Stephenson's - Eyebolt/Lacthway Pre-work checks

• Audit Title

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Post work checklist

• Opertives

• frequency

  Select Weekly Monthly 2 Monthly 3 Monthly 6 Monthly Yearly One Off

  • Weekly
  • Monthly
  • 2 Monthly
  • 3 Monthly
  • 6 Monthly
  • Yearly
  • One Off

• Work Order No(s):

• Haz Work Permit signed to start?

  Yes

  No

  N/A

• Wind speed (MPH):

• Have you read and understood the risk assessment and method statement for this task?

  Yes

  No

  N/A

• Is the scaff tags in date?

  Yes

  No

  N/A

• Does the eyebolt/Transfastener have a valid, in date test certificate?

  Yes

  No

  N/A

• Do you have the equipment as specified in the in the RAMS?

  Yes

  No

  N/A

• Have all team members completed the pre-use harness inspection?

  Yes

  No

  N/A

• Are all staff wearing the right PPE as set out the the RAMS?

  Yes

  No

  N/A

• As a safe working zone been setup using cones and batons and signs erected below and around the area of work?

  Yes

  No

  N/A

• Has the correct preparations been made for the rescue plan to be implemented if needed?

  Yes

  No

  N/A

Sign Off

• Auditor's signature

  Sign