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