R.C. - H&S Site Report

• Audit Title

• Date Audit Conducted

  Date

• Prepared by

• Personnel

• Number of Innovations

• Location
  Address

• Instructions:
  --------------
  
  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

• 

• PERCENTAGE SCORING

• 

• 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?

  0

  1

  2

  Innovation

  N/A

• Site gates / access points secure?

  0

  1

  2

  Innovation

  N/A

• Hoarding appropriately installed?

  0

  1

  2

  Innovation

  N/A

• Surveying equipment securely stored when not in use?

  0

  1

  2

  Innovation

  N/A

• Take laptops home?

  0

  1

  2

  Innovation

  N/A

• Dumpers against container doors?

  0

  1

  2

  Innovation

  N/A

• Bowser between container & dumper?

  0

  1

  2

  Innovation

  N/A

• Excavator with bucket placed in dumper?

  0

  1

  2

  Innovation

  N/A

• Shutters fitted to plant & windows to office containers?

  0

  1

  2

  Innovation

  N/A

Welfare

• Facilities (Office / Canteen / Toilets)

  0

  1

  2

  Innovation

  N/A

• First Aid

  0

  1

  2

  Innovation

  N/A

Notices & Displays

• F10 & HSE Law Poster

  0

  1

  2

  Innovation

  N/A

• Signage

  0

  1

  2

  Innovation

  N/A

• Daily hazards board

  0

  1

  2

  Innovation

  N/A

• COSHH Notice Board

  0

  1

  2

  Innovation

  N/A

Documents

• CPHSP (last review)

  0

  1

  2

  Innovation

  N/A

• Temporary Works (Register / Documents)

  0

  1

  2

  Innovation

  N/A

• Inductions

  0

  1

  2

  Innovation

  N/A

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

  0

  1

  2

  Innovation

  N/A

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

  0

  1

  2

  Innovation

  N/A

• Sign In / Out

  0

  1

  2

  Innovation

  N/A

• Toolbox Talks

  0

  1

  2

  Innovation

  N/A

• Traffic Management Plan

  0

  1

  2

  Innovation

  N/A

• Fire and Emergency Plans

  0

  1

  2

  Innovation

  N/A

• Fire Risk Assessment

  0

  1

  2

  Innovation

  N/A

• Lifting Operations (Red Alert & Lift Plan)

  0

  1

  2

  Innovation

  N/A

• Accidents / Near Miss

  0

  1

  2

  Innovation

  N/A

• Scanning of Documents

  0

  1

  2

  Innovation

  N/A

Permit to Work

• Hot works

  0

  1

  2

  Innovation

  N/A

• To Dig

  0

  1

  2

  Innovation

  N/A

• Ladder

  0

  1

  2

  Innovation

  N/A

• At Height

  0

  1

  2

  Innovation

  N/A

PUWER (Daily & Weekly)

• Small Plant

  0

  1

  2

  Innovation

  N/A

• Plant

  0

  1

  2

  Innovation

  N/A

• MEWPS

  0

  1

  2

  Innovation

  N/A

• Hoist

  0

  1

  2

  Innovation

  N/A

Inspections

• Fire Route Inspections

  0

  1

  2

  Innovation

  N/A

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

  0

  1

  2

  Innovation

  N/A

• Hoarding

  0

  1

  2

  Innovation

  N/A

Health & Wellbeing

• Noise

  0

  1

  2

  Innovation

  N/A

• Vibration

  0

  1

  2

  Innovation

  N/A

• Respiratory

  0

  1

  2

  Innovation

  N/A

• Dust

  0

  1

  2

  Innovation

  N/A

• APPLICATION OF THE SAFE SYSTEMS OF WORKS (SSOW)

Housekeeping

• Internal

  0

  1

  2

  Innovation

  N/A

• External

  0

  1

  2

  Innovation

  N/A

• Slip, Trips & Falls

  0

  1

  2

  Innovation

  N/A

Traffic & Pedestrian Management

• Traffic Management

  0

  1

  2

  Innovation

  N/A

• Safe Access & Egress

  0

  1

  2

  Innovation

  N/A

Fire & Emergency Procedures

• Fire Extinguishers / Emergency Exits

  0

  1

  2

  Innovation

  N/A

• Fire Alarm System

  0

  1

  2

  Innovation

  N/A

• Other Protection Measures

  0

  1

  2

  Innovation

  N/A

PPE

• Operatives

  0

  1

  2

  Innovation

  N/A

• Visitors

  0

  1

  2

  Innovation

  N/A

Lifting Operations

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

  YES

  NO

  N/A

• Click "Add Item"

Item

• Description of Concern

• Rate the above statement

  0

  1

  2

  Innovation

  N/A

Work at Height

• Edges Protected

  0

  1

  2

  Innovation

  N/A

• Other H&S Concerns

  0

  1

  2

  Innovation

  N/A

Excavations

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

  YES

  NO

  N/A

• Click "Add Item"

Item

• Description of Concern

• Rate the above statement

  0

  1

  2

  Innovation

  N/A

Other not listed above

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

  YES

  NO

  N/A

• Click "Add Item"

Item

• Description of Concern

• Rate the above statement

  0

  1

  2

  Innovation

  N/A

Environmental

• Spill kits

  0

  1

  2

  Innovation

  N/A

• Fuel containers

  0

  1

  2

  Innovation

  N/A

List of Innovative Ideas

• Site Security
  
  Click "Add Idea"

Idea

• Date

  Date

• Description of Idea

• Welfare
  
  Click "Add Idea"

Idea

• Date

  Date

• Description of Idea

• Notices & Displays
  
  Click "Add Idea"

Idea

• Date

  Date

• Description of Idea

• Documents
  
  Click "Add Idea"

Idea

• Date

  Date

• Description of Idea

• Health and Well-being
  
  
  Click "Add Idea"

Idea

• Date

  Date

• Description of Idea

• Safe Systems of Work
  
  Click "Add Idea"

Idea

• Date

  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?

  YES

  NO

  N/A

• Is the Quality Policy in place?<br>

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Are complimentary documents being retained as proof of inspection?

  YES

  NO

  N/A

Environmental Audit Checklist

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Is the Environmental Policy in place and available?

  YES

  NO

  N/A

Completion

• Audited/Inspected By: (Name & Signature)

  Sign