Title Page

  • Site Audited

  • Conducted on

  • Prepared by

  • Location


  • Has the area been cordoned off?

  • Have required warning signs been put up?

  • Is the area sufficiently lit?


  • Is there a complete method statement and risk assessment?

  • Is it signed by all operators?

  • Observe the job. is it being carried out in line with the method statement?

  • Explain what is not being carried out in line with the method statement. and upload your findings onto the Activ improvement log.

  • is there any hazards or risks not identified on the method statement?

  • has the correct PPE been identified on the method statement?

  • Are all operators being compliant in wearing correct PPE at all times?

  • Is there a health and safety plan on site? (PSCS)

  • Is it signed by all operatives?

  • Observe the job. Is it being carried out in line with the plan?

  • Explain why it is not being carried out in line with the plan and upload all findings onto Activ improvement log.

  • Is permit to work required?

  • Specify permits required in the comment section.

  • Have the Permits been completed as required and approved?

  • Is the work being carried out in line with the permit requirements?

  • Explain why work is not in line with permit requirements and upload your findings onto Activ improvement log.



  • Has the vehicle up to date TAX, CVRT, and insurance dis displayed?

  • Has the driver an appropriate driving license for the vehicle ( Trailers included)?

  • Has the vehicle daily walk about checklist been completed?

  • Has the vehicle a reversing warning alarm ?

  • Does the vehicle seem to be in good working condition and clean and presentable?


  • Is there a copy of the statutory thorough examination (GA1)?

  • Has a daily walk-about check been completed?

  • Has a weekly (GA2) walkabout check been completed?

  • is the operative certified to operate the equipment?


  • Portable electric equipment is all 110V ?

  • Are all trailing leads in such a way as to prevent trip hazards?

  • are all leads and electrical equipment PA tested?

  • Is all electrical equipment clear of water?


  • Do all Air leads have a clear path to the operator?

  • Is the Air volumes being observed correctly?

  • Are Air tanks being switched over in good time?

  • Is all BA gear in good condition?

  • is all BA equipment certified?



  • Is working at height equipment (MEWP, Teleporter, etc) in use?

  • is the area free of overhead hazards?

  • is the ground clear and free from obstacles?

  • Are all operatives using harnesses?

  • Is all working at height equipment (harnesses, lanyards, etc) certified?

  • Are ladders being used?

  • Are the ladders certified?

  • is the ladder appropriate for the task being carried out?

  • is the ladder properly footed?

  • is the inclination approx 1:4 ratio?

  • is the task of short duration?

  • is the operative able to maintain 3 points of contact?


  • Are the operatives involved in CSE certified in CSE?

  • Has a confined space permit been completed?

  • Was the gas monitor checked before entry and during the duration of the works?

  • Is the gas monitor calibrated?

  • Is there a rescue system in place?

  • Is all CSE equipment Certified ?


  • Has a barrier or fall protection been provided to prevent falling into open water/sludge/liquid?

  • Have life vests been provided if required?

  • Are life vests certified?

  • Is there a rescue plan in place?


  • Has a SSWP form been completed?

  • Are the operators trained in sign, light, and guarding including the Driver?

  • Is traffic management equipment laid out in accordance with the traffic management plan?

  • Are safety zones kept clear of people, equipment, and vehicles?


  • Are chemicals appropriately stored and bunded including chemicals within the company vehicles?

  • Are SDS's Available for chemicals being used?

  • Is the appropriate PPE available for the chemicals being used?

  • are all operatives wearing the correct PPE for the chemicals being used?

  • Are drip trays available for refuelling activities?


  • Have the controls been identified and implemented for the lone worker?


  • Are mechanical aids used where feasible?

  • Observe manual handling activities. are the principles of manual handling being observed?


  • what is the recorded noise level?

  • if above 80dBA is hearing protection provided?

  • if above 85dBA is hearing protection worn?


  • Are there any other hazards, or risks on site?

  • What are the hazards identified? explain and also upload onto Activ improvement log.

  • are these controlled?


  • Is there fire fighting equipment readily available in all AQS vehicles?

  • Are all extinguishers, and fire blankets in date and inspected?

  • Have operators been informed of the emergency response procedures for this site?

  • Is there a first aid kit available in all AQS vehicles?

  • are the first aid kits fully stocked?

  • Is there a first aider on site and known to the operators?


  • Have the operators made contact with the customer on site?

  • Have there been any complaints, comments, or issues from the client?

  • Are the works compliant with EPA Advice note 10 and IW Guidelines?

  • Are all operatives wearing AQS-issued company workwear? is it in good condition?

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.