Title Page

  • Conducted on

  • Audit Conducted by

  • Location
  • Customer

  • Activity

  • Team Lead

  • Operatives on site (name /number)

  • Project Manager

  • Overall QHSE Compliance?

  • Observation & Closing Remarks

  • Audit Result

QEHS Audit Report

Site Safety Management

  • Is team in complete PPE (required for the task)?

  • Safety Boots

  • Safety/climbing Helmet?

  • High viz jacket

  • Gloves

  • Dust mask

  • safety glasses

  • Site PPE compliance Observation/Comments

  • Chapter 8/safety /warning signs with sufficient information are in place??

  • Is work site tidy and free from tripping hazards?

  • Do operatives have relevant safety training certifications?

  • Are all barriers set up properly and correctly as per code of practice?

  • Are originals or valid copies of the operatives certification available on site?

  • Is there a certified person in team for First Aid/CPR?

  • Risk assessment carried out before activity?

  • Is the worksite clean of trash and debris?

  • Are alternative passenger/public footways arrangements are in place?

  • Working GDU available with team?

  • Is Gas Detection Equipment on site appropriate, in working order and correctly used, - IF APPLIABLE?

  • Is there roller bar available on site?

  • Are all power tools in good condition and being used safely?

  • Does team have wetwipes / paper towel for hand cleaning after splicing?

Quality Compliance

  • Cable ties are properly cut with flush cutter , leaving no sharp edges?

  • Cable are organized properly, not entangled with other lines?

  • Piano labels are are installed with all required information clearly written with black pen?

  • • Site / chamber is clean from Fibre sharps/shards present in or arround.<br>

Work At Height Safety Arrangements

  • Fall protection PPEs (Full body harness) is in good condition? Any visible wear and tear?

  • Full body harness/lanyards/working belt? Worn during work at height?

  • Do operatives have relevant safety training certifications? S001/S001A/S8.

  • Is work being carried out using MEWP?

  • Is the MEWP/ Cherry Picker LOLER certified?

  • Is operator Qualified IPAF?

  • Is MEWP daily inspection checklist completed?

  • Is pre climb label attached? (If pole climbing )

Environmental Safety Management

  • Are there sufficient arrangements for waste management at site?

  • All fiber waste, optical (glass) ends shards safely contained in correct sharps container

  • Are left over material at site is properly disposed off? (Empty boxes, metal scraps, plastic)

  • Is plant, vehicle or equipment is shut down when not in use? (To cut down CO2 emissions)

  • Are all chemicals are stored safely and marked?

  • Is COSHH risk assessment in place?

  • Are SDS's available on site for all chemicals, compounds, and hazardous substances?

Vehicle safety Management

  • Is site vehicle equipped with complete and valid first aid box?

  • Does vehicle have correct fire extinguisher (ABC) with accurate pressure?

  • Are Vehicle tires in good condition? (Any wear and tear/ damage to tire)

  • Does vehicle have working beacons and approriate chevron markings?

  • Are all lights and wipers working?

  • Any damage to vehicle/abnormal sound/smell or leakage?

  • Is there any storage of PPEs/Tool rack provided in Van?

  • Is vehicle properly and safely parked?

Closing Comments

  • Auditor signature

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.