Title Page

  • Conducted on

  • Prepared by

  • Location

Untitled Page

  • * As a guide the time taken to observe the situations outlined on the following pages is 45 minutes

Audit details

  • Proportion of the site that was audited

  • Notes on any significant details (eg the nature of the work activity being audited)

Site details

  • Site name

  • Site Manager’s name

  • Principal Contractor

Phase of work

  • Please select all that apply, primary and sub categories:

  • Demolition/ strip out

  • Main building works including 1st

  • Finishes including 2nd fix

  • Commissioning/fit out

Type of refurbishment

  • Please select the type of refurbishment

Number of operatives on site today (including sub-contracted personne

  • Make an estimation

What is the planned total duration of the work on this site?

  • Select an answer:

Work at Height

(a) Scaffolding

  • Boards missing, damaged or<br>incorrect placement

  • Guardrails missing, damaged or incorrect placement

  • Toeboards missing, damaged or incorrect placement

  • Unguarded loading points

  • Base of scaffold - excess materials, erected on soft/unstable/uneven, ground, missing base plates

  • Absent/insufficient safety and warning signage (eg scafftags)

  • Other (eg insecure structure / ladders not tied / inappropriate or missing material, netting or guards / working outside the scaffold)

(b) Scaffolding

  • Boards missing, damaged or incorrect placement

  • Guardrails missing, damaged or incorrect placement

  • Toeboards missing, damaged or incorrect placement

  • Overhead hazards

  • Base of scaffold not locked in position/poor ground/excess materials

  • Outriggers/stabilisers missing or damaged

  • Absent/insufficient safety and warning signage (eg scafftags)

  • Other (eg inappropriate or missing internal access/ inappropriate or missing material netting or guards / working outside the scaffold tower)

(C) MEWPS Yes / No

  • Overhead hazards

  • Poor ground condition (eg uneven/ soft ground / excess materials)

  • Guardrails missing, damaged or incorrect placement

  • Toeboards missing, damaged or incorrect placement

  • Missing or damaged emergency stop

  • Other (eg use of restraint lanyard / too many materials / working outside the work platform)

(D) Ladders Yes / No

  • Defective or broken rungs/stiles/feet

  • The ladder is not fixed/tied and stable

  • Inclination is less or more than roughly 4:1

  • Inappropriate choice of equipment for the task

  • Inappropriate length for the task

  • Poor ground conditions (eg uneven / soft ground / excess materials)

  • Other (eg over loaded / overreach to work area / resting on fragile or insecure surface / upside down, less than 3 points of contact)

(E) Stepladders Yes / No

  • Defective or broken rungs/stiles/feet

  • The ladder is not fixed/tied and stable

  • Inappropriate height for the task

  • Poor ground conditions (eg uneven / soft ground / excess materials)

  • Other (eg over loaded / overreach to work area / resting on fragile or insecure surface)

  • (F) Other Yes / No
  • (please list the type of equipment eg podium steps, stilts, suspended, access equipment, safety nets/soft, landing systems,)

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