Title Page
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Conducted on
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Audit Conducted by
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Location
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Customer
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Activity
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Team Lead
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Operatives on site (name /number)
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Project Manager
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Overall QHSE Compliance?
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Observation & Closing Remarks
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Audit Result
- Pass
- Fail
- Need improvement/proposed corrective actions
QEHS Audit Report
Site Safety Management
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Is team in complete PPE (required for the task)?
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Safety Boots
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Safety/climbing Helmet?
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High viz jacket
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Gloves
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Dust mask
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Ear defenders/ Hearing Protection
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Site PPE compliance Observation/Comments
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Chapter 8/safety /warning signs with sufficient information are in place??
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Is work site tidy and free from tripping hazards?
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Is there NRSWA Trained operative present on site?
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Are all barriers set up properly and correctly as per code of practice?
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Are originals or valid copies of the operatives certification available on site?
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Is there a certified person in team for First Aid/CPR?
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Risk assessment carried out before activity?
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Is the worksite clean of trash and debris?
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Are alternative passenger/public footways arrangements are in place?
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Is valid work permit available with team? If applicable
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Working GDU available with team?
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Is Gas Detection Equipment on site appropriate, in working order and correctly used, - IF APPLIABLE?
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Are all power tools in good condition and being used safely?
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Is traffic management in place ? If required
Excavation safety
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Is there Calibrated CAT and Geny available on site?
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Is scan test conducted to identify buried services prior to digging?
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Is there valid utilities drawing of the site available?
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Are work permit conditions being followed?
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Is permit board displayed on site?
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Do operatives have relevant civil work safety training certifications?
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Is work being carried out using digger?
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Is digger operator qualified and have valid ticket?
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Is digger inspection checklist is filled before work?
Environmental Safety Management
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Are there sufficient arrangements for waste management at site?
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Water suppression pump available on site to prevent silica dust /air pollution/ operative exposure?
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Are all COSHH items being stored safely & away from drains, watercourses?
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Are left over material at site is properly disposed off? (Empty boxes, metal scraps, plastic)
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Does activity cause soil/groundwater pollution?
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Is plant, vehicle or equipment is shut down when not in use? (To cut down CO2 emissions)
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Are all chemicals are stored safely and marked?
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Is COSHH risk assessment in place?
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Does activity produce noise/ vibrations/ ? (If yes is in under acceptable frequency/limits)
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Are MSDS's available on site for all chemicals, compounds, and hazardous substances?
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Is spill kit available on site?
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Are all chemicals are marked?
Vehicle safety Management
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Is site vehicle equipped with complete and valid first aid box?
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Does vehicle have correct fire extinguisher (ABC) with accurate pressure?
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Are Vehicle tires in good condition? (Any wear and tear/ damage to tire)
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Does vehicle have working beacons and approriate chevron markings?
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Are all lights and wipers working?
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Any damage to vehicle/abnormal sound/smell or leakage?
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Is there any storage of PPEs/Tool rack provided in Van?
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Is vehicle properly and safely parked?
Audit Closeout
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Auditor signature