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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Safety Glasses if (Splicing / Cutting )
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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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Unobstructed 1 meter clear way available for members of public?
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Is work site tidy and free from tripping hazards?
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Do operatives have relevant safety training certifications? NRSWA & PIA
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Are all gate guards are set up properly to guard the main work area
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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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Is there roller bar available on site?
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Is appropriate chamber key available with team?
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Are all power tools in good condition and being used safely?
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Working, Charged and Calibrated GDU available on site?
Quality Compliance
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Cable ties are properly cut with flush cutter , leaving no sharp edges?
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Cable are organized properly, not entangled with other lines?
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A Frame is properly installed and Fiber cable is properly looped and tied?
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Node is properly placed/installed on 1A kit?
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Piano labels are are installed with all required information clearly written ?
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Does the label have Engineer ID & PIA reference number and date?
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• Fibre sharps/shards present in or around the chamber?<br>
Work At Height Safety Arrangements
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Fall protection PPEs (Full body harness) is in good condition? Any visible wear and tear?
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Full body harness/lanyards/working belt? Worn during work at height?
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Do operatives have relevant safety training certifications? S001/S001A/S8.
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Is work being carried out using MEWP?
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Is the MEWP/ Cherry Picker LOLER certified?
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Is operator Qualified IPAF?
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Is MEWP daily inspection checklist completed?
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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All fiber waste, optical (glass) ends shards safely contained in correct sharps container
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Are left over material at site is properly disposed off? (Empty boxes, metal scraps, plastic)
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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 spill kit available on site?
Vehicle safety Management and Welfare
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Is there enough drinking water available with team?
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Does team have Paper Towel and wet wipes?
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Is site vehicle equipped with fully stocked 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?
Close out
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Auditor signature