Siphonic Solutions Health and Safety Audit

• Auditor Name and Position

• Date and Time of Audit

  Date

• Client Name and Address

• Add media

  Media

• Job Number

• Engineers on site

• Works being carried out

Site Set-Up

• Have all engineers signed in with the client?

  Yes

  No

  N/A

• Have site inductions taken place and been recorded?

  Yes

  No

  N/A

• Is a permit to work required, has this been filled out and approved by the client?

  Yes

  No

  N/A

• Has the site set-up been agreed with the client? (Including access and egress, working area, position of plant, equipment and materials, waste area and working hours)

  Yes

  No

  N/A

• Is the site segregated using a physical barrier from access to unauthorised persons?

  Yes

  No

  N/A

• Does the site set-up reflect the site plan?

  Yes

  No

  N/A

Working Environment

• Is good housekeeping maintained and waste regularly removed from the area?

  Yes

  No

  N/A

• Is the working area free of slip/trip hazards?

  Yes

  No

  N/A

• Is the temperature in the working area comfortable?

  Yes

  No

  N/A

• Are weather conditions considered suitable for the works being carried out?

  Yes

  No

  N/A

• Is the environment free of excessive noise?

  Yes

  No

  N/A

• Is the environment dust and/or fume free?

  Yes

  No

  N/A

Site Welfare

• Is drinking water available on site?

  Yes

  No

  N/A

• Are washing facilities available on site which are clean and well maintained?

  Yes

  No

  N/A

• Are sufficient toilet facilities available on site which are clean and well maintained?

  Yes

  No

  N/A

• Is there an eating area provided on site for break and dinner times ?

  Yes

  No

  N/A

First Aid

• Is there a trained and competent Siphonic Solutions first aider on site?

  Yes

  No

  N/A

• Are suitable and sufficient first aid supplies provided by Siphonic Solutions and available on site?

  Yes

  No

  N/A

• Do engineers know how to report a first aid incident?

  Yes

  No

  N/A

Fire

• Do all engineers know what action to take in the event of a fire or fire alarm activation?

  Yes

  No

  N/A

• Are escape routes clear of obstructions and emergency exits not blocked?

  Yes

  No

  N/A

• Do engineers have access to fire extinguishing media?

  Yes

  No

  N/A

COSHH

• Do all substances on site have suitable and sufficient COSHH assessments available?

  Yes

  No

  N/A

• Do all substances on site have the relevant MSDS available?

  Yes

  No

  N/A

• Are COSHH assessments and MSDS being followed?

  Yes

  No

  N/A

• Are engineers trained and competent to use COSHH items on site?

  Yes

  No

  N/A

• Are COSHH items on site being used correctly?

  Yes

  No

  N/A

PPE and Uniform

• Are all engineers in full uniform provided by Siphonic Solutions?

  Yes

  No

  N/A

• Is the correct PPE provided as per the risk assessment/method statement?

  Yes

  No

  N/A

• Are all persons required to use PPE trained and competent in its use?

  Yes

  No

  N/A

• Is PPE being used correctly where required?

  Yes

  No

  N/A

Risk Assessment / Method Statement

• Has a risk assessment been carried out for all tasks on site?

  Yes

  No

  N/A

• Is the risk assessment being followed?

  Yes

  No

  N/A

• Has a method statement been carried out for all tasks on site?

  Yes

  No

  N/A

• Is the method statement being followed?

  Yes

  No

  N/A

• Is the generic risk assessment and method statement reviewed on site to identify site specific hazards?

  Yes

  No

  N/A

Safety Equipment

• Do all engineers have suitable and sufficient safety equipment required for the task?

  Yes

  No

  N/A

• Does all safety equipment have a Nano tag and holder attached detailing the asset ID number and next inspection date? (Please detail asset number, re-inspection date nd engineer name for each piece of safety equipment)

  Yes

  No

  N/A

• Is all safety equipment logged on the Safety equipment log?

  Yes

  No

  N/A

• Is all safety equipment in date and inspected?

  Yes

  No

  N/A

• Are suitable and sufficient pre-checks carried out and documented on safety equipment before use? (Ask the engineer to carry out a demonstration of a pre-use check)

  Yes

  No

  N/A

Access Equipment

• What type of access equipment is being use on site?

• Are all engineers on site trained and competent to use the access equipment provided?

  Yes

  No

  N/A

• Is the access equipment positioned correctly?

  Yes

  No

  N/A

• Is the access equipment segregated to deny access to unauthorised persons?

  Yes

  No

  N/A

• Is there documented service and maintenance records for the access equipment on site?

  Yes

  No

  N/A

• Has a pre-use check been carried out on the access equipment and documented?

  Yes

  No

  N/A

• Is the access equipment being used safely in compliance with training and manufacturers instructions?

  Yes

  No

  N/A

Working at Height

• Are all engineers trained and competent in working at height?

  Yes

  No

  N/A

• Have all engineers completed a Health and Medical questionnaire detailing any conditions which may affect their ability to work at height?

  Yes

  No

  N/A

• Are skylight protection panels being used where required?

  Yes

  No

  N/A

• Is there an in date safety line system present on site / have safe alternatives been implemented? (Insert expiry date of safety line system)

  Yes

  No

  N/A

• Have the engineers on site carried out a suitable and sufficient pre-use check of the safety line system? (Ask the engineer to carry out a demonstration of a pre-use check)

  Yes

  No

  N/A

• Are engineers attached to the safety line system at all times?

  Yes

  No

  N/A

• Is adequate edge protection provided on open edges?

  Yes

  No

  N/A

Work Equipment and Tools

• Are all equipment and tools necessary to carry out the task provided?

  Yes

  No

  N/A

• Have engineers carried out a pre-use check on the equipment and tools they are using for the task and declared them fit for use? (Ask the engineer to carry out a demonstration of a pre-use check)

  Yes

  No

  N/A

• Are all equipment and tools serviced and maintained on a regular basis?

  Yes

  No

  N/A

• Is all portable electrical equipment in good condition, portable appliance tested (PAT) and labelled?

  Yes

  No

  N/A

• Are safe working methods in place for tools and equipment which produce high levels of vibration or noise? (Noise above 80db for daily exposure / 135db for peak exposure) (Vibration 2.5m/s2 / 100 points where precautionary methods need to be put in place / 5mm/s2 / 400 points per day maximum)

  Yes

  No

  N/A

• Can all work equipment, tools and materials be transported to and from the working area safely?

  Yes

  No

  N/A

Vehicle and Contents

• Does the vehicle have the following equipment: 1 x Anemometer,1 x Fully Stocked First Aid Kit,1 x Powder Fire Extinguisher, 1 x Box Nitrile Gloves, 1 x Box FFP3 Respirators, 2 x Type 5/6 Coverall?

  Yes

  No

  N/A

• Has a vehicle checklist been completed and submitted by the assigned user?

  Yes

  No

  N/A

• Is the vehicle clean, tidy and in good general condition?

  Yes

  No

  N/A

Previous Audits

• Have all outstanding actions from previous audits been completed?

  Yes

  No

  N/A

• Has the audit score improved since the previous audit?

  Yes

  No

  N/A

• Additional Comments

• Doncaster Maintenance Site Supervisor Signature

  Sign

• Auditor Signature

  Sign

• Date and Time of Audit completion

  Date