Title Page

  • Site conducted

  • Name of Contractor:

  • Contract Manager :

  • Site Supervisor :

  • Site Address:

  • Audit by :

  • Audit Start Time:

  • Audit Finish Time:

  • 1.0 Preliminaries

  • 1.1 - Supervisors on site

  • 1.2 - No. of operatives on site

  • 1.3 - Scope of work

  • 1.4 - Welfare

  • 1.4.1 - Are there toilets available on site

  • 1.4.2 - Hot & cold running water available on site

  • 1.4.3 - Soap or washing agent available on site

  • 1.4.4 - Sanitising gel available on site

  • 1.4.5 - Means of drying hands available on site

  • 1.4.6 - Rest area (seating) available on site

  • 1.4.7 - Means of heating food or drinks available on site

  • 1.4.8 - Where is the first aid box located

  • 1.4.9 - Is there a trained first aider on site

  • 1.4.10 - Are fire extinguisher available on site, are they the correct type

  • 1.4.11 - Where is the muster point, is signage in place, is it on the site plan

  • 2.0 Site Documentation

  • 2.1 - Copy of licence available

  • 2.2 - Copy of ASB5 available

  • 2.3 - Copy of liability insurance available

  • 2.4 - Copy of company H&S policy available

  • 2.5 - Copy of plan of work available

  • 2.6 - Has POW been signed by all persons on site

  • 2.7 – Does site sketch plan match site set up

  • 2.8 - Are the air management calculations correct

  • 2.9 - Are risk assessments site specific

  • 2.10 - Are COSHH assessments available and site specific

  • 2.11 - Site log/diary up to date (time of last entry)

  • 3.0 Site Personnel
  • Name

  • Clean shaven

  • Valid medical

  • Expiry date of medical

  • Valid face fit test

  • Expiry date of face fit test

  • Valid training certification

  • Training expiry date

  • 4.0 Plant / Certification

  • 4.1- Adequate number of H vacs on site

  • 4.2 –Test certificates on site valid and relevant to equipment on site

  • 4.3 – Equipment on site in good condition/maintained

  • 4.4 - Electrical equipment PAT tested

  • 5.0 Enclosure/ Airlock/ Baglock

  • 5.1 - Enclosure adequately supported

  • 5.2 – Enclosure in sound condition to prevent the spread of asbestos

  • 5.3 - Is the enclosure constructed with 1000 gauge polythene (fire retardant / standard)

  • 5.4 – Do vision panels give view of entire work area, if not is CCTV being used

  • 5.5 - Does each stage of the airlock system comply with current practice (2m³ per stage)

  • 5.6 - Do the airlock openings introduce trip hazards

  • 5.7 - Are all airlock flaps on the inside (enclosure side)

  • 5.8 - Do the flaps adequately cover the airlock opening

  • 5.9 - Are all flaps weighted

  • 5.10 – Vision panel on dirty stage of airlock (min 600x300)

  • 5.11 – Bucket and sponge or similar present for primary decontamination

  • 5.12 – H vac available for vaccing off

  • 5.13 – Adequate signs/ warning tape/barrier tape

  • 5.14 - Enclosure smoke test and inspection records available

  • 6.0 Air Extraction Equipment

  • 6.1 – Extract equipment sited to give ideal air management

  • 6.2 – Extract capable of giving Min. of 8 air changes per hour

  • 6.3 – Extract vented to outside

  • 6.4 – Exhaust hose in good condition

  • 6.5 – Capacity of NPU(s) matches Plan of Work

  • 6.6 – NPU certificates valid and relevant to equipment on site

  • 7.0 Suppression/ Removal Technique

  • 7.1 – Dust suppression method as indicated in POW

  • 7.2 – Dust suppression technique suitable for the type of material

  • 7.3 – Have exposure limits been determined and checked

  • 7.4 – Removal method as per POW, best practice being observed

  • 8.0 PPE/RPE

  • 8.1 – RPE and filter used as stated in POW

  • 8.2 – Maintenance checks in place and recorded

  • 8.3 – Colours of coveralls as stated in POW

  • 8.4 – Other PPE required for hazards (eye protection, hard hat, gloves)

  • 9.0 DCU

  • 9.1 - Unit complies with requirements of HSG247

  • 9.2 - Unit connected to work area – If no was it possible to connect to the work area

  • 9.3 - Transit route as short as possible and away from occupied areas

  • 9.4 - Unit connected/ working order

  • 9.5 - Unit connected with RCD, unit earthed

  • 9.6 - DCU NPU cert available

  • 9.7 - DCU boiler test cert available

  • 9.8 - DCU electrical test cert available

  • 9.9 - DCU air test available

  • 9.10 – Adequate number of shower heads for number of personnel on site

  • 9.11 – Nailbrush and shower gel available

  • 9.12 – Unit clean as far as reasonably practicable

  • 9.13 – Waste water discharged to foul drain

  • 9.14 – Is the filter on waste water clean/ changed recently

  • 10.0 Waste

  • 10.1 – UN approved packages used

  • 10.2 – Waste route clear of waste/ debris

  • 10.3 – Is a baglock being used

  • 10.4 – Is a skip provided, is it locked, in good condition

  • 10.5 – If waste is transferred in the van is the bulkhead sealed

  • 11.0 Air Monitoring

  • 11.1 – Details of analytical company stated in POW

  • 11.2 – Background Testing

  • 11.3 – Leak Testing

  • 11.4 – Reassurance testing

  • 11.5 – Personal Monitoring

  • 11.6 – 4 Stage Clearance

12.0 Access Equipment

  • 12.1 - What access method is being used

  • 12.2 - If ladders or stepladders are being used are they in good condition

  • 12.3 - Do ladders or stepladders have a unique identification number or reference

  • 12.4 - Are ladders or stepladders inspected at regular intervals and the inspection recorded

  • 12.5 - If mobile towers are being used are the site personnel PASMA trained

  • 12.6 - If MEWPS are being used are site personnel IPAF trained

  • 12.7 - If a fixed scaffold is being used, is a scaff tag or inspection record available, is it in date

13.0 Summary

  • Comment/ Observation / Action Required

  • Audit Summary

  • Supervisor Signature:

  • Date:

  • Auditor Signature:

  • Date:

  • Appendix 1 Photos

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.