Store/Van SME AUDIT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• SME Name

Previous inspection

• Last inspection Reviewed ?

  Yes

  No

  N/A

• Any outstanding actions from previous visit ?

  Yes

  No

L8 water hygiene records

• Are all water hygiene records up to date ?

  Yes

  No

  N/A

• Thermopen Calibration certificates present ?

  Yes

  No

  N/A

• Thermopens up to date ?

  Yes

  No

  N/A

• Overall condition of water hygiene book in good condition ?

  Yes

  No

  N/A

SME

• Is the SME signed in to store?

  Yes

  No

  N/A

• SME in full uniform ?

  Yes

  No

  N/A

• Does The SME have full PPE Kit in satisfactory condition ? If no what is required ?

  Yes

  No

• Is the SME area tidy ?

  Yes

  No

  N/A

• Is there sufficient lamp stock for the store ?

  Yes

  No

  N/A

• Does the SME have any overall feedback they are willing to give ?

  Yes

  No

• Is the SME aware of the accident procedure?

  Yes

  No

  N/A

• Is the SME upto date with Asbestos?

  Yes

  No

  N/A

Reactive / PPM's

• Does SME have any issues / queries with FSI go or IBMS ?

  Yes

  No

• Any overdue reactive calls, is so how long overdue and reason ?

  Yes

  No

• Any overdue PPM's, if so how long overdue and reason ?

  Yes

  No

• Any equipment issues that need to be address / possible quoted works ?

  Yes

  No

Store condition

• AHU filters in good condition and date sticker visable ?

  Yes

  No

  N/A

• Filters pictures

  Media

• Fan coil unit filters in good condition ?

  Yes

  No

  N/A

• Fan Coil Pictures

  Media

• Is shop floor lighting up to a good standard ?

  Yes

  No

  N/A

• Shop floor lighting

  Media

• Overdoor heater filters in good condition (if visible) ?

  Yes

  No

  N/A

• Overdoor Heater pictures

  Media

Van

• Is the van clean

  Yes

  No

  N/A

• Is there any unreported damage ?

  Yes

  No

• Pictures of Damage

  Media

• Are the SME step ladders tagged and in date ?

  Yes

  No

• Does the necessary SME equipment present an up to date PAT test sticker ?

  Yes

  No

Store operations review

• Any issues regarding SME ?

  Yes

  No

• Any issues within store which require attention ?

  Yes

  No

• Anything you feel SME can improve on ?

  Yes

  No

Store

• Any further notes to be added?

  Yes

  No

  N/A

• General Text

• General Pictures

  Media

Sign off

• SME

  Sign

• Auditor

  Sign

• Store Ops

  Sign