Information

  • Venue

  • Location
  • Conducted on

  • Team Leader

1. Arrival - General

  • Where it is not possible to complete an item, further information must be provided.

  • 1.1 Team has signed in (where applicable)

  • 1.2 Vehicle is parked appropriately in a designated area

  • 1.3 Formal induction completed (where applicable on induction sites)

  • 1.4 Team introduced to the client

  • PLEASE CONTINUE TO NEXT SECTION

2. Arrival - Safety And Welfare

  • Where it is not possible to complete an item, further information must be provided.

  • 2.1 Information requested on any site-specific safety issues

  • 2.2 Escape routes and fire assembly points confirmed

  • 2.3 Information sought of any planned fire drills

  • 2.4 First aid and accident reporting procedures established

  • 2.5 Location of nearest first aid kit established (this may be your own)

  • 2.6 Location of nearest defibrillator established

  • 2.7 Permitted smoking areas established

  • 2.8 Location of welfare facilities (toilets, refreshments, drinking water)

  • 2.9 Any restrictions on the use of mobile phones established

  • 2.10 Permitted working hours established

  • 2.11 Knowledge of areas to be worked in

  • Limitations/further information/photos applicable to this section

  • Limitations or further information on the section above

  • Photos where required

  • PLEASE CONTINUE TO NEXT SECTION

3. Before Work Commences - General

  • Where it is not possible to complete an item, further information must be provided.

  • 3.1 Validity of risk assessments and method statements checked

  • 3.2 Where there are shortcomings, a separate ‘Point of Work’ assessment audit will be completed

  • 3.3 Asbestos register checked (where applicable in buildings built before 2000)

  • 3.4 Where client’s access equipment is to be used, availability and location confirmed

  • 3.5 Pre-use check of any access equipment to be completed and the appropriate sections of this audit (sections 4-8)

  • 3.6 The H&S arrangements established during this audit, have been communicated to the rest of the team (where applicable)

Team signatures

  • EACH MEMBER OF THE TEAM MUST SIGN TO CONFIRM THAT THEY ARE AWARE OF THE HEALTH AND SAFETY ARRANGEMENTS AND PROCEDURES, AND THAT THEY HAVE READ AND UNDERSTAND THE RISK ASSESSMENTS AND METHOD STATEMENTS - INCLUDING ANY 'POINT OF WORK' ASSESSMENT COMPLETED FOR THIS SITE.

  • Team Member 1

  • Team Member 2

  • Team Member 3

  • Team Member 4

  • Team Member 5

  • Team Member 6

  • Limitations/further information/photos applicable to this section

  • Limitations or further information on the section above

  • Photos where required

  • PLEASE CONTINUE TO NEXT SECTION

4. Ladders - Daily Pre-Use Check

  • 4.1 Will LADDERS be used on-site?

  • ALL FAULTS / DEFECTS TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR

  • 4.2 Base and feet - not bent, worn, missing, damaged or loose

  • 4.3 Rungs or treads - not bent, worn, missing, damaged or loose

  • 4.4 Stiles - not bent or damaged

  • 4.5 Locking mechanisms - not worn, missing, damaged, and operate correctly

  • 4.6 Platform - not bent, missing, damaged, and operates correctly

  • PLEASE CONTINUE TO NEXT SECTION

5. Access Tower - Daily Pre-Use Checks

  • 5.1 Will an ACCESS TOWER be used on-site?

  • ALL FAULTS / DEFECTS TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR

  • THIS IS A CHECK OF THE CONDITION OF THE COMPONENT PARTS. THE TOWER MUST BE ERECTED BY A PASMA CARDHOLDER IN ACCORDANCE WITH THE LATEST MANUFACTURER'S INSTRUCTION MANUAL.

  • 5.2 Wheels and Brakes - not damaged or contaminated, and function correctly

  • 5.3 Adjustable legs - not damaged or contaminated, and function correctly

  • 5.4 Platforms - not damaged, contaminated or bent

  • 5.5 Frames - not damaged or bent, and complete with clips

  • 5.6 Toe-boards - not damaged, and are a complete set

  • 5.7 Outriggers - not damaged or bent, and are complete and function correctly

  • 5.8 Horizontal and diagonal braces - not damaged or bent, and function correctly

  • 5.9 Correct number of components

  • 5.10 Instruction manual or decals present

  • 5.11 Scaff-tag completed and attached to tower

  • PLEASE CONTINUE TO NEXT SECTION

6. Tallescope - Daily Pre-Use Checks

  • 6.1 Will a TALLESCOPE be used on-site?

  • ALL FAULTS / DEFECTS TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR

  • 6.2 Wheels and Brakes - not damaged or contaminated, and function correctly

  • 6.3 Adjustable legs - not damaged or contaminated, and function correctly

  • 6.4 Platform - not damaged, contaminated or bent

  • 6.5 Base frame and Braces - not damaged or bent, and all trigger hooks function correctly and are locked in place

  • 6.6 Mast section - not damaged or bent, and functions correctly

  • 6.7 Ladder rungs and hooks - not damaged, bent, missing or loose, and function correctly

  • 6.8 Basket - not damaged or bent, and access bar is present and functions correctly

  • 6.9 Rope and pulleys - not damaged or worn, and function correctly

  • 6.10 Outriggers - not damaged or bent, and are complete and function correctly

  • 6.11 Upgrade 1 - Moving kit fitted

  • 6.12 Upgrade 2 - Rescue kit fitted

  • PLEASE CONTINUE TO NEXT SECTION

7. Powerlift - Daily Pre-Use Checks

  • 7.1 Will the POWERLIFT be used on-site?

  • ALL FAULTS / DEFECTS TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR

  • 7.2 Certificate - evidence of LOLER examination within the last 6 months

  • 7.3 Instruction manual - is present and legible

  • 7.4 Wheels and Brakes - not damaged or contaminated, and function correctly

  • 7.5 Base frame - not damaged or bent

  • 7.6 Outriggers - not damaged or bent, and are complete and function correctly

  • 7.7 Mast sections - not damaged or bent, and function correctly

  • 7.8 Basket - not damaged or bent, and access bar is present and functions correctly

  • 7.9 Operation - raises and lowers as intended with no unusual noises or actions

  • 7.10 Emergency lowering system - not damaged, and functions correctly

  • 7.11 Drill condition - not damaged, and functions correctly

  • PLEASE CONTINUE TO NEXT SECTION

8. Mobile Elevating Work Platform - Daily Pre-Use Check

  • 8.1 Will a MEWP be used on-site?

  • ALL FAULTS / DEFECTS TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR

Documentation

  • 8.2 Current LOLER examination certificate (within the last 6 months)

  • 8.3 Manufacturers instruction manual is present

Wheels/Tyes

  • 8.4 Wheel security (nuts, retainers, Loose, damaged or missing)

  • 8.5 Tyre pressure (pneumatic, foam filled or solid)

Engine/Power

  • 8.6 Fluid levels (engine oil, coolant & Fuel)

  • 8.7 Battery (electrolyte, security & charging plug condition)

  • 8.8 Fluid leakage around engine

Hydraulics

  • 8.9 Hydraulic fluid level

  • 8.10 Cuts, splits (exposed braiding) damaged rims

Hoses/Cables

  • 8.11 Leaks (hoses, pipe connections, rams & cylinders)

  • 8.12 Power track cable trays (free from damage & debris)

  • 8.13 Security & condition (cuts, chaffing, bulging)

Structure/boom/scissor

  • 8.14 General condition (damage, misalignment & corrosion)

  • 8.15 Weld cracks

  • 8.16 Pins & retainers (security & signs of wear)

  • 8.17 Canopies, guards, engine covers (security & condition)

Platform/cage

  • 8.18 Entrance gate, guard rails & retaining pins

  • 8.19 Harness anchor points

  • 8.20 Clear of rubbish & obstructions

  • 8.21 Steps for access/egress (secure, undamaged & clear)

  • 8.22 Platform loads (SWL, max wind speed & max persons)

Decals/signage

  • 8.23 ID plate, safety warning & information decals (legible)

Ground/platform controls

  • 8.24 Emergency stops & emergency lowering system

  • 8.25 Security devices (function enables, ignition key & foot switch)

Function Checks

  • 8.26 All switches, joy sticks, controls (move freely & do not stick)

  • 8.27 Lifting mechanism (raise, lower, slew, tele-out & tele-in)

  • 8.28 Travel mechanism (forward, reverse, steer & brake)

  • 8.29 Elevated drive speed (reduced or prevented)

  • 8.30 Lights, beacons, warning devices

  • 8.31 Limit switches (load limiter & cab protection)

  • 8.32 Alarms (tilt, descend & travel)

  • 8.33 Pothole protection device (fully deploys & retracts)

  • 8.34 Oscillating axle locks, extending axles

  • 8.35 Accessories, power to platform & extending decks

  • 8.36 Controls (identification decals, & directional arrows)

  • 8.37 Jacks-legs, stabilisers, outriggers & levelling devices

  • PLEASE CONTINUE TO NEXT SECTION

9. Before Leaving Site

  • 9.1 Have any defects been found that are categorised as A(1) - Mechanical or C1 - Electrical, that could be/could have been, an immediate risk to health or property damage (even if you have now made them safe).

  • YOU MUST NOW FOLLOW THE A(1) / C1 DEFECT PROCEDURE AND ACTION THE FOLLOWING POINTS.

  • Have you informed the on-site customer contact about your findings and any actions taken?

  • Have you informed Venue Services administration about your findings and any actions taken?

  • Have you informed the Mechanical or Electrical QS about your findings and any actions taken?

  • Have you made-safe the defect, where possible?

  • How have you made-safe the defect?

  • Please supply photographic evidence where possible

  • 9.2 Client informed of any failed PAT items whose use will affect safety

  • 9.3 Client informed of any equipment decommissioned or not reinstated for safety reasons

  • 9.4 Any accidents have been reported to the client and recorded in the local accident book

  • 9.5 Client notified that the team is leaving site

  • 9.6 Team are signed out (where they signed in)

  • Limitations/further information/photos applicable to this section

  • Limitations or further information on the section above

  • Photos where required

  • PLEASE CONTINUE TO NEXT SECTION

10. Photos

  • This section SHOULD NOT be used for photos of H&S issues, they should be included at the appropriate point in the audit.

General photos of the venue and various spaces

  • Please include some general photos that give an overview of the SPACE(S).

General photos of the electrical installation (where applicable)

  • Please include some general photos of the ELECTRICAL INSTALLATION (e.g. dimmers, distro, socket types)

General photos of the mechanical installation (where applicable)

  • Please include some general photos of the MECHANICAL INSTALLATION (e.g. winches, top fixings, track types)

General photos of the AV/control equipment (where a service contract is applicable)

    Space
  • Space name

  • Please include some general photos of the AV/CONTROL EQUIPMENT (e.g. sound rack, lighting desk, projector)

11. Signatures

Team Leader

  • Team Leader name and signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.