Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Add location
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III I IIIIII II IIIIII IIII Bar Code Reader
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RPS Engineers name:
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Select date
RPS Documentation
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Can the engineer produce his RPS ID?
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Can't he engineer produce a copy of the agreed supplementary testing Method Statement?
Risk Assesment
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Risk Assessment present?
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Add media
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If so what dangers have been highlighted?
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High risk items
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If No then fill out a risk assessment now
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Are there any high risk items that the engineer has missed?
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Missed high risk items
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Risk Assessment is used regularly?
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Is work progressing in accordance with the written risk assessment
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Can current driving licence be produced? And has this been forwarded to the office in the last 12 months?
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Add media
PPE
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Safety foot ware
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Add media
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Hard hat
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Add media
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Hearing protection
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Add media
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Dust mask
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Add media
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Overalls
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Add media
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Safety glasses<br>
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Add media
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Safety gloves
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Add media
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Hi-Viz vest
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First Aid kit
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Safety equipment required
Release Keys in the engineers possesion?
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V Key
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Euro triangle key
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Drop arm small
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Drop arm large
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U Key
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Small U Key
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VR special
Asbestos
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Can the engineer produce his UKATA asbestos awareness certificate or wallet size version?
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Last Asbestos awareness course they attended?
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Can the engineer explain how they might be exposed to asbestos and the control measures required?
Top of access procedure
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1) Call lift to floor level and place two calls in COP
2) Open lift landing doors, check if lift has stopped at the correct height
3) Adopt a balanced position
4) Safely engage the stop button, close the landing door
5) Wait 10 Seconds
6) If lift has not moved, engage the TOCI inspection switch then release the Stop button into the run position
7) Close landing dors and wait 10 seconds
8) If lift has not moved engage Stop switch and locate TOCI light. If accessible turn this on.
9) Scan area for hazards oil, debris etc.
9) -
Riding the car top in normal operation
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Improper verification of safety chain function
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Riding car top without top of car inspection fitted or used
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TOCI located too far from the landing and no alternate safe procedure used
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Accessing/Egressing car top with stop switch in run position
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Other
Top of car egress procedure
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1) Return the car to the original point of access
2) Set cat top emergency stop switch to 'stop position'
3) Open and mechanically block the hoist way door in the open position
4) Disconnect lanyard if connected
5) Exit the car top
6) Place the Top of Car Inspection switch to 'Normal' run position
7) Place the car top Emergency Stop Switch to the normal run position
8) Close the landing door and verify the normal operation. -
Accessing/Egressing car top with stop switch in run position
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Improper verification of safety chain function
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TOCI located too far from the landing and no alternate safe procedure used
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Other
Pit Access
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1) Place barrier around entrance
2) Place two calls in the COP usually highest, not the next floor
3) Peep in doors to check where the stop button is located
4) If safe to do so activate the Stop button
5) close landing doors and place a call and wait 10 seconds
6) If lift has not moved it is now safe to look for shaft light switch and switch on
7) Hazard scan for any potential problems with your route into the pit
8) Always close the landing doors to a minimum safe distance -
No safe means to protect entrance I.e. suitable landing barrier
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Improper verification of safety chain function
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TOCI located too far from the landing and no alternate safe procedure used
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Improper door blocking device
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Mechanism (switches, ladders, releases, etc) Locations prevent use of standard procedure. No alternative procedure available or used.
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Other
Corrective action
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Corrective measures required?
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List of corrective measures
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Safety Auditor signature
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Field Engineer Signature
