Title Page

  • Conducted on

  • Prepared by

  • Location
  • SEM EHS Audit

  • Auditor (Safety Officer)

  • SEM Name

  • Region

  • Patch

  • Engineer Name

  • Engineer Trade

  • Date of Audit

  • Job Number

  • Active Monitoring

  • Is there any evidence of previous EHS Audits being carried out?

  • Asbestos Safety

  • Does the Engineer have two fully stocked asbestos kits available?

  • CoSHH

  • Are all substances HML approved?

  • Are all substances stored correctly?

  • Are all substances labelled correctly?

  • Is the van free from cross contamination?

  • Has the Engineer been issued with a leptospirosis card?

  • Has the Engineer got the means to clean their tools?

  • Are indate COSHH assessments and MSDS sheets available to Engineers?

  • Does the Engineer know where to locate COSHH assessments?

  • Driving Safety

  • Has the Engineer reverse parked where possible?

  • Are external panels in good condition and free from damage?

  • Are the windows and mirrors clean and free from chips and cracks?

  • Are the tyre treads above the legal minimum requirement of 1.6mm?

  • Is the Engineer adhering to the clean cab policy?

  • Is the dashboard free from warning lights and are lights/indicators working?

  • In your opinion, is the vehicle roadworthy?

  • Does the Engineer have a masternaut score below 5 for the last 3 months?

  • Electrical Safety

  • Does the Engineer have a RCD and used where required?

  • Does the Engineer have a Volt Pen and used where required?

  • Does the Engineer have a Socket and See and used where required?

  • Does the Engineer have Earth Continuity Bonding and used where required?

  • Are all Electrical items supplied by HML?

  • Is all electrical equipment free from visible damage/ exposed cables?

  • Is there evidence of PAT testing on all electrical equipment and is this in date?

  • Excavation Safety

  • Are two sets of external barriers available?

  • Are barriers in use, where required?

  • Has Engineer taken the required photos?

  • Has the correct digging technique been used?

  • Fire Safety

  • Is the Engineer carrying a minimum of one Fire Extinguisher on their van?

  • Is the Fire Extinguisher stored safely and securely?

  • Is there a servicing regime evidenced for the Fire Extinguisher and is this in date?

  • If the Engineer has carried out Hot Works in the property, has this task been carried out in a suitable place and the fire extinguisher taken on site?

  • Has the Engineer remained on site for the required time after completing hot works?

  • First Aid

  • Does the Engieer have an indate First Aid kit?

  • Does the Engineer have an in date Eye Wash kit?

  • Cable Strike Safety

  • If the Engineer has a CAT & Genny, is this within calibration?

  • Is the CAT and Genny stored safely and securely?

  • Is the CAT and Genny free from damage?

  • Where required has the Engineer marked out the services?

  • Does the Engineer have a Bosch internal pipe scanner to use, where applicable?

  • Compressed Gas/Pressure vessels

  • Is the Engineer carrying no more than the legal limit of compressed gas?

  • Are the gas bottles stored and secured correctly?

  • High Pressure Water Jetting

  • Is the correct PPE worn when Jetting, if applicable?

  • Are the correct barriers in place when Jetting, if applicable?

  • Is the water tank empty if applicable?

  • Are hose ramps available and in use, where applicable?

  • Are the Jetter hoses in good condition?

  • Is there evidence of Jetter servicing?

  • Is the Jetter free from visible leaks?

  • Does the Jetter have an operational remote to utilise, where required?

  • Are the drainage rod storage end caps in use?

  • Is the Engineer carrying an in date WJA card?

  • Is there evidence of all 3 mandatory photos when lifting a manhole cover?

  • If DRA dictates Beacon on van is required, has this been used?

  • Lone Working

  • Are there Lone Working Procedures in place

  • Manual Handling Safety

  • Is the Engineer able to demonstrate a good understanding of manual handling (TILE)?

  • Lifting Equipment Safety

  • Does the Engineer have access to the correct lifting equipment?

  • Is the lifting equipment in good condition?

  • Is the lifting equipment stored correctly?

  • Moleing Safety

  • Is the Engineer adhering to the SSOW and following the appropriate steps, where applicable?

  • Noise

  • Is the Engineer wearing the correct PPE (hearing protection)?

  • Is the condition of hearing protection adequate?

  • Patch Repair

  • Is the Engineer adhering to the SSOW and following the appropriate steps, where applicable?

  • PPE Provision & Use

  • Is the correct PPE being worn for the task carried out?

  • Is all PPE available in good condition?

  • Is all PPE available stored correctly?

  • Is the van free from personal footwear i.e. trainers?

  • Does the Engineer have access to the PPE online ordering portal?

  • Is all PPE worncarried, HML supplied?

  • Radiation

  • Could the Engineer demonstrate what precautions to take to avoid radiation pollution to their skin?

  • Risk Assessments/SSOW

  • Are in-date Risk assessments and SSOW's available to Engineers?

  • Has the Engineer followed the Risk Assessment/SSOW/DRA

  • Does the Engineer know where to locate Risk assessments/SSOW's?

  • Dynamic Risk Assessment (DRA) completed correctly?

  • Slips & Trips Safety

  • Has the Engineer minimised the risk of slips/trips to themselves and the Customer?

  • Does the Engineer have access to the Customer handout card?

  • Does the Engineer have access to internal door barriers?

  • Has the DRA the Engineer carried out covered any slip/trip hazards

  • Does the Engineer have sufficient tread on their safety footwear?

  • Training

  • Does the Engineer have the appropriate training for the task being carried out?

  • Is Engineer training in date?

  • Is the Engineer carrying their Gas Safe Card, if applicable

  • Can the Engineer evidence understanding of recent Safety Alerts?

  • Vibration

  • Is Engineer using equipment within the allocated usage time?

  • Waste Control

  • Is Waste Bagged and stored correctly?

  • Is the van free from unauthorised hazardous waste being carried and stored?

  • Working at Height

  • Is the Engineer using a HML approved ladder?

  • Is the ladder asset tagged?

  • Is the ladder showing correct markings / (inspection sticker installs only)?

  • Is the ladder stored correctly and in good condition?

  • Does the Engineer have nonslip ladder mats available?

  • Does the Engineer have crawl boards available and in good condition?

  • Is the Engineer aware of the time and weight limit when working on a ladder?

  • Does the Engineer's vehicle have ladder roll bars? (Installs only)

  • If the Engineer is TETRA trained, is their qualification in date?

  • If the Engineer is TETRA trained, are they carrying all the correct equipment in good condition to fulfill this?

  • Has the Engineer secured all tools used when working at height?

  • If Scaffolding is in use, has the Engineer followed all the correct processes and procedures?

  • Work Equipment Safety

  • Is all electrical equipment Calibrated where required and in date?

  • Is all work equipment free from damage and or defects?

  • Is the Engineer using to correct tools and equipment for the task?

  • Are tools/equipment stored correctly?

  • Are tool guards and safety features intact?

  • Are the correct discs fitted to the tools?

  • Has the work equipment been HML approved?

  • Working Conditions

  • Does the Engineer have access to waterless hand cleaning facilities?

  • Does the Engineer have access to a basin in their van?

  • Young Persons (under 18)

  • Are controls in place to prevent the Engineer's working hours (agreed by People Team) being exceeded?

  • Are controls in place to prevent the young person working alone?

  • New and Expectant Mothers

  • Is there a Risk assessment in place for New/Expectant Mother?

  • Is the Risk assessment being adhered to?

  • Action Escalation

  • Are all actions from the previous audits on this SEM closed and complete?

  • Other

  • Any additional comments

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.