Title Page
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Site conducted
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Project Name
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Site location
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Principal contractor name
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Site Manager name
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Person carrying out the audit
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Date/time of audit
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Pass or Fail
Contractors/sub-contractors on site
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1. Name
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2. Name
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3. Name
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4. Name
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5. Name
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6. Name
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7. Name
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8. Name
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9. Name
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10. Name
Notices displayed
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1.1 Health & Safety Law poster
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.2 SHE policy statements
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.3 Employers liability insurance
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.4 Suitable site signage
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.5 Hazard board
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.6 Construction Phase Plan
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.7 First Aider(s)
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.8 Project Notices (e.g. F10)
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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1.9 Site rules
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Registers
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2.1 Scaffolding
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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2.2 Excavations
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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2.3 Lifting Appliances
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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2.4 Ladder Register
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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2.5 Permit Register
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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2.6 PUWER Register
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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2.7 Existing Service Drawings
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
SHE Documentation
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3.1 Reviews
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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3.2 Risk Assessments
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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3.3 Site Inductions
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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3.4 Sample Risk Assessment Briefings
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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3.5 Sample Risk Assessment Application
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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3.6 SHE Organisation Chart
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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3.7 Manual Handling Assessment
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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3.8 Signing in Register
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Welfare
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4.1 Canteen
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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4.2 Drying Room
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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4.3 Toilets
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Site Entry
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5.1 Safety of Traffic
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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5.2 Safety of Public
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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5.3 Relevant Site Signage (External)
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Site Tidiness
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6.1 Perimeter Hoarding
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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6.2 Fencing
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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6.3 General
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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6.4 Work Areas
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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6.5 Waste Area
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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6.6 Storage Area
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Fire Precautions
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7.1 Office Extinguishers
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.2 Workplace Extinguishers
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.3 Hot Works Permits
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.4 Conditions on Site
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.5 Storage of Flammables
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.6 Fire Plan
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.7 FRA Checklist
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.8 Means of Escape
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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7.9 Statutory Signs
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
PPE
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8.1 Safety Helmets
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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8.2 Footwear
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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8.3 Hi-Viz
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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8.4 As Per Risk Assessment
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
COSHH
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9.1 COSHH Assessments
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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9.2 Sample Assessment Briefings
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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9.3 Sample Assessment Application
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Plant
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10.1 Planning
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.2 Competent Personnel
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.3 Traffic Management
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.4 Guarding Arrangements
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.5 Vehicle Checks
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.6 Examination Certificate
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.7 Safe Use
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.8 Condition of Lifting Gear
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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10.9 Suitability & Specific PPE
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Excavations
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11.1 Planning
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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11.2 Provision of Service Locators
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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11.3 Access into Excavations
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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11.4 Edge Protection
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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11.5 Shoring & Battering
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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11.6 Competent Workforce
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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11.7 Temporary Works Assessment
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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11.8 Safe Working Procedure
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Electrics
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12.1 Cabin Test Certificates
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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12.2 Overhead Lines Identified
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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12.3 Storage & Use of Power Tools
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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12.4 Condition of Electrical Equipment
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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12.5 Competent Persons
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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12.6 Work Permit Procedure
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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12.7 Existing Services & New Connections
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Work At Height
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13.1 Planning
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.2 Ladder Access
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.3 Scaffolding General
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.4 Towers & Platforms
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.5 TG20 Compliance Sheets/Design
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.6 Competent Persons
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.7 Other Precautions (MEWPS etc..)
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.8 Temporary Works Assessment
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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13.9 Recorded Inspections
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Floor Openings
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14.1 Planning
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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14.2 Provision of Protection
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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14.3 Relevant Signage
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Confined Spaces
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15.1 Planning
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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15.2 Gas Detection Equipment
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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15.3 Rescue Equipment
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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15.4 Competent Persons
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Site Management
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16.1 Resources
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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16.2 Monitoring
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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16.3 Action on Safety
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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16.4 Promotion of Health & Safety
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Public Interface
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17.1 Safety of The Public
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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17.2 Safety of Staff & Adjacent Users
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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17.3 Public Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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17.4 Public Interface
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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17.5 Traffic Management
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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17.6 Highway Cleanliness
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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17.7 Staff Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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17.8 Visitor Safety
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Waste
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18.1 Provision of Skips
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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18.2 Instructions on Disposal
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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18.3 Use of Registered Waste Carrier
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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18.4 Waste Transfer/Consignment Notes
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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18.5 Recycling Materials
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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18.6 Waste Management Plan & Policy
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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18.7 Waste Minimisation
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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18.8 Identification of Special Wastes
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Noise
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19.1 Identification of Sources
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
-
19.2 Engagement with Public/Residents
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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19.3 Monitoring
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Occupational Health
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20.1 Vibration Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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20.2 Dust/Respiratory Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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20.3 Cancer Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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20.4 Manual Handling Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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20.5 Leptospirosis Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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20.6 Hearing Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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20.7 Dermatitis Information
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Training
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21.1 Management Competency
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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21.2 Staff
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
-
21.3 Sub-Contractors
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
-
21.4 Training Programme
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
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21.5 Competency Certificates
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
-
21.6 Toolbox Talks
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Asbestos
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22.1 Surveys/Register
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
-
22.2 Briefing
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
-
22.3 Monitoring
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
-
22.4 Management of ACM Discovery
- Excellent
- Good
- Acceptable
- Poor
- Non-Compliance
- N/A
Comments/Notes
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Comments and Notes for Audit
Untitled page
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Audit Completed by