Site & Vehicle
Was The Employee Punctual & Use The Correct Signing In Procedure?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Was The Employee Parked In A Designated & Safe Area?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Was The Employee Reverse Parked Where Possible?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Are Tyres In A Good Condition & Are Tread Depths Within Legal Limits?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Is the Vehicle Loading Suitable For The Type Of Vehicle?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
On A Scale Of 0-10 (Where 0 Is Poor and 10 is Excellent), Is The Employee's Vehicle Clean & In Good Condition?
Vehicle Condition Comments
Serious Issues?
Identified Vehicle Issues
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Is Waste Material & Storage Of Equipment Kept In Suitable Locations On Site?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Personal Protective Equipment / Uniform
Is The Employee Using The Correct PPE For The Task?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Is The Employee Using The Correct Plant For The Task?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Is The Employees Plant Tagged & In Good Condition?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Is The Employee Wearing Correct Uniform & Is It In Good Condition?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Is The Employee Wearing ADT Provided Foot Protection?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Documentation
Has The Employee Got The Correct Job Specification?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Has The Employee Got A Readable Copies Of The Risk Assessment, Method Statement and Zero Harm Form?
What is missing?
Select
Missing Risk Assessments
Missing Method Statements
Missing / Poor Zero Harm Form
Missing Risk Assessments Missing Method Statements Missing / Poor Zero Harm Form
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Has The Employee Got A Valid Company ID Card?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Has The Employee Got Current/Correct Drawings?
Select Responce
Issue To Be Attended Immediately
To Be Attended By Date Below
Investigation Meeting Required
Training Requirement
Escalate To Other Department
Select date
Date
Comments
Manager Signed
Sign
Engineer Signed
Sign
Further Action Required?
Further Action To Be Recorded On Form Two When Complete
No Further Action Needed
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Andy Wood
Spot Check Audit - Form One
Electronic spot check audit based from the ADT Spot Check Audit SCA/EM1. Version 1.1 17/11/15
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