SG Internal Inspection - Site Visit HW

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Details

1.1 Job Details - Customer Details:

• Customers Name:<br>Address:<br>Phone Number:<br>invoice Number:

  Yes

  No

  N/A

1.2 Job Details - Office Details:

• SG Office:<br>SG Installation Manager:<br>Plumber / Site Supervisor:<br>Trade Assistant:<br>Additional Workers Names:

  Yes

  No

  N/A

• Ute/Truck REGO:

• Driver:

• MDL current?<br><br>* Expiry date:<br>* License type?

  Yes

  No

  N/A

1.3 Job Details - Office Details - If Contractor

• Authorized Contractor<br><br>(Contact Quality Manager to clarify if contractor is approved supplier and required information is on file)

  Yes

  No

  N/A

• Contractor Business Name:

  Yes

  No

  N/A

JSA

• JSA presented to inspector

  Yes

  No

  N/A

• JSA Completed?

  Yes

  No

  N/A

• JSA Completed Accurately?

  Yes

  No

  N/A

• Comments:

Document Inspection

• Install checklist & commissioning checklist complete?

  Yes

  No

  N/A

• Electrical Safety Certificate complete?

  Yes

  No

  N/A

• Gas Notice of completion ticket?

  Yes

  No

  N/A

• Comments:

Installation Inspection

• Installation of Hot Water System?

  Yes

  No

  N/A

• Installation of Gas instantaneous System?

  Yes

  No

  N/A

• Lagging / Saddling of pipe work?

  Yes

  No

  N/A

• Temp Valve Installed?

  Yes

  No

  N/A

• System Operating correctly?

  Yes

  No

  N/A

• Pre-installation discussion with client?

  Yes

  No

  N/A

• Handover pack complete?<br>(including system operating training, provision of all information and explanation of documentation)

  Yes

  No

  N/A

• "Now Generating" sign installed?

  Yes

  No

  N/A

• Comments:

Vehicle Inspection

• Is the vehicle with in service period?

  Yes

  No

  N/A

• Tyre's are in good condition

  Yes

  No

  N/A

• Tyre wear %

  Yes

  No

  N/A

• Spare Tyre is serviceable?

  Yes

  No

  N/A

• Indicators & Brake lights functional?

  Safe

  At Risk

  N/A

• Seat belts functional and in good condition?

  Safe

  At Risk

  N/A

• Tie downs used to secure material & equipment are in good working order?

  Yes

  No

  N/A

• Has the vehicle got a First Aid kit?

  Yes

  No

  N/A

• Has the vehicle got a Fire Extinguisher?

  Yes

  No

  N/A

• Has the vehicle got a Fire Blancket?

  Yes

  No

  N/A

• Has the vehicle got sun protection?

  Yes

  No

  N/A

• Is the electrical equipment tagged?

  Yes

  No

  N/A

• Is the electrical equipment tagged in date?

  Yes

  No

  N/A

• Hiab Pre-Start checklist complete

  Yes

  No

  N/A

• Does the vehicle have a fire extinguisher sign?

  Yes

  No

  N/A

• Does the vehicle have a first aid sign?

  Yes

  No

  N/A

• Vehicle is clean and tidy?

  Yes

  No

  N/A

• Comments:

Fire Extinguishers

• Is the service up to date?

  Yes

  No

  N/A

• Are they the correct fire extinguishers for the job?

  Yes

  No

  N/A

• Are the fire extinguishers properly signed?

  Yes

  No

  N/A

• Are the fire extinguishers properly mounted?

  Yes

  No

  N/A

• Is there a fire blanket?

  Yes

  No

  N/A

• Comments:

First Aid

• First Aider on site?

  Yes

  No

  N/A

• First Aid kit complete?

  Yes

  No

  N/A

• First Aid kit complete - If not what is missing?

  Yes

  No

  N/A

• Is the saline solution within date?<br>

  Yes

  No

  N/A

• What is the expiry date: Saline solution?

  Yes

  No

  N/A

• Comments:

MSDS

• Is there a MSDS storage place?

  Yes

  No

  N/A

• Is there a MSDS envelop in the ute/truck?

  Yes

  No

  N/A

• Are the MSDS information sheets in the ute/truck up to date (max 5 years)?

  Yes

  No

  N/A

• Do the MSDS information sheets match the chemicals in ute/truck?

  Yes

  No

  N/A

• Comments:

Site Safety

• Installers in HI Vis Uniforms?

  Yes

  No

  N/A

• Installers in HI Vis SG Uniforms?

  Yes

  No

  N/A

• Installers wearing safety shoes/boots?

  Yes

  No

  N/A

• Ladder gutter guard in place?

  Yes

  No

  N/A

• Ladder tied off?

  Yes

  No

  N/A

• Is the electrical equipment tagged in date?

  Yes

  No

  N/A

• PPE Equipment available on site: Hearing Protection?

  Yes

  No

  N/A

• PPE Equipment available on site: Eye Protection?

  Yes

  No

  N/A

• PPE Equipment available on site: Sun Protection - Sun screen?

  Yes

  No

  N/A

• PPE Equipment available on site: Sun Protection - Hat?

  Yes

  No

  N/A

• PPE Equipment available on site: Sun Protection - Drinking Water - dehydration?

  Yes

  No

  N/A

• Fall restrain / prevention PPE available on site?

  Yes

  No

  N/A

• Fall restrain / prevention PPE in use at site?

  Yes

  No

  N/A

• PPE Equipment available on site: Harness?

  Yes

  No

  N/A

• PPE Equipment available on site: Harness Mount: Tile?

  Yes

  No

  N/A

• PPE Equipment available on site: Harness Mount: Tin?

  Yes

  No

  N/A

• PPE Equipment available on site: Hard Hat?

  Yes

  No

  N/A

• Comments:

Overall Comments

Corrective Action Required

• Improvement Request Created?

  Yes

  No

  N/A

• 1.1 Corrective Action Required?<br><br>Which conformance type:<br>* OH&S<br>* Installation<br>* Documentation<br>* Vehicle

  Yes

  No

  N/A

Site Visited By

• Site Inspected By:

  Yes

  No

  N/A

• Date:

  Yes

  No

  N/A

• Signature:

  Sign

Report Review

• Report Reviewed By:

  Yes

  No

  N/A

• Date:

  Yes

  No

  N/A

• Signature:

  Sign