Title Page
-
Person Carrying out Audit
-
Name of operative being audited
-
Workstream
-
Date
-
Location
Details of Work Tasks Monitored
-
Please give details of the work tasks monitored
Documentation
-
Can operatives access all relevant H&S information via the FileHive system? (requires demonstration by each operative)
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Are the correct risk assessments for the tasks present and the control measures in place?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Are the correct method statements present and being followed?
- 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?
- 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
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Is the working area kept in a clean and safe manner?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Are barriers and signage being used where necessary?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Are materials stored in a safe location?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Are sheets in place to protect property / furniture where necessary?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
Electrical
-
Have isolations and disconnections been complete correctly?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Does all portable electrical equipment have a valid PAT test label attached?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Has an RCD been used on all electrical equipment?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
Tools and Equipment
-
Are all tools / equipment in good / safe working condition?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Are all tools / equipment being used safely?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Are tools stored safely when not in use?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Is all electrical equipment unplugged and stored safely when not in use?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
undefined
-
Are minimum requirement (safety boots) being worn?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Is all other PPE that’s required for the task being used?
- 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)?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Is all PPE in good working condition
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
Environmental - Are control measures in place to:
-
Minimise Noise
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Minimise Dust
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Prevent Pollution
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Adequately dispose of waste
- 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?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Is there a first aid kit present, containing the minimum contents and in date?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Do operatives have means for cleaning eg, hand care (containing adequate contents) hand wipes etc?
- 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?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
Gas
-
Has a tightness test / necessary isolations been carried out?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Is a fire extinguisher present at the hot works location?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
Is a heat mat or fire resistant coverings (eg, sheets) present in the van?
- Excellent
- Good
- Acceptable
- Poor
- Fail (Non-compliance)
- N/A
-
When hot working have nearby combustible materials been either removed or adequately protected?
- 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?
-
Is the filter working adequately?
-
Are the head straps and buckles working and not damaged?
-
Are the valves and seals working and not damaged?
-
Based on the above checks, is the mask safe for use?
Training records
-
Has the operative been assigned all the correct training courses for their role?
-
Have all mandatory training courses been completed?
Vehicle Check
-
Make and Model of Vehicle
-
Vehicle Registration Number
-
Please mark on any external damage to the vehicle
-
Please detail any damage to the external of the vehicle
-
Have insurance been informed
Tyre Condition
-
Front Drivers Side
-
Front Passenger Side
-
Rear Drivers Side
-
Rear Passenger Side
-
Additional Comments
Remedial Action
-
Please give details of all remedial action taken including date completed and by whom. Please sign below on completion
-
Sign