Richard Irvin Energy Solutions

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• BSJ Number (office use only)

Site details

• Address
  Address

• Date/time

  Date

• Photograph each elevation

  Media

• Team leader

• 2nd team member(s)

• Insulation scheme

Health & Safety

• Are harnesses being worn correctly?

  Yes

  No

  N/A

• Are harnesses tagged and in date?

  Yes

  No

  N/A

• Are cowstails tagged and in date?

  Yes

  No

  N/A

• Are ladder straps being used?

  Yes

  No

  N/A

• Are ladder straps tagged and in date?

  Yes

  No

  N/A

• Are ladders being used safely?

  Yes

  No

  N/A

• Are ladders tagged and in safe condition?

  Yes

  No

  N/A

• Have all operatives have RI uniform on?

  Yes

  No

  N/A

• Are safety boots being worn?

  Yes

  No

  N/A

• Are safety hats being worn?

  Yes

  No

  N/A

• Are safety specs being worn?

  Yes

  No

  N/A

• Are drillers wearing RPE?

  Yes

  No

  N/A

• Are appropriate gloves being worn for the task?

  Yes

  No

  N/A

• Is the appropriate signage in place for the task being undertaken?

  Yes

  No

  N/A

• Are hose ramps being used on public walkways?

  Yes

  No

  N/A

• Are vehicles parked safely?

  Yes

  No

  N/A

• Are all tools and equipment placed safely within work site and vehicle?

  Yes

  No

  N/A

• Has safe access and egress to the rear of the vehicle been maintained?

  Yes

  No

  N/A

• Are all operatives using ladders safely maintaining three points of contact at all times?

  Yes

  No

  N/A

• Is drill sling being used?

  Yes

  No

  N/A

• Is site clean and tidy with minimum trip hazards present?

  Yes

  No

  N/A

• Please list notes

• Photos of non compliance or defects

  Media

Vehicle

• Van reg

• Mileage

• Condition of vehicle

  good

  satisfactory

  unsatisfactory

• Condition of tyres

  good

  low

  illegal

• Is fire extinguisher present and in date?

  Yes

  No

  N/A

• Is first aid kit present and in date?

  Yes

  No

  N/A

• Please list any defects?

• Please photo any defects?

  Media

Equipment

• Are all extension leads PAT tested?

  Yes

  No

  N/A

• Are all extension leads free from defects?

  Yes

  No

  N/A

• Is drill tagged and in date?

  Yes

  No

  N/A

• Is the drill free from defects?

  Yes

  No

  N/A

• Is the tool kit complete?

  Yes

  No

  N/A

• Condition of generators etc...

  good

  satisfactory

  unsatisfactory

• Power source

  PTO

  Generator

  Stewart energy

  customer supply

• Condition of blowing hoses

  good

  satisfactory

  unsatisfactory

• Condition of nozzles

  good

  satisfactory

  unsatisfactory

• Photos of any defects

  Media

• Note any defects

Documents

• Is van pack present and in order?

  Yes

  No

  N/A

• Is vehicle insurance certificate present and in date?

  Yes

  No

  N/A

• Is current batch number recorded?

  Yes

  No

  N/A

• Is there an ACOPs available from at least one person on site?

  Yes

  No

  N/A

• Is there an installer card available from at least one person on site?

  Yes

  No

  N/A

• Does every operative have a in date company ID badge?

  Yes

  No

  N/A

• Is survey present and in order?

  Yes

  No

  N/A

• Has dynamic risk assessment been carried out and recorded prior to starting job?

  Yes

  No

  N/A

• Has pre gas appliance safety check been carried out and recorded prior to install?

  Yes

  No

  N/A

• Has daily density or flow rates been carried out and recorded?

  Yes

  No

  N/A

Installation

• Are machines running at correct pressures?

  Yes

  No

  N/A

• Has on site supervised flow rates or test box been carried out?

  Yes

  No

  N/A

• If so please record results

• Have cavity brushes been in installed where applicable?

  Yes

  No

  N/A

• Are all ventilators clear of any ingress?

  Yes

  No

  N/A

• Is drilling pattern compliment with manufacturers spec?

  Yes

  No

  N/A

• Are holes being drilled at correct angle?

  Yes

  No

  N/A

• Is blowing sequence compliment?

  Yes

  No

  N/A

• Is pointing acceptable?

  good

  satisfactory

  unsatisfactory

• Is colour match acceptable?

  good

  satisfactory

  unsatisfactory

• Are to ariels/sky dishes free from damage?

  Yes

  No

  N/A

• Are flues clear of ingress?

  Yes

  No

  N/A

• Are cavity heads sealed?

  Yes

  No

  N/A

• Additional notes

• Additional photos

  Media

• Team leader signature

  Sign

• 2nd man signature

  Sign

• Other signature

  Sign

• Inspectors signature

  Sign