Information

  • AUDIT TITLE:

  • DOCUMENT NO.:

  • SITE:

  • AREA INSPECTED:

  • CONDUCTED ON:

  • LOCATION:
  • AUDIT TEAM:

  • PREPARED BY:

WHAT WAS THE CONDITION OF THE SITE IN RESPECT TO -

  • Documentation & SICIM-Roadbridge Management System compliance

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • EXCAVATIONS

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • SITE WALKWAYS/ACCESS

  • ACTION REQUIRED:

  • RESPOSIBILITY OF:

  • PLANT & MACHINERY

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • HOUSEKEEPING?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • MATERIAL HANDLING / STORAGE?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • SCAFFOLDING

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • ELECTRICAL EQUIPMENT?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • TOOLS?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • LADDERS / STAIRS?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • CRANES / LIFTING?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • LIGHTING?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • WORK PERMITS?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • PERSONAL PROTECTIVE EQUIPMENT?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • UNSAFE PRACTICES?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • COMMUNICATIONS?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • FIREFIGHTING EQUIPMENT / PLANNING?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • BARRIERS & SIGNS?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • SANITATION & HYGIENE?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • VENTILATION / FUMES / DUST ETC.?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • WORKING AT HEIGHT?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • ENVIRONMENTAL PROTECTION?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

  • MEDICAL / HEALTH FACILITIES?

  • ACTION REQUIRED:

  • RESPONSIBILITY OF:

SUMMARY:

  • GENERAL COMMENTS FROM THE AUDIT:

  • Add media

NAMES OF AUDIT TEAM MEMBERS:

  • SIGN:

  • SIGN:

  • SIGN:

  • CLOSE OUT DATE OF ACTIONS:

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