Title Page
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Conducted on
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Prepared by
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Location
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Customer
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Activity
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Team Lead Name
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Operatives on site
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Project Manager
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Audit Observation/ Findings
Audit Result
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Audit result based on Findings
- 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 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
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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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Do operatives have relevant safety training certifications?
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Are all barriers set up properly and correctly as per code of practice?
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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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Any trash, debris excavated soil outside of the barriers ?
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Are alternative passenger/public footways arrangements are in place?
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Is valid work permit available with team?
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Is permit board displayed on site with complete information?
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Is Gas Detection Equipment on site appropriate, in working order and correctly used, - IF APPLIABLE?
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Is there appropriate PIT Lifter key available on site?
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Is there roller bar available on site?
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Are all power tools in good condition and being used safely?
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Are there adequate kerb ramps available in site as required ?
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All cutting , Grinding Tools are maintained and have safety guard ?
Excavation safety
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Is traffic management in place ? If required
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Is there Valid /Calibrated/Working CAT and geny available? (If digging/excavating)
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Is there utility drawing available on site?
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Are there insulated Tools available on site and being uses?
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Is excavation is being done by digger ?
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Is operator qualified?
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Is machine checklist filled prior to work?
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All Utilities/ buried services identified
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Is main work / dig area is properly guarded?
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Are there adequate arrangements to cover the trench ?
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Are there enough sand bags available to weight the barriers ?
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Does team have kerb ramps available on site?
Environmental Safety Management
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Are there sufficient arrangements for waste management at site?
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Are all COSHH items being stored safely & away from drains, watercourses?
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Does activity cause soil/groundwater Contamination ?
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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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Is there adequate safety measures to protect flora & fuana?
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Are MSDS's available on site for all chemicals, and hazardous substances?
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Spill kit available on site?
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Drip tray available for electrical generator
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Dust suppression pump available with team to prevent/reduce silica dust exposure to workers and public?
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?
Sign Out
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Auditor signature