SPS Project Audit Form

• Person Carrying out Audit

• Name of project being audited

• Name of operatives being audited

• Date

  Date
• Location
  Address

• Type of works being carried out at time of audit

Documentation

• Can operatives access all relevant H&S information via the FLOW system? (requires demonstration by each operative)

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are the correct risk assessments for the tasks present and the control measures in place?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are the correct method statements present and being followed?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is there a valid / up to date copy of the waste carriers license and Vehicle insurance certificate?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

Housekeeping

• Is the entrance / exit to the premises free from obstructions caused by the work in progress

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is the working area kept in a clean and safe manner?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are barriers and signage being used where necessary?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are materials stored in a safe location?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are sheets in place to protect property / furniture where necessary?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

Electrical

• Have isolations and disconnections been complete correctly?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Does all portable electrical equipment have a valid PAT test label attached?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Has an RCD been used on all electrical equipment?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

Tools and Equipment

• Are all tools / equipment in good / safe working condition?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are all tools / equipment being used safely?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are tools stored safely when not in use?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is all electrical equipment unplugged and stored safely when not in use?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

PPE

• Are minimum requirement (safety boots) being worn?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is all other PPE that’s required for the task being used?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Are all other PPE items present in the operatives vehicle and within expiry date (e.g., hard hat)?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is all PPE in good working condition

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

Environmental - Are control measures in place to:

• Minimise Noise

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Minimise Dust

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Prevent Pollution

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Adequately dispose of waste

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

Other

• Is there a fire extinguisher present and has it been inspected within the past year?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is there a first aid kit present, containing the minimum contents and in date?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Do operatives have means for cleaning eg, hand care (containing adequate contents) hand wipes etc?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• where applicable has a hot works checklist been completed and are the necessary controls in place?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

Gas

• Has a tightness test / necessary isolations been carried out?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is a fire extinguisher present at the hot works location?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• Is a heat mat or fire resistant coverings (eg, sheets) present in the van?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

• When hot working have nearby combustible materials been either removed or adequately protected?

  Select Excellent Good Acceptable Poor Fail (Non-compliance) N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Fail (Non-compliance)
  • N/A

RPE Check

• Make, Model and Size of Respirator

• Is the respirator and its seals working and not damaged?

  Yes

  No

  N/A

• Is the filter working adequately?

  Yes

  No

  N/A

• Are the head straps and buckles working and not damaged?

  Yes

  No

  N/A

• Are the valves and seals working and not damaged?

  Yes

  No

  N/A

• Based on the above checks, is the mask safe for use?

  Yes

  No

  N/A

CDM Documentation

• Is the F10 valid

  Yes

  No

  N/A

• What is the F10 reference number and expiry date

• Is the CPP vaild

  Yes

  No

  N/A

• What is the CPP expiry date

• Is the overarching RAMS document valid & relevant

  Yes

  No

  N/A

• Are there any other issues with the CDM documentation

• Please give details of all remedial action taken including date completed and by whom. Please sign below on completion

• Sign

  Sign