Roquette Behavior Visit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment PPE

• PPE being used correctly?

  Yes

  No

  N/A

• Is PPE in good condition and fit for purpose?

  Yes

  No

  N/A

• Add media

  Media

2.0 - Actions reactions

• Add media

  Media

3.0 - Position

• Add media

  Media

4.0 - Rules and Procedures

• Aware of risk assessments?

  Yes

  No

  N/A

• Aware of COSHH assessments?

  Yes

  No

  N/A

• Aware of fire procedures?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Add media

  Media

5.0 - Tools and equipment

• 5.1 - being used correctly?

  Yes

  No

  N/A

• 5.2 - Tools not in use kept in place?

  Yes

  No

  N/A

• 5.3 - No damaged hand tools in use?

  Yes

  No

  N/A

• 5.4 - No damaged power tools in use?

  Yes

  No

  N/A

• Add media

  Media

6.0 - Orderliness and cleanliness

• 6.1 - Bins located at suitable points around site?

  Yes

  No

  N/A

• 6.2 - Bins emptied regularly?

  Yes

  No

  N/A

• 6.3 - Area is maintained in a clean condition?

  Yes

  No

  N/A

• Add media

  Media

Golden rules

• Can the individual quote 2 golden rules

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign