Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Job Information

  • Date & Time

  • Address
  • Access Available?

Visit Information

  • What type of visit?

  • If 'Day One' has the Day one Form been completed?

  • Day One Form

  • Number of previous visits?

  • Is folder on site?

Punctuality/Time Keeping

  • Are operatives on site?

  • Did Operatives start/arrive on time?

  • If NO how late did they arrive?

  • Reason for being late:

  • Did they inform either PH or Office?

  • Has the signing in sheet been completed?

Site Works Progress

  • In a rough percentage, provide current position of works in regard to completion. (I.e. works are 70% complete)

  • Anticipated completion date?

Cleanliness/House-Keeping

  • Are the correct protections down and being used?

  • Protection Evidence

  • How clean are the operatives?

  • Rubbish/debris on site?

Health and Safety

  • Location of first aid box?

  • Is safety signage on display?

  • Signage

  • Clear access and exit routes

Plant inc Scaffold & Skips

  • Is there scaffolding?

  • Scaffold

  • Has scaffold been checked, and tag signed?

  • Scaffold Tag

  • Is there a skip on hire?

  • Size of skip

  • State other Hired Equipment:

  • Has this had the appropriate checks?

Policy Holder

  • Was the Policy holder/Tenant present during your visit?

  • If 'NO' did you call them?

  • Mood of the PH towards works

  • Any Raised Concerns:

To Action

  • VO required?

  • Move DED?

  • state new DED date?

  • Health and Safety Visit?

  • History note added?

  • Can be signed off!

Signatures

  • PC

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.