Title Page

  • Audit Title

  • Auditor

  • Auditee

  • Conducted on

  • Job Number

  • Site address

  • This Audit covers:

  • Client

Site compliance Audit

  • Reason for Audit

  • Brief Description of Work

  • Technical Ability to perform witnessed activity

  • Score

  • Comment

  • General knowledge about asbestos types, materials and associated health effects

  • Score

  • Comment

  • Knowledge of company related quality procedures, activities and associated H&S legislation

  • Score

  • Comment

  • Maintenance of equipment used for work, including PPE and RPE

  • Score

  • Comment

  • Ability / Attitude to represent company i.e turn out, communication, time keeping, approach to work

  • Score

  • Comment

  • Audit satisfactory

  • Approval Granted

  • Action to close out

  • Has the Auditee accepted the findings raised during the audit and agreed to the corrective actions

pre - start Health & Safety Assessment

  • Is the Plan of work including the risk assessment (RA) on site

  • Scope of work reviewed?

  • Has the Plan of work (POW) been thoroughly planed by the PM?

  • Is the scope of work fit for purpose?

  • Before start, all limitations accepted and understood, does the surveyor fully understand what they are doing?

  • Risk assessment completed and signed on arrival?

  • Is the POW being used over several days / several sites; if so, relevance of RA and limitations

  • Are all significant risks identified with suitable controls detailed within HSP 01?

  • Are there any high risk activities? i. e. Work @ height, work in confined spaces. If so are they properly planned and are they being conducted in accordance with method statement?

  • Has the on site analyst / Surveyor completed all necessary pre - start inspections of equipment and all labelled correctly?

  • Ladder No:

  • Photograph of ladder / Ladders if required

  • Ladder date:

  • Mask number:

  • Photograph of mask / Masks if required

  • Mask paperwork Checked

  • Tool box checked

  • Photograph of tools / tool box if required

  • Does the analyst / Surveyor have all necessary PPE / RPE and is it being used correctly?

  • Are safe access/egress routes available and are they free from trip and fall hazards?

  • If not; is the on site analyst / Surveyor reliant on other contractors for safe access? If so, is this safe and sufficient for the task?

  • Is the on site analyst / Surveyor wearing all company issued uniform?

  • General knowledge about asbestos, asbestos types, health effects, control limits, RPE and mask APF reviewed?

Soil Bulk Analysis Assessment

  • Sample Analysed

  • Analyst Results

  • Actual Content

  • % Reported

  • Qualifications

  • Analyst aware of what level of analysis is required using form 89 information?

  • Analyst aware of how to calibrate both sets of scales and able to tare balance both, and how to record?

  • Analyst conversant with the procedures for the safe use of the fume cabinet and its operation?

  • Analyst aware of how to dry received samples and how dry samples are required to be before completing analysis?

  • Analyst able to complete initial sieve screen and identify all suspect ACM's to be removed and weighed correctly, sample prep tools sutable for task?

  • Analyst aware how to separate approximately 50 grms sub sample by method of coning and quartering?

  • Initial screen of sub sample and all ACM'S extracted and weighed?

  • All ACM's analysed using PLM for asbestos identification?

  • Extract 1 gram sub sample for quantification?

  • Sub sample dispersed in 300ml of distilled water and shaken for 20 seconds until fully dispursed?

  • Filter set up with water vacuumed pumping set up correctly for sample mount?

  • 0.5ml sub sample extracted and disbursed through membrane filter and mounted correctly?

  • PCM microscope set up correctly?

  • Filter analysed and counted correctly with all fibres being measured correctly?

  • All samples stored correctly for six months?

  • All elements of form 80 completed correctly?

  • Analyst up to date with all elects of QC Bulk / AISS / Qualifications / Soils qualification and screen including any re analysis?

Environmental issues

  • Is the Analyst / Surveyor aware of the company’s commitment to Its environmental performance?

  • Is the Analyst / Surveyor aware of the Standard that we operate to (ISO14001)?

  • Where to find its policies?

  • Does the analyst car share or use public transport where possible?

  • Is the analyst disposing of waste on site appropriately?

  • Where electrical equipment is used is it Turned off when not in use?

  • If site activities include air monitoring of atmosphere for substance release is the Analyst following company procedures? (i.e. background, leak testing)

  • Are there any aspects to our work may cause environmental issues?

  • Does the surveyor / analyst have any suggestions on how Redhills can further reduce its Environmental impact?

Non-Conforming Works Report

  • List of Non - compliance

  • Non - compliance
  • Non - conformance Details

  • Corrective Action Required

  • Person Responsible

  • Timescale / Priority

  • Completed

  • R / Points

  • Photograph if required

  • Signed by Surveyor / Analyst to confirm finding / findings

Audit report notes

  • Notes

  • Photographs or drawing

  • Drawing

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.