Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Time of audit/date
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Personal present
- OE11OCY Lee Franklin
- OE12DVN Peter Pinches
- OV11XFR Mick Tiernan
- OY12XUW Greg Feher
- RF08CUW Karl Padalia
- RV58OZL Spare
- RV58OZH James Feeley
- PK08BPV Frank Kitchen
- YR11LBG Edward Taylor/David McCall
- Richard lewendon
- Mark Guinn
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Other
SAFETY AUDIT
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Vehicle location acceptable
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Plant location appropriate
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Blaze/beacon working and safe condition
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SLG carried and used correctly
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Tidy site
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Safety zone considered
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Environment considered
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SSRA/NLGA Risk Assessment completed/suitable
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I.D card carried /in date
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EUSR card carried /in date
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NRSWA card carried/in date
PPE
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Eye protection worn/suitable
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Dust mask worn/suitable
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Ear protection worn/suitable
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Hard hat worn/suitable
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Gloves worn/suitable
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Safety boots worn/suitable
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Fire extinguisher In date last service date required?
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Hi-vis worn/suitable
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Nomax overalls worn/suitable, Nomax trousers and Nomax T-shirt worn/suitable
EQUIPMENT
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CAT in use/in date
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Eye wash in use/in date
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Van ops pack carried
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Hydraulic pack in good order
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Drip tray
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Hoses fit for use
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Hand tools in good condition
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Spill kit carried/suitable
MEASUREMENT AUDIT
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UKAS-validated tape measure
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Was both measures the same measure
TRAINING AND COMPETENCY AUDIT
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Are they competent to complete works being done
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Are all procedures being followed
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Competent to core sample
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Competent to measure cores
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Competent to inspect
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Competent to carry out internal audits
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Competent to compaction test dcp/clegg /prima
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Competent to reinstate
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Competent to anti-skid /road marking
VEHICLE DESCRIPTION
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Photograph of Vehicle Being Inspected
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Vehicle Registration
- OE11OCY Lee Franklin
- OE12DVN Peter Pinches
- OV11XFR Mick Tiernan
- OY12XUW Greg Feher
- RF08CUW Karl Padalia
- RV58OZL Spare
- RV58OZH James Feeley
- PK08BPV Frank Kitchen
- YR11LBG Edward Taylor/David McCall
- Richard lewendon
- Mark Guinn
EXTERIOR LIGHTING
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Front Lights (Including Main Beam)
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Blaze Bar/ Beacon Working
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Front And Rear Indicators
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Rear lights (Including Brake Lights)
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Number Plate Lights
EXTERIOR BODY AND GLASS (Take Photos of Any Noted Damage)
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Windscreen Free of Cracks and Chips
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Vehicles, Any Damage Please List
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Mirrors Adjustable and free of Damage
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Vehicle is clean and Free of Dirt (Inside and Outside)
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Road Tax
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MOT
TYRES
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(Check Tyres and Check Spare)
INTERIOR
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Seats in Good Condition (are all the seats covered)
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Are all The Seat Belts Working
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Windscreen Wipers Functioning Appropriately
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Heaters Working Appropriately
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Dashboard Lights all Working Appropriately
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All Gauges are Working
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Interior Lights Working
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Interior is Clean and Free of Loose Objects
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Personnel present signature
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Auditor signature
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Discussion points - Talk freely and encourage feedback. General site safety/Awareness .... Did you consider ..... Impact on environment -What should you watch for .... Risk Assessments-Did you think about... Need and use of ppe-Discuss the dangers. Near misses- any to report ,any suggestions to improve safety. UKAS-ask what it is and why it is important . Welfare -how are they.... Give a great big hug...