Response-Safety-Audit

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

• Van Registration

Health & Safety

• Rams Book Kept in van?

  Yes

  No

  N/A

• Rams Filled and used with Customer signatures

  Yes

  No

  N/A

• Is manager happy with Quality of risk assesment

  Yes

  No

  N/A

• Reasons

• Is manager happy with Quality of Method Statement

  Yes

  No

  N/A

• Reasons

• Have the operatives obtained all relevant site permissions such as permit to work, isolation certificate, safe working procedures?

  Yes

  No

  N/A

• Are all operatives suitably trained for the tasks to be completed?

  Yes

  No

  N/A

• Is the correct PPE being used and in a good condition?

  Yes

  No

  N/A

• Is there a HAVI monitor, record book and a copy of the safe working levels chart available / held in the site vehicle?

  Yes

  No

  N/A

• What is todays HAVI monitor level

Housekeeping

• Is audit of Van only

  Yes

  No

  N/A

• Is the work / floor area clear from tripping hazards?

  Yes

  No

  N/A

• Are all large of awkward items being stored safely so as not to present a hazard?

  Yes

  No

  N/A

• Are unsafe areas condoned off to prevent access?

  Yes

  No

  N/A

• Is all waste /scrap being safely collected and disposed off or positioned in a safe area ready for removal on completion of works?

  Yes

  No

  N/A

• Are all vehicles safely positioned?

  Yes

  No

  N/A

Site Van & Equipment

• Is site van in a clean and well maintained condition, drivers area and tool area?

  Yes

  No

  N/A

• Photo of van Exterior condition

  Media

• Photo of van Drivers Compartment

  Media

• Photo of van Tool Area

  Media

• All following items to be checked as complete tested in date and good condition

• Is Day Work book in van and being used?

  Yes

  No

  N/A

• Is flashing beacon working and in use?

  Yes

  No

  N/A

• Is buggy whip flag fitted and in use?

  Yes

  No

  N/A

• Is a first aid kit available and is it stocked with eye wash (in date), burn spray, plasters and bandages?

  Yes

  No

  N/A

• Fire extinguisher?

  Yes

  No

  N/A

• Extension cables

  Yes

  No

  N/A

• 110v work lights

  Yes

  No

  N/A

• Safety harness, lanyard and scaffold hook

  Yes

  No

  N/A

• lifting Equipment

  Yes

  No

  N/A

• Power tools

  Yes

  No

  N/A

• Hard Hat

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

  N/A

• Access ladder / step ladder/ Arc Flash Kit (Electrician Only)

  Yes

  No

  N/A

• Storage racking

  Yes

  No

  N/A

• Burning Gear/Air fed welding mask (Mechanical Only)

  Yes

  No

  N/A

• PPE, including wet weather clothing, safety boots, gloves, gauntlets, safety glasses, ear defenders, dust masks, safety helmet, overalls?

  Yes

  No

  N/A

Sign Off

• Signature of Inspector

  Sign

• Select date

  Date

• Signature of site operative

  Sign

• Select date

  Date