Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Previous Actions

  • Have actions from previous inspection been completed

Welfare

  • Toilets

  • Washing facilities

  • Canteen

  • Drying room

  • Are first aid provisions adequate

  • Photo

Documentation

  • Operatives signing in /out on site attendance register

  • Risk Assessment and Method Statement signed

  • Statutory forms displayed

  • Photo

  • Operatives are carrying CSCS Cards appropriate for the task

Occupational Health

  • Are PDL operatives Face Fit Tested

  • Are there adequate controls for skin protection

  • Are there adequate controls against noise and vibration

  • Are there adequate controls for dealing with Manual Handling issues

Work Area

  • Are walkways stairways clearly marked and free from obstruction?

  • Photo

  • Is there safe access and egress to and from the plot / work area ?

  • Add media

  • Area identified

  • Are pedestrians segregated from heavy plant and site traffic ?

  • Photo

  • Is the there adequate lighting ?

  • Is there a secure working area for storage of materials and for waste skips with suitable access for deliveries and removals ?

  • Are there adequate emergency escape routes from all areas of the site ?

  • Is there a suitable fire plan,fire extinguishers and communication?

Working at Height

  • Are Operatives trained competent and supervised for working at Height ?

  • Is all equipment suitable for the task and maintained ?

  • Are all components available and in good condition?

  • Is the floor surface sound and of level construction?

  • Has any safer system of work or access been considered?

Mobile Tower Inspection

  • Are the manufacturers instructions and guidance available for use and have been complied with ?

  • Has a competent person erected the tower

  • Is there a current scaff tag on the tower ?

  • The tower is erected and adjusted so that it is level,the brakes are locked and the outriggers are locked into position.<br>The frame and adjustable legs are on a firm base, at ground level ?

  • All braces are in place and secured as per manufacturer's /suppliers instructions ?

  • The tower hasn't been modified ?

  • The base to height ratio is within the manufacturer's / suppliers instructions ?

  • The trap hatch is installed and operational ?

  • Toe boards and guard rails are fitted ?

  • Contact with plant and machinery is prevented using fencing and warning signs ?

  • The tower is not under or near overhead power lines ?

  • There are no signs of damage to : braces,span frame,castors,brakes,adjustable leg or fixed platform ?<br>

Tools and Equipment

  • Operatives are Instructed Trained and Supervised

  • Equipment is suitable for the task?

  • Are supervisors using PDL inspection procedures?

  • Electrical Equipment is PAT tested

PPE

  • PPE is a last resort and must comply with the main contractors requirements as identified in their site induction.

  • Has adequate training and instruction been given in the use of appropriate PPE ?

  • Has the PPE been inspected and maintained?

  • Is PPE suitable for the task?

  • Is the correct PPE being used?

Corrective actions

Sign Off

  • Contractors Representitive

  • Auditors signiature

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.