Safe working checklist

• Audit Title

• Document No.

• Employee / Contractor

  Employee

  Contractor

  Both

• Trade

• Organisation

• Operatives names

• Location
  Address

• Task

• Notes

Welfare

• 1.1 Signage

  N/A

  Green

  Amber

  Red

• 1.2 Barriers

  N/A

  Green

  Amber

  Red

• 1.3 1st Aid facilities adequate

  N/A

  Green

  Amber

  Red

• 1.4 Site security

  N/A

  Green

  Amber

  Red

• 1.5 Asbestos policy adhered to

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Operatives

• 2.1 Induction

  N/A

  Green

  Amber

  Red

• 2.2 Qualified for task

  N/A

  Green

  Amber

  Red

• 2.3 Uniform / ID

  N/A

  Green

  Amber

  Red

• 2.4 Training / Handbook

  N/A

  Green

  Amber

  Red

• 2.5 Attitude of Op

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Documentation

• 3.1 Risk Assessment / Method Statement on site

  N/A

  Green

  Amber

  Red

• 3.2 Risk Assessment / Method Statement signed

  N/A

  Green

  Amber

  Red

• Operative abiding by RA / MS

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

COSHH

• 4.1 COSHH Assessment on site

  N/A

  Green

  Amber

  Red

• 4.2 Method statement data sheet available

  N/A

  Green

  Amber

  Red

• 4.3 suitable containers

  N/A

  Green

  Amber

  Red

• 4.4 Correct use / PPE

  N/A

  Green

  Amber

  Red

• 4.5 Adequate ventilation

  N/A

  Green

  Amber

  Red

• 4.6 Spillage kits available

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Hotwork

• 5.1 Permit to work system in place

  N/A

  Green

  Amber

  Red

• 5.2 Fire extinguisher available

  N/A

  Green

  Amber

  Red

• 5.3 Is it safe to hotwork

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Vehicle

• 6.1 Safe parking

  N/A

  Green

  Amber

  Red

• 6.2 Smoking sign / evidence

  N/A

  Green

  Amber

  Red

• 6.3 Vehicle checks

  N/A

  Green

  Amber

  Red

• 6.4 Contents / storage (Haz mat)

  N/A

  Green

  Amber

  Red

• 6.5 Fire extinguisher available

  N/A

  Green

  Amber

  Red

• 6.6 Waste carriers licence

  N/A

  Green

  Amber

  Red

• 6.7 Spillage kit available

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Housekeeping

• 7.1 Any slips, trips falls hazards

  N/A

  Green

  Amber

  Red

• 7.2 Tenant Hazards

  N/A

  Green

  Amber

  Red

• 7.3 Material waste / tidiness

  N/A

  Green

  Amber

  Red

• 7.4 Storage of work equipment / material

  N/A

  Green

  Amber

  Red

• 7.5 Use of dust sheets

  N/A

  Green

  Amber

  Red

• 7.6 Fire hazards ignition / fuel source

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Electrical

• 8.1 Work equipment safe and sound / good condition

  N/A

  Green

  Amber

  Red

• 8.2 RCD used if 240v

  N/A

  Green

  Amber

  Red

• 8.3 All work equipment in date for PAT

  N/A

  Green

  Amber

  Red

• 8.4 Use of extension leads

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

PPE - Worn correctly / condition / available

• 9.1 Footwear

  N/A

  Green

  Amber

  Red

• 9.2 Gloves

  N/A

  Green

  Amber

  Red

• 9.3 Respiratory personal equipment

  N/A

  Green

  Amber

  Red

• 9.4 Goggles

  N/A

  Green

  Amber

  Red

• 9.5 Ear protection

  N/A

  Green

  Amber

  Red

• 9.6 Hi visibility clothing

  N/A

  Green

  Amber

  Red

• 9.7 Head protection

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Working at height

• 10.1 Ladders safe & sound / type

  N/A

  Green

  Amber

  Red

• 10.2 Ladder tags in date

  N/A

  Green

  Amber

  Red

• 10.3 Safe use

  N/A

  Green

  Amber

  Red

• 10.4 Scaffold / Mobile tower safe & sound

  N/A

  Green

  Amber

  Red

• 10.5 MEWP safe use

  N/A

  Green

  Amber

  Red

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Miscellaneous

• 11.1 First Aid Kit

  N/A

  Green

  Amber

  Red

• 11.2 Asbestos Surveys

  N/A

  Green

  Amber

  Red

• 11.3 Lanyard / Safety / Harness

  N/A

  Green

  Amber

  Red

• 11.4

• 11.5

• 11.6

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Observation

• 12.1 Body position

  Safe

  At risk

  N/A

• 12.2 Location in working environment

  Safe

  At risk

  N/A

• 12.3 Safe behaviours observed

• 12.4 Unsafe behaviours observed

• 12.5 Is the worker or anyone else in the line of fire?

  Yes

  No

• Grinding, drilling, strimming operations create flying objects - are goggles/face shield being used? Is the operator aware of fellow workers, pedestrians and potential damage to buildings, cars etc?

• Safe to continue?

  Safe

  At risk

  N/A

• Compliance

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Media

  Media

Summary

• Welfare

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Operatives

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Documentation

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• COSH

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Hot Work

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Vehicle

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Housekeeping

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Electrical

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• PPE

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Working at height

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Miscellaneous

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

• Observation

  Major non-compliance

  Minor non-compliance

  Standards met

  Section not applicable

Action Points

Actions

• Section Reference

  Select Welfare Operatives Documentation COSH Hotwork Vehicle Housekeeping Electrical PPE Working at Height Miscellaneous Observation

  • Welfare
  • Operatives
  • Documentation
  • COSH
  • Hotwork
  • Vehicle
  • Housekeeping
  • Electrical
  • PPE
  • Working at Height
  • Miscellaneous
  • Observation

• Code

  N/A

  Green

  Amber

  Red

• Issue

• Pics

  Media

• Completed Date

  Date

• Recommendations

• Actionee

• Target Date

  Date

Auditor

• Date

  Date

• Signature

  Sign