Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Works information

  • Site Address
  • Date Of Visit

  • Supervisor For Site Works<br>

  • Works notification type?

  • Works area?

  • Asbestos type?

  • Stage of works

  • Photo - Stage of works

Site security

  • Are perimeter fence lines secure?

  • Photos of perimeter fence line

Site Welfare

  • Are welfare facilities available on site?<br>

  • Are welfare facilities set up and working on site?

  • Are facilities correct for amount of personnel on site?

  • Are the facilities kept clean and hygienic?

  • Photos of welfare set up (inside & outside)

Site Documentation

  • Asbestos License / ASB5 / POW on site?

  • Are isolation certificates on site?<br>

  • Has toolbox talk been given on isolations<br>

  • COSHH assessments on site<br>

  • Site log completed<br>

  • Plan of work signed by operatives<br>

  • Risk assessments on site<br>

  • Emergency procedures on site<br>

  • Consignment notes on site<br>

  • A copy of the standard procedures<br>

  • Has the site diary been completed?<br>

  • A copy of insurance on site

  • Daily Exposure been completed

  • Daily RPE been completed

  • Daily enclosure inspection been completed

  • Daily plant check been completed

  • Has a smoke test been completed

  • Medicals / face fits / Training for all Operatives on site<br>

Site Set Up - Plan Of Works

  • Has there been liaison with the client<br>

  • Is the site layout as per plan of work?<br>

  • Is the enclosure as per plan of work?<br>

  • Is the DCU as per plan of work?<br>

  • Is the Skip / Waste Van as per plan of work?<br>

  • Is the waste route as per plan of work?

  • Is the transit route as per plan of work?

  • Is the bagging station as per plan of work?

  • Are the air locks as per plan of works

  • Is the method of removal as per plan of works

  • Is the vision panel / CCTV as per plan of works

  • Have any amendments been recorded?<br>

  • If yes, What are the amendments?

  • Tool Box talks carried out

  • Fire point identified<br>

  • Is the fiber suppression as per plan of work?<br>

  • Is there adequate wet strip on site<br>

  • Is the enclosure preventing the spread of asbestos?<br>

  • Is the site supervisor on site at all times?<br>

  • Is there a first aid kit on site?<br>

  • Is there a fire extinguisher on site?<br>

Plant and Equipment

  • Number of NPU's as per Plan of works

  • Certificates available for NPUS<br>

  • NPUS in good condition<br>

  • NPUS are the warning alarms working<br>

  • Are leads secure preventing trips<br>

  • Are the number of Vacuums as per plan of work<br>

  • Are the certificates available for Vacuums<br>

  • Vacuums in good condition<br>

  • Is there adequate supply of hoover bags on site<br>

  • RPE on site<br>

  • Is the RPE as per plan of works<br>

  • Is the RPE in a clean condition<br>

  • Are flow meters available on site<br>

  • Are there spare RPE filters available <br>

  • Are there spare NPU filters available <br>

  • Are there spare DCU filters available <br>

  • Is there emergency RPE available on site

Waste

  • Is the waste being stored in the Enclosure<br>

  • If yes, Why is it being stored within enclosure?

  • Is the waste in the correct packaging?<br>

  • Is the waste being bagged as soon as it is removed <br>

  • Are waste bags being over loaded<br>

  • Is the transit route free of debris<br>

  • Is the waste route clearly marked<br>

  • Are the operatives wearing the correct RPE and PPE when removing waste<br>

  • Is correct handling techniques being used<br>

  • Is the waste being stored in a lockable container<br>

DCU Checks

  • Is the DCU level?

  • Are the doors self closing?

  • Is there a direct water feed to DCU?

  • Is the electric to mains with RCD secure?

  • Is the earthing rod in place?

  • Is the Pilot Light on boiler lit?

  • Is the Clean and dirty marked?<br>

  • Is the Waste water going to drain?

  • Are the Steps in position for access?

  • First Aid Kit available?

  • Fire Extinguisher available?

  • Air Test

  • Boiler Test available?

  • Electrical Test available?

  • Stock Towels available?

  • Stock Overalls available?

  • Shampoo / Shower Gel available?

  • Nail Brushes available?

Enclosure

  • Is there an enclosure?

  • Is the Bagging Station as per Plan Of Works?

  • Has the bagging station got the correct signs?

  • Is the bagging station clean?

  • Air lock Condition? (Poor 1 - 5 Perfect)

  • Picture of Airlocks

  • Number of buckets within Airlocks

  • Are Airlocks clean?

  • Have the Airlocks got signs on?

  • Is the removal method as per plan of works?

  • Type of suppression being used?

  • Do the Baglocks / Airlocks have vision panels on them?

  • Have any amendments been recorded?

  • If Yes, Please state what has been amended.

  • Has the enclosure got vision panels?

  • Are the flaps the correct size and correctly weighted?

  • Overall standard of the enclosure? (Poor 1-5 Perfect)

  • Are there sufficient signs around the enclosure?

  • Wellington boots being used within the enclosure?

  • Transit shoes in the airlocks?

  • CCTV in operation and viewing the removal? (If required within the POW)

  • DCU direct connection?

  • Hoods on overalls up?

Work At Height

  • Has the work at height risk been assessed?

  • Is the work at height risk assessment on site?

  • Is the scaffold correctly erected?

  • Toe boards / Guardrails correctly installed?

  • Ladders correctly installed?

  • Competent inspection / Scaff-Tagged?

  • Picture of scaffolding

  • Podiums / Towers erected by pasta trained operatives?

  • Podiums / Towers correctly erected?

  • Picture of podiums / towers

  • Are ladders being used?

  • If yes, State circumstances for use of ladder?

Storage

  • Is the plant stored in clean condition?

  • Is the plant being looked after on site?

  • Are vacuum hoses being stored correctly in bags?

  • Rate the plant storage (Poor 1-5 Perfect)

  • Are materials being stored on site correctly / Tidily?

  • Is there any visible waste around works area?

Employee's

  • Are masks clean and in tidy condition?

  • Are tools in good condition?

  • Do all operatives have transit shoes?

  • Do all operatives have wellingtons?

  • Are all operatives clean shaven?

  • Is correct PPE and RPE being used?

  • Are operatives wearing correct company clothing? (if supplied)

  • If no, Who needs to be given out company clothing?

General Site

  • Have all fire precaution been assessed?

  • Comments -

  • Is the general housekeeping good on site?

  • Comments -

  • Are services clearly located on site?

  • Comments -

  • Are emergency plans in place on site?

  • Comments -

  • Are all traffic routes segregated away from works?

  • Comments -

  • Is there any works interfering with our works?

  • Comments -

Personnel Check

Supervisor

  • Mask condition is good

  • PPE is correct

  • Company clothing worn

  • Medical Available on site

  • FaceFit available on site

  • 1/2 Mask on site

  • Full Face mask on site

  • Wellingtons on site

  • Transit shoes on site

Operative 1 Check List

  • Mask condition is good

  • PPE is correct

  • Company clothing worn

  • Medical Available on site

  • FaceFit available on site

  • 1/2 Mask on site

  • Full Face mask on site

  • Wellingtons on site

  • Transit shoes on site

Operative 2 Check List

  • Mask condition is good

  • PPE is correct

  • Company clothing worn

  • Medical Available on site

  • FaceFit available on site

  • 1/2 Mask on site

  • Full Face mask on site

  • Wellingtons on site

  • Transit shoes on site

Operative 3 Check List

  • Mask condition is good

  • PPE is correct

  • Company clothing worn

  • Medical Available on site

  • FaceFit available on site

  • 1/2 Mask on site

  • Full Face mask on site

  • Wellingtons on site

  • Transit shoes on site

Vehicle Information

  • Vehicle Registration

  • Drivers Name

  • Mileage of vehicle

  • Select date

  • Vehicle cleanliness Bodywork<br>

  • Vehicle cleanliness Cab<br>

  • Vehicle cleanliness Inside the back<br>

  • Vehicles tyre condition?

  • Vehicles windscreen condition?

  • Vehicles front lights condition?

  • Vehicles rear lights condition?

  • Vehicles indicators condition?

  • Vehicles bodywork condition?

  • Picture of vehicle

  • Storage of plant on the vehicle?

  • Is there segregation of waste on the vehicle?

  • Waste carrier’s licence on display? (if applicable)

  • Trem card on display in van? (if applicable)

  • NO Smoking sign on display in van?

  • Number Plate for Towing? (if applicable)

  • First aid kit in van?

  • Fire Extinguisher in van front?

  • Fire Extinguisher in van back? (if applicable)

  • Signature of Supervisor

  • Signature of Assessor

  • Select date

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.