Site Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Potential Machine Required to Perform Task.

• 1.1 - What height is required in meters?

• 1.2 - What is the side reach required in meters to highest target point?

• 1.3 - Is it required to access sub ground level?

  No

  Yes

• 1.4 - If required to access sub ground level, what distance in meters?

• 1.5 - How much weight is required to be carried in the basket in kilograms?

• 1.6 - Is electrical insulation required?

  No

  Yes

• 1.7 - If required, what rating of insulation in KV?

• 1.8 - Is 240v required in basket?

  No

  Yes

• 1.9 - Is 24v required in Basket?

  No

  Yes

• 1.10 - Is Hydraulic power required in basket?

  No

  Yes

• 1.11 - Is lighting required in basket?

  No

  Yes

• 1.12 - Is compressed air required in basket?

  No

  Yes

• 1.13 - Is water required in basket?

  No

  Yes

2.0 - Potential Machine Setup Location.

• 2.1 - Photos of potential setup locations.

  Media

• 2.2 - Width of setup area in meters? (If unlimited, select max)

• 2.3 - Length of setup area in meters? (If unlimited, select max)

• 2.4 - Ground conditions?

  Select Solid Concrete / Sealed Solid Ground / Unsealed Firm Ground Semi Firm Ground Loose Soil Ground / Sandy Swampy / Soft / Unstable Ground

  • Solid Concrete / Sealed
  • Solid Ground / Unsealed
  • Firm Ground
  • Semi Firm Ground
  • Loose Soil Ground / Sandy
  • Swampy / Soft / Unstable Ground

• 2.5 - Photos of ground conditions.

  Media

3.0 - Site Access.

• 3.1 - What is the minimum travel height in meters, possible to access site? (If unlimited, select max)

• 3.2 - What is the minimum travel width in meters, possible to access site? (If unlimited, select max)

• 3.3 - Is there weight limits to consider to access and setup safely?

  No

  Yes

• 3.4 - Photos of site access. (Include photos showing angle of ground, surfaces, condition etc)

  Media

4.0 - Site Hazard ID.

• 4.1 - Are there electrical hazards present? I.E Power lines nearby.

  No

  Yes

• 4.2 - Are there RF hazards present? I.E Live transmitting telco antennas.

  No

  Yes

• 4.3 - Are there any other factors that could be considered a hazard?

  Select Striking members of public Underground services Traffic Trees Buildings Fixed obstructions

  • Striking members of public
  • Underground services
  • Traffic
  • Trees
  • Buildings
  • Fixed obstructions

• 4.4 - Comments in regards to site hazards.

• 4.5 - If any hazards are identified, please take photos here.

  Media

• 4.6 - From these hazards, do they require, Engineering, Administration or PPE to eliminate or mitigate?

5.0 - Customer Requests

• 5.1 - Site Requirements

• 5.2 - Photos of customer target objectives, showing overview of possible setup locations, target point to reach, existing hazards etc.

  Media

• 5.3 - Describe any factors the customer is requesting or requiring.

  Select On Site Induction Pre Arrival Online Induction

  • On Site Induction
  • Pre Arrival Online Induction

6.0 - Machine Suitability

• 6.1 - Which range of machine do you believe is suitable for this site / job?

  Select 10m - 13m 16m 18m - 20m 23m - 24m 28m - 30m 35m - 38m 40m - 42m 45m - 46m 50m - 55m 60m - 62m 70m +

  • 10m - 13m
  • 16m
  • 18m - 20m
  • 23m - 24m
  • 28m - 30m
  • 35m - 38m
  • 40m - 42m
  • 45m - 46m
  • 50m - 55m
  • 60m - 62m
  • 70m +

• 6.2 - Notes relating to site specific items

• Site Audit Completed

  Sign