SEI/SPRITEPRIME - BP Pulse - Site Self Verification

• Job/Site Name

• Conducted on

  Date

• Site Supervisor

• Location
  Address

• H&S Plan or File Available?

  Yes

  No

  N/A

• Have all person's on site signed in on the attendance register?

  Yes

  No

  N/A

• Has the Authorisation to Work Permit been completed and signed on to by all operatives on site?

  Yes

  No

  N/A

• Have any permitted activities taken place on site?

  Yes

  No

  N/A

• Have any IOGP Life saving Rules Checks been completed?

  Yes

  No

  N/A

• Risk Assessments & Method Statements Available, Understood and signed by all Operatives?

  Yes

  No

  N/A

• All Equipment & Tools in Good Condition

  Yes

  No

  N/A

• All PPE Available & Being Worn

  Yes

  No

  N/A

• Are Welfare Facilities Available?

  Yes

  No

  N/A

• First Aid Provisions Available?

  Yes

  No

  N/A

• Fire Extinguisher Available?

  Yes

  No

  N/A

• Have all Work Areas been Segregated and barriers installed?

  Yes

  No

  N/A

• Any Near Misses or Accidents to report?

  Yes

  No

  N/A

• Has the accident been reported to Project Manager?

  Yes

  No

  N/A

Work Progress Photos

• Please attach Pre-start Photos of work area

  Media

• Please attach Work Completion Photos

  Media

Sign Off

• Audit Satisfactory

  Compliant

  Non-Compliant

  N/A

• Supervisor Name

• Supervisor Signature

  Sign