• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

This form assumes that the job cannot be completed by DTH or DAT Engineer. A form must be completed for each SAT job before it is undertaken. SAT jobs require two persons on site at all times With rope accessed jobs three people required 2 x level 1 trained and one Level 2 trained engineer at all times otherwise they postpone job.

Visit details

  • Date and Time

  • Start time

  • True Job type


Personnel on Site

  • Level 2 trained Supervisor on site

  • John Ware

  • Bob Loew

Health and Safety advisor on site

  • Mick McCarthy

  • Rob Hudgell

VIP Team on site

  • Robert Mangar

  • Matt Phillip

  • Martin Dowdy

  • Dane Thomas

  • Nick. Pover

  • Shaun Lucan

Equipment check

  • Kit number

  • Kit Number

  • Kit Number

  • 11mm Dynamic Ropes- 50 mtr each x 2

  • Neveho Harness c/w Chest Harness and Croll

  • Rocker

  • Hand Ascender

  • ID Descender Unit

  • 10mm Delta Maillon Rapide

  • 10mm Semi-Circular Maillon

  • 10mm Screwgate Karabiners (assorted)

  • Set of Cowstails 11mm Dynamic Rope

  • 7mm Plastic Covered Wire Anchor Strop - 375mm Long

  • 60cm Long Sewn Endless Webbing Slings

  • 1.2mtr Long Sewn Endless Webbing Slings

  • Petzl Helmet

  • Twin Leg Lanyards

  • Single Pulley Blocks

  • Double Pulley Blocks

  • Foot Loop Lanyard

  • 1mtr Canvas Rope Protector

  • Kite bag

  • Rope Bags

Team Communication

  • Visual (hand signals)

  • Verbal (unassisted )

  • Verbal (assisted)

  • Radio ( note channel)

Work Log

  • Detail of task

  • Hours worked

  • Height Worked

  • Supervisor name

  • VIP Engineer name

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.