Site survey - Local

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Facility details

• When was the facility built?

• What is the floor area/ Total floor area?

Access and Egress

• Vehicle and pedestrian segregation?

  Yes

  No

  N/A

• Security fencing or security barriers?

  Yes

  No

  N/A

• Site security team or site reception?

  Yes

  No

  N/A

• Signing in procedure and security pass issued?

  Yes

  No

  N/A

• Emergency information for site (knowing site risks, i.e ammonia)

  Yes

  No

  N/A

• Are there suitable arrangements for lone working?

  Yes

  No

  N/A

Asbestos

• Is asbestos suspected on site?

  Yes

  No

  N/A

• Is there an asbestos management plan?

  Yes

  No

  N/A

• Is it up to date?

  Yes

  No

  N/A

• Date?

  Date

• Is there an asbestos register?

  Yes

  No

  N/A

• Is it up to date?

  Yes

  No

  N/A

• Date?

  Date

Lone Working

• How large is the site (m2)

• How many people work on the site?

• Are there remote areas on site?

  Yes

  No

  N/A

• Is there mobile phone reception?

  Yes

  No

  N/A

Hazardous Substances

• Are chemicals stored on site?

  Yes

  No

  N/A

• Are bunding arrangements adequate?

  Yes

  No

  N/A

• Are storage facilities adequate?

  Yes

  No

  N/A

• Acceptable?

  excellent

  Adequate

  unacceptable

Permit to Work

• Is there a PTW system in place?

  Yes

  No

  N/A

• Whose system is operated?

  Customer

  FM

  Contractor

• Designated AE and AP?

  Yes

  No

  N/A

• Types of permit used?

• Permit to Enter

• Permit to work?

• Hot Works

• Electrical Isolations

• Mechanical Isolations

• Confined Spaces

• Other?

Work at height and roofwork

• Are activities carried out at height?

  Yes

  No

  N/A

• Are there emergency plans in place?

  Yes

  No

  N/A

• Are insurance (LOLER) inspections up to date?

  Yes

  No

  N/A

• What access equipment is used?

• Select all that apply

  Select MEWP Ladders Cherry Picker Mobile tower scaffolding

  • MEWP
  • Ladders
  • Cherry Picker
  • Mobile tower
  • scaffolding

Fire Safety

• Is there an up to date Fire risk assessment?

  Yes

  No

  N/A

• Is the site occupied 24/7?

  Yes

  No

  N/A

• Is there a means of raising the alarm?

  Yes

  No

  N/A

• Are there adequate means of escape?

  Yes

  No

  N/A

• Are there means to fight a fire?

  Yes

  No

  N/A

• Are there designated assembly points?

  Yes

  No

  N/A

• Do the site team carry out seek and search?

  Yes

  No

  N/A

• Is Fire signage adequate?

  Yes

  No

  N/A

Confined Spaces

• Are there confined spaces?

  Yes

  No

  N/A

• Identification of top man as appropriate?

  Yes

  No

  N/A

• Emergency rescue procedures in place?

  Yes

  No

  N/A

Waste Management

• Is a hierarchy of waste applied?

  Yes

  No

  N/A

• Segregated waste streams?

  Yes

  No

  N/A

• Consolidated waste consignment notes?

  Yes

  No

  N/A

• Notes:

Emergency procedures

• Is there an emergency plan for the site/facility?

  Yes

  No

  N/A

• Customer's first aid provisions?

  Yes

  No

  N/A

• COMAH?

  Yes

  No

  N/A

• Emergency contact number?

• Notes:

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• Add media

  Media

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