Title Page

  • Audit Title

  • Date Audit Conducted

  • Prepared by

  • Personnel

  • Number of Innovations

  • Location

H&S Site Report

  • Instructions:
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    1. Answer all the questions and fill in all fields provided below.
    2. Add photos and notes by clicking on the paperclip icon, if applicable.
    3. To add a Corrective Action click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • SCORE PER ITEM

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  • PERCENTAGE SCORING

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  • NOTE:

    Please note if any concerns are raised that are of a legal breach or will give an Enforcement Notice by the HSE the site will be rated as Unsatisfactory although the score will remain unchanged! This cell will turn red!

Site Security

  • Storage room / Tool chest locked?

  • Site gates / access points secure?

  • Hoarding appropriately installed?

  • Surveying equipment securely stored when not in use?

  • Take laptops home?

  • Dumpers against container doors?

  • Bowser between container & dumper?

  • Excavator with bucket placed in dumper?

  • Shutters fitted to plant & windows to office containers?

Welfare

  • Facilities (Office / Canteen / Toilets)

  • First Aid

Notices & Displays

  • F10 & HSE Law Poster

  • Signage

  • Daily hazards board

  • COSHH Notice Board

Documents

  • CPHSP (last review)

  • Temporary Works (Register / Documents)

  • Inductions

  • RA/MS (Appraisal Forms Completed / Signed / Available)

  • Proof of Competence (CSCS/CPCS, NPQRS, IPAF, PAMA, etc.)

  • Sign In / Out

  • Toolbox Talks

  • Traffic Management Plan

  • Fire and Emergency Plans

  • Fire Risk Assessment

  • Lifting Operations (Red Alert & Lift Plan)

  • Accidents / Near Miss

  • Scanning of Documents

Permit to Work

  • Hot works

  • To Dig

  • Ladder

  • At Height

PUWER (Daily & Weekly)

  • Small Plant

  • Plant

  • MEWPS

  • Hoist

Inspections

  • Fire Route Inspections

  • Work at Height - (Scaffold, Haki, etc. Inspections)

  • Hoarding

Health & Wellbeing

  • Noise

  • Vibration

  • Respiratory

  • Dust

  • APPLICATION OF THE SAFE SYSTEMS OF WORKS (SSOW)

Housekeeping

  • Internal

  • External

  • Slip, Trips & Falls

Traffic & Pedestrian Management

  • Traffic Management

  • Safe Access & Egress

Fire & Emergency Procedures

  • Fire Extinguishers / Emergency Exits

  • Fire Alarm System

  • Other Protection Measures

PPE

  • Operatives

  • Visitors

Lifting Operations

  • Any item(s) that needs to be audited under Lifting Operations?

  • Click "Add Item"

  • Item
  • Description of Concern

  • Rate the above statement

Work at Height

  • Edges Protected

  • Other H&S Concerns

Excavations

  • Any item(s) that needs to be audited under Excavations?

  • Click "Add Item"

  • Item
  • Description of Concern

  • Rate the above statement

Other not listed above

  • Any item(s) that needs to be audited not listed above?

  • Click "Add Item"

  • Item
  • Description of Concern

  • Rate the above statement

Environmental

  • Spill kits

  • Fuel containers

List of Innovative Ideas

  • Site Security

    Click "Add Idea"

  • Idea
  • Date

  • Description of Idea

  • Welfare

    Click "Add Idea"

  • Idea
  • Date

  • Description of Idea

  • Notices & Displays

    Click "Add Idea"

  • Idea
  • Date

  • Description of Idea

  • Documents

    Click "Add Idea"

  • Idea
  • Date

  • Description of Idea

  • Health and Well-being


    Click "Add Idea"

  • Idea
  • Date

  • Description of Idea

  • Safe Systems of Work

    Click "Add Idea"

  • Idea
  • Date

  • Description of Idea

Quality Audit Checklist

  • CS002 : How are quality issues being checked and signed off?

  • CS 007 : How is measuring equipment being calibrated

  • CS008 : How is Customer Property controlled

  • CS009 : How are non conformances dealt with and recorded

  • Are current issues of drawings being held?

  • Is the Quality Policy in place?<br>

  • Is the quality plan in place and available?<br>

  • Are complimentary documents being retained as proof of inspection?

Environmental Audit Checklist

  • EN013 : Are Waste Transfer Notes issued?<br>

  • EN013 /EN015 : Are Waste Carrier Tickets issued upon waste removed off site?<br>

  • EN013 : Is the SWMP displayed? (F-EN014 or F-EN017)

  • EN009 : Is the Environmental Risk Register in place and available? (F-EN011a)<br>

  • EN010 : Is the Emergency Response Procedure in place and available? (R-EN012)<br>

  • Is the Environmental Policy in place and available?

Completion

  • Audited/Inspected By: (Name & Signature)

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.