Title Page

  • Location
  • Prepared by

  • Conducted on

  • Contractor

  • Operative

  • Audit/inspection announced or un-announced?

  • Work type

This sheet must be completed by relevant Property Manager. If the questions do not apply to your work activity tick NA. If you have answered “No” to any of the questions, ensure appropriate follow on action is undertaken. All forms must be sent to the SHE inbox and Business Support

Site Observations

  • Safe Access/ Egress to the work site?

  • Appropriate warning signs posted?

  • Vehicle clean and tidy?

  • Is Company van secure/ ignition keys removed/ parked safely?

  • Pedestrian/ public safety satisfactory?

  • Housekeeping satisfactory - safe and tidy site?

Safe System of Work – Documentation/Training

  • Is the risk assessment and method statement for the work activity suitable and sufficient and available on site?

  • Has a dynamic risk assessment been undertaken for any site-specific hazards?

  • Has the work instructions and supporting information been read and understood before setting to task?

  • Are all training certificates/ ID cards on site and in date?

  • Have the operatives got the right skills, knowledge, experience and training for the work activity undertaken?

  • Has the latest TBT been received as per schedule? Ask 3 question regarding this and confirm in the comments section

Personal Protective Equipment/Respiratory Protective Equipment

  • Hi-Visibility vests/jackets/trousers in good condition and worn?

  • Safety footwear worn and in good condition?

  • Hearing protection work and in good order as per noise assessment?

  • Head protection available and in good order?

  • Eye protection / Face Visor available and, worn and in good order? Suitable for task?

  • Are the correct gloves worn for task? Right rating – abrasions, cuts, tear puncture

  • FFP3 Dusk mask available, stored correctly and in good condition?

  • Is the CAT B Hood in good condition and available if required?

  • Is all PPE being correctly stored in PPE bags?

Tools & Equipment

  • Vehicles in good order – lights, number plate, break away cable etc?

  • First Aid kits complete and easily accessed by team?

  • Are insulated tools available in good condition? No defected tools?

  • Has electrical equipment been PAT tested and in good condition?

  • Have all staff been trained in all plant, tools and equipment used and working techniques?

  • Is all work equipment in good serviceable order and tagged, labelled where applicable? i.e. ladders, hop-ups, HAV tag where required

Welfare Considerations

  • Provision for heated water?

  • Suitable arrangements for toilets?

  • Engineers have a list of the welfare facilities to go to

  • Sink/ Bowl for washing available?

  • Soap/ Towels or hand wipes available?

  • First aid and Eye wash available and in date?

  • Is sanitiser, disinfectant wipes available and used?

  • Plant equipment, materials and vehicles arranged safely to protect public?

  • Does the work activity involve working on or near asbestos? If so, what precautions are in place to control any potential disturbance?

Working at Heights

  • Harnesses are available and used where appropriate?

  • Operatives erecting Tower Scaffolds are PASMA trained?

  • Suitable edge protection available for works?

  • Roof work suitably assessed and safe working system in place?

  • Have the operative had the relevant WAH awareness and Tetra training?

Environment

  • Equipment & Vehicles free from leaks?

  • Accidental release arrangements i.e., Abestos Release?

  • Is waste correctly separated for disposal with recycling controls in place?

  • All containers correctly labelled?

  • Hazardous material stored correctly?

  • Are all containers fit for purpose?

  • Is COSHH information available, understood and complied with?

  • Are all personnel aware of the Waste Management Procedure?

  • If working where asbestos may be disturbed has awareness training and face fit testing been completed?

  • Completion Checks

  • Any accidents / near misses or environmental incidents to report?

  • Incidents reported to SNG Team?

  • Quality check carried out by Delivery Manager or other Management?

  • Please fill in any non-conformance with sub section detail below, along with any further comments

  • Details of accidents / near misses / incidents can be recorded below and followed up on the relevant form on the intranet:

  • First aid kit needs replenishing of plasters

  • Fire extinguisher needs replacing no label or service date visible

  • 2 – This audit fully meets all expectations

  • 1 – This audit is Partially Compliant

  • 0 – This audit requires urgent attention

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.