Site Audit Report-2025

• Date

  Date

• EON or WON

• Site Name

• Location
  Address

• PTW Number

• Type (LS-Building-Station(

• Scope of work

• TO Permit (Yes or No)

  Yes

  No

  N/A

• PIC Name

• Prepared by (EHS)

Site Doc

• Risk assessment

  Pass

  Fail

  N/A

• Start card

  Pass

  Fail

  N/A

• TBT

  Pass

  Fail

  N/A

  Rejected

  Approved

• PTW

  Pass

  Fail

  N/A

  Rejected

  Approved

• TO if needed

  Pass

  Fail

  N/A

  Rejected

  Approved

• LOTO system apply or not

  Pass

  Fail

  N/A

  Rejected

  Approved

• Emragncy contact number

  Pass

  Fail

  N/A

  Rejected

  Approved

• Team IDs

  Pass

  Fail

  N/A

  Rejected

  Approved

• Signs

  Pass

  Fail

  N/A

  Rejected

  Approved

Responsable person's

• Nokia perctintative

• EHS supervisor

• PIC

• First Aider

• Absans

Vehicle inspection

• Vehicle Compliance

  Compliant

  Non-Compliant

  N/A

• Car checklist

  Pass

  Fail

  N/A

• Driver performance

  Pass

  Fail

  N/A

• Km (ODO)

  Pass

  Fail

  N/A

• Maintenance validation

  Pass

  Fail

  N/A

• Tires validation

  Pass

  Fail

  N/A

• Body condition (4-sides)

  Pass

  Fail

  N/A

• Tarngile -first aid- fire extinguisher

  Pass

  Fail

  N/A

• Driver & vehicle license

  Compliant

  Non-Compliant

  N/A

• (5)Seat Belt

  Compliant

  Non-Compliant

  N/A

• (5)Head Rest

  Pass

  Fail

  N/A

PPEs & hand Tools

• Full body harness

  Pass

  Fail

  N/A

• Helmets

  Pass

  Fail

  N/A

  Rejected

  Approved

• Safety shoes

  Pass

  Fail

  N/A

  Rejected

  Approved

• Vest

  Pass

  Fail

  N/A

  Rejected

  Approved

• Mechanical gloves

  Pass

  Fail

  N/A

  Rejected

  Approved

• Hand Tools & color code

  Pass

  Fail

  N/A

  Rejected

  Approved

Platform ladders

• Color coded & Good Condition

  Pass

  Fail

  N/A

Acssess & AT Approval

• EERoom

  Pass

  Fail

  N/A

  Rejected

  Approved

• Lower platform

  Pass

  Fail

  N/A

  Rejected

  Approved

• Scaffold

  Pass

  Fail

  N/A

  Rejected

  Approved

Emergency preparation

• First Aid

  Pass

  Fail

  N/A

• Rescue kit

  Pass

  Fail

  N/A

• Emragncy Exit

  Pass

  Fail

  N/A

Site infrastructure

• Site condition

  Pass

  Fail

  N/A

Site Activity photos

• WAH

  Pass

  Fail

  N/A

• In door

  Pass

  Fail

  N/A

• Street work

  Pass

  Fail

  N/A

Good practices

• Observations

  Media

Violations

• 1-Violation

  Pass

  Fail

  N/A

• 2-violation

  Pass

  Fail

  N/A

• 3-violation

  Pass

  Fail

  N/A