Title Page
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Job No.
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Audit Title
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Client / Site
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Conducted on
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Conducted by
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Location
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Personnel
1 General Documentation
1 General Documentation
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1.1 Method Statement
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1.2 Work Package Plan / Task Briefing
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1.3 Risk Assessment
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1.4 COSHH Assessments
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1.5 Emergency Procedures
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1.6 MS/WPP/TB Brief
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1.7 SSOW Information
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1.8 Notice Board
2 Site Safety
2 Site Safety
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2.1 Fire Precautions
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2.2 Access/Egress
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2.3 First Aid
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2.4 Designated Hospital Identified
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2.5 Competence
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2.6 Storage and Materials
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2.7 Tidiness
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2.8 Lighting
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2.9 Barriers
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2.10 Traffic/Pedestrian Routes
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2.11 Excavations
3 PPE
3 PPE (correctly identified, used and maintained)
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3.1 Hard Hats (5 Year Life Span)
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3.2 Ear Defenders
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3.3 Safety Boots
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3.4 Wet Gear
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3.5 Gloves
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3.6 Goggles/Glasses
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3.7 Chainsaw Clothing
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3.8 Climbing Equipment
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3.9 Hi-Viz Jackets/Vests
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3.10 Any Other (please specify)
4 Plant Safety
4 Plant Safety
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4.1 Machine Certificates
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4.2 Operator Certficates
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4.3 Cat Scan
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4.4 Services Marked
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4.5 Permit to Dig
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4.6 Lifting Equipment
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4.7 Operation
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4.8 Banksmen/Slingers
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4.9 Cranes Set Up
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4.10 Abrasive Wheels
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4.11 Guards/Lights/Horns
5 Hazardous Substances
5 Hazardous Substances
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5.1 Asbestos
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5.2 Lead
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5.3 Other (please specify)
6 Protecting The Public
6 Protecting The Public
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6.1 Site Fencing
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6.2 Footpaths
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6.3 Traffic Management
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6.4 Site Security
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6.5 Warning Signs
7 Working Platforms
7 Working Platforms
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7.1 Scaffolding
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7.2 Mobile Towers
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7.3 M.E.W.P's
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7.4 Ladders
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7.5 Competence
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7.6 Inspection/Handover
8 Railway SSOW
8 Railway SSOW
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8.1 SSOW Briefing
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8.2 Briefing Arrangements (COSS/MC)
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8.3 Certification - PTS etc
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8.4 Fencing
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8.5 Lookout Risk Assessment
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8.6 Lookouts/SW (inc. Equipment)
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8.7 Line Speed & Sighting
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8.8 Place of Safety
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8.9 Blocking Arrangements
9 Environment
9 Environment
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9.1 Waste Disposal
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9.2 Noise
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9.3 Giant Hogweed/ Japanese Knotweed
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9.4 Spill Kits
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9.5 Protected Species
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9.6 Protected Areas
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9.7 Dust/Fumes
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9.8 Water Pollution
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9.9 Oil & Diesel Storage
10 Behavioural Safety
10 Behavioural Safety
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10.1 Hazard Awareness
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10.2 Compliance With Risk Assessments
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10.3 Correct Manual Handling
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10.4 ID/Access Permits
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10.5 Contact Lens Wearers Have Glasses
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10.6 Life Saving Rules
11 Welfare
11 Welfare
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11.1 Toilets And Washing Facilities
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11.2 Drinking Water
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11.3 Changing/Drying Rooms
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11.4 Transient Sites
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11.5 Security
12 Quality
12 Quality
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12.1 Has work been carried out to clients specifications?
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12.2 Ongoing Site Checks Satisfactory?
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12.3 Are all products used to specification?
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12.4 Testing undertaken and recorded?
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12.5 Site Diary Been Kept?
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12.6 Have all non-conformances been addressed satisfactorily?
13 Name Of Subcontractor
Name Of Subcontractor
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Name
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Has the SC received a copy?
Description Of Works
Description Of Works
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What work is being carried out?
Observations/ Actions
Observations/Actions
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Item Ref No.
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Observations/Actions Required
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Actions Taken
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Item Ref No.
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Observations/Actions Required
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Actions Taken
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Item Ref No.
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Observations/Actions Required
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Actions Taken
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Item Ref No.
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Observations/Actions Required
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Actions Taken
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Item Ref No.
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Observations/Actions Required
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Actions Taken
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General Observations
Completion (Report Handed in to Systems Manager with FIVE working days)
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Received By:
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Signed
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Completed By:
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Signed