SD46 - Survey Site Audit Sheet - Issue 7 - April 2013

• Document No.

• SD46 - Survey Site Audit Sheet - Issue 7 - April 2013

• Site:

• Conducted on

  Date

Job Details:

• Job Number:

• Client:

• Date:

  Date
• Site Address:
  Address

• Front Photo:

  Media

• Survey Level:

  Select Management Refurbishment & Demolition Management with part R&D

  • Management
  • Refurbishment & Demolition
  • Management with part R&D

• Survey Type:

  Select Industrial Commercial Domestic

  • Industrial
  • Commercial
  • Domestic

• Audit Type

  Select Initial Audit On-Going Competence Result of a Failure in Procedures Re-Authorisation Other

  • Initial Audit
  • On-Going Competence
  • Result of a Failure in Procedures
  • Re-Authorisation
  • Other

• Purpose of Audit:

  Select Initial Audit On-Going Competence Result of a Failure in Procedures Re-Authorisation Other

  • Initial Audit
  • On-Going Competence
  • Result of a Failure in Procedures
  • Re-Authorisation
  • Other

• Auditee's Signature:

  Sign

• Auditor's Signature:

  Sign

• Job Summary:

Health & Safety:

• Is the surveyor clean shaven?

  Yes

  No

  N/A

• Is a shave kit available on site?

  Yes

  No

  N/A

• Is RPE available?

  Yes

  No

  N/A

• Is RPE clean and labelled?

  Yes

  No

  N/A

• Does the surveyor have safety boots available?

  Yes

  No

  N/A

• Does the surveyor have a hi-viz jacket/vest available?

  Yes

  No

  N/A

• Does the surveyor have a hard hat and/or bump cap available?

  Yes

  No

  N/A

• Does the surveyor have gloves available?

  Yes

  No

  N/A

• Does the surveyor have ear defenders available?

  Yes

  No

  N/A

• Does the surveyor have safety glasses/goggles available?

  Yes

  No

  N/A

• Does the surveyor have knee pads available?

  Yes

  No

  N/A

• Does the surveyor have a first aid kit available?

  Yes

  No

  N/A

• Are ladders labelled and suitable for use?

  Yes

  No

  N/A

Initial Observations and Pre-Survey Procedures:

• Guidance - Could cover: Completion of risk assessments, documentation, equipment, RPE, quality manual etc...

Survey Process/Procedure:

• Guidance - Could include: Observations, room notes, inspection points, material assessment, priority assessment, photos, plans etc...

Sampling Strategy/Sample Collection:

• Guidance - Could include: Types of material collected - frequency, size and procedure

Areas of No Access/Caveats:

• Comments:

Presumptions:

• Comments:

Priority Risk Assessments:

• If completed by site representative has the name been recorded?

  Yes

  No

  N/A

• Have the generic scores been used satisfactorily?

  Yes

  No

  N/A

• Has the unique score section been used satisfactorily?

  Yes

  No

  N/A

Audit Summary:

• Audit Outcome:

  Satisfactory

  Unsatisfactory

Staff Feedback:

• Guidance: Is there anything that could make the surveyor's job easier? (Please get the surveyor to fill in Staff Feedback Form SD59 to be filed with Action Form SD06)

Required Actions:

• Is any action required? Please note the action numbers (DD/MM/YYYY/01 etc - Please also fill in separate action forms SD06 for each action and complete the Action Log SD99)

  Yes

  No