
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RAMS reference number (Reference section 3)
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Is there compliance to Safety Documents
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Do activities include Bending/Stretching/Lfting
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Cross reference to training
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Site activities comments
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Site activities compliant
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RAMS reference number
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Sub contractors on site ?
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Is there compliance to Safety Documents
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Is PPE worn to Schneider Standard
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Quality of work
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Sub contractors comments
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Subcontractors compliant
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Site Hazards
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Weather conditions at time of Audit
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Excavations, Trenches: Are Barriers in place
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Access Egress reviewed
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Is the Hazard Board up to date (Safety Messages)
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Slips, Trips & Fall conditions
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Confined Space (Access, Egress, Risks reviewed)
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Hot Work (Risk reviewed)
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Tidiness of work areas, Tools left on floor not in use
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Tools left on floor not in use
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Installed Equipment checks - Visual - Earthing
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Torque Verification Marking
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Are there any unsafe acts
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Site Hazards comments
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Site Hazards compliant
Site Noise Level Check
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Level <80 ->85 dB
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Record level
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Site noise level comments
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Site Noise level Compliant
Site Security
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Gates Locked
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Materials not stored near/ on fence
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Site security comments
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Site security compliant
Site Egress
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Access to work are clear
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Emergency Vehicle Access
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Site Egress comments
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Site Egress compliant
Site Accomodation
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Substation/Temporary Unit
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Mess Room/Office
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Internal condition
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Electrical safety Check
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Fluorescent Light Covers
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Site Accommodation Comments
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Site Accommodation compliant
Secure Storage System
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Suture/Tidy
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Secure Storage System comments
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Secure Storage System compliant
Toilets (Soap, Hot Water etc)
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Toilets comments
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Toilets compliant
Emergency Plans
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Fire Risk Assessment
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Exit Signs
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Extiguishers
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Locations
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Serviced
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Emergency Plans comments
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Emergency Plans compliant
Reported Site Accidents/Near Misses
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Report Number
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Select date
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Action Taken
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Status
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Reported Site Accidents/Near Misses compliant
Section 11 Conclution
Conclusion
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What Positive Acts Have Been Observed
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Comments from site manger (Auditee)