SPEX Yard Supervisor Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SUPERVISION

• IS THE SUPERVISOR OR LEAD MAN PHYSICALLY AT THE WORK LOCATION?

  Yes

  No

  N/A

• ARE THERE NO MORE THAN 10 WORKERS IN THE WORK-GROUP (NOT COUNTING SUPERVISOR OR LEAD MAN)

  Yes

  No

  N/A

• WORKER RATIO 10:1

• WAS THE TAKE 5 LEAD BY THE SUPERVISOR OR LEAD MAN?

  Yes

  No

  N/A

• WAS THE TAKE 5 DISCUSSED WITH THE WORK PARTY ?

  Yes

  No

  N/A

• APPROVED AND VALID PERMIT AVAILABLE AT THE WORKSITE ?

  Yes

  No

  N/A

• COMPLETE AND APPROPRIATE PPE IN USE

  Yes

  No

  N/A

• PROPER TOOLS AND EQUIPMENT IN USE

  Yes

  No

  N/A

• IS SAFE DRINKING WATER FREELY AVAILABLE WITHIN 2 MINUTES WALK?

  Yes

  No

  N/A

• IS THE FOUNTAIN CLEAN AND IN GOOD CONDITION?

  Yes

  No

  N/A

• Signature of person inspecting SPEX

  Sign

• Signature of person inspecting KEPPEL

  Sign