Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Arrival, off loading,

  • Have you signed In?

  • Are all operatives aware of site emergency procedures?

  • Is there good pedestrian/vehicle segregation measures on site?

  • Is there a Safe route to your workplace?

  • ?

  • Have operatives received a Tool Box Talk recently?

  • Can they remember when it was and what subject it covered?

Personal Protective Equipment (PPE)

  • High-Vis Vests Worn?

  • Hard hat?

  • Suitable gloves for task?

  • Safety footwear?

  • Hearing Protection?

  • Eye Protection?

  • Is PPE in good condition?

Working at Height

  • Will you be working at height?

  • Are measures in place to prevent falls from height?

  • Scaffold Towers - record of daily inspection? / Equipment in good visual condition? / Operatives hold relevant certification to erect and alter towers (PASMA)?

  • Ladders - Suitable equipment for task? / Clearly identified? / Evidence of inspection? / Good visual condition?

  • Mobile elevated work platforms (MEWPS) - record of daily inspection? / Operators hold valid licence to operate (IPAF)? / equipment being used safely?

  • Safety Harnesses - Are they being worn correctly? / Evidence of inspections? / Used correctly? / measures in place to rescue operative in case of fall? / Harnesses in good visual condition?

Plant

  • Have plant operators got the correct licences? / certification ( I.e. Fork lift truck, Moffett, Crane)

Working Environment

  • Noise - Suitable precautions to warn others (signs etc.) Is suitable protection being worn?

  • Dust - Is the area very dusty? / Is the operation causing excessive dust? / is suitable PPE being worn? / Are steps being taken to reduce the level of dust?

  • Lighting - is the adequate lighting to safely access work area? / Adequate lighting to allow safe working?

  • Access - is there safe access to the work area - are there adequate walkways?

  • Are access walkways in good condition?

  • Is there suitable access platforms around all items of plant?

  • Lone Working - if operative is line working has measures been taken to ensure lone workers safety?

  • Are customers and others Warned about and protected from any work taking place?

  • Are materials and work equipment being stored son as not cause an hazard to others in the work area?

Electricity

  • Portable Electric Tools - Are tools / leads in good visual condition? / Have they been PAT tested and display a valid certification label showing when tested?

  • Are any leads in use positioned safely / Measures taken to prevent people tripping over them?

  • If working on electrical circuits has the circuit been isolated and tested to confirm dead?

  • Has any isolated circuit been "locked off" using lock off hasp & padlock where appropriate?

Leak Detector

  • Functionality check against TEK-Check leak detector leak reference (hfc only)

  • Visual inspection good condition<br>

Hot Works

  • Gas Cylinders - Secured in a trolley / Cage?

  • Fire extinguishers - Available within close proximity to work area? / Tested & Displaying valid test label? / Suitable for task?

  • Gauges - In good condition?

  • Hoses - In good visual condition?

  • Flash back arrestors fitted - in Good condition? / inspected?

  • Hot works permit?

  • Has the work been assessed / permit issued by someone holding an FPA fire Safety Passport? (Mandatory requirement on Tesco Stores)

Gas Works

  • Has engineer got up to date reference manual, I.e. Vipergas?

  • Has engineer got calibrated analyser / manometer?

  • Has engineer got warning notice pad and stickers?

  • Is engineers Gas Safe Register card valid?

  • Is engineer qualified for gas works being undertaken?

Lifting Equipment

  • Crane on site? - Crane Checklist completed? / Qualified bandsman present? / Lifting area barriered off to prevent others entering area?

  • Lifting Accessories ( Slings, Strops, Chains etc.) - In good visual condition? / Certified & Formally inspected within the last 6 months?

Permits

  • Electrical?

  • Hot Works?

  • Confined Space?

  • Work at Height?

  • Disconnection of Fire Alarm / Sprinkler System?

  • Crane Lift?

  • Other permits Issued / Required?

COSHH

  • Are hazardous substances suitably stored?

  • Are COSHH assessments available for all hazardous substances being used? / Are operatives aware of any assessments and necessary precautions?

  • Do operatives have a COSHH Manual?

Storage / Housekeeping

  • Storage container - Tidy? / Secure? / no cylinders stored in container? / Adequate ground conditions with safe access & egress?

  • Cylinder cage? / Locked?

  • General Housekeeping - Are work areas tidy and amount of waste minimised / stored safely? / Are walkways clear and unobsructed?

  • Is plant room clean and tidy? Are Space Engineering / Client storing items in the plant rooms?

  • If the plant room is being used for storage of materials is this causing a safety hazard, I.e. Exist blocked / combustibles etc?

  • If plant situated on the roof is the roof free from redundant equipment, I.e. No cylinders / compressors, oils etc, left on roof.

Welfare

  • Are general site conditions adequate?

  • Are there suitable toilets / washing facilities?

  • Are there first aides present? - Do operatives know who first aides are and how to contact?

Reporting

  • Are operatives aware of the need to report accidents, near misses and site hazards? / Do they know who to report to?

  • Are site operatives reporting accidents, near misses and site hazards? - Is there evidence of this?

Asbestos

  • If building built prior to 2000 has an asbestos register been made available to operatives? / Has this been viewed? / Is asbestos present in work area? / Are suitable precautions been taken to prevent accidental damage to any asbestos present? / Do operatives understand hazards associated with asbestos?

Vehicle

  • Is the operatives vehicle in a road worthy condition?

  • Are tyre treads above the wear markers? Do the tyres appear sufficiently inflated?

  • Does the vehicle appear to be overloaded?

  • Are the contents of the vehicle suitably secured, I.e. Are gas cylinders secured to prevent failing over?

  • Are fire extinguishers being carried on the vehicle for site hot works? - C02 and foam / Water or Powder

  • Is There a first aid kit on the vehicle?

Other items identified

  • Signed:

  • Document No.

  • Audit Title

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.