SHERWOODS QHSE

• Document No

• Client / Site

• Conducted on

  Date

• Engineer(s) Name

• Conducted By

• Location
  Address

• Select date

  Date

Job Project Details

• Installation Stage

  1st Fix

  2nd Fix

  other

• Description of Works being done

Health & Safety

• Risk Assessments Complete

  Yes

  No

  N/A

• Engineers signed into site

  Yes

  No

  N/A

• Power tools and alike PAT tested

  Yes

  No

  N/A

• Access Equipment Serviceable

  Yes

  No

  N/A

• Hard Hat Serviceable

  Yes

  No

  N/A

• Safety Boots Serviceable

  Yes

  No

  N/A

• High Vis Clothing Serviceable

  Yes

  No

  N/A

• Gloves Serviceable

  Yes

  No

  N/A

• Ear Defenders Serviceable

  Yes

  No

  N/A

• P2 Mask

  Yes

  No

  N/A

• Eye Protection Serviceable

  Yes

  No

  N/A

• Fire Extinguisher Serviceable & In-date

  Yes

  No

  N/A

• First Aid kit Serviceable

  Yes

  No

  N/A

• Comments on the above

• Task(s) observed

Quality & Workmanship

• Work area free of debris

  Yes

  No

  N/A

• Work observed compliant with relevant standards

  Yes

  No

  N/A

• Observations on the work carried out, taking into consideration ACOP, Specifications and Regs

• I confirm that I have been made aware of any non compliance items highlighted above and ensure that there is no re-ocurance

  Yes

  No

Vehicle

• Vehicle exterior clean and presentable

  Yes

  No

• Vehicle cabin clean and presentable

  Yes

  No

• Vehicle load area not overloaded and items secure

  Yes

  No

• Add media

  Media

• Add media

  Media

• Signature Engineer A

  Sign

• Signature Engineer B

  Sign

• Signature Engineer C

  Sign

• Signature Engineer D

  Sign

• Signature Engineer E

  Sign

• Signature Engineer F

  Sign

• Auditor Signature

  Sign

• Client Signature Optional

  Sign