Survey Audit Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Management Controls

• Do we need a F10

  Yes

  No

  N/A

• What signage is required i.e. mandatory use of PPE, Incomplete Scaffolds, No Smoking, Traffic Management, Fire assembly, Fist Aid Points etc.

  Yes

  No

  N/A

• Does a project news letter need to be developed and issued to surrounding properties<br>

  Yes

  No

  N/A

• Are there time restraints for working?

  Yes

  No

  N/A

• Do we need specialist sub-contractor

  Yes

  No

  N/A

Access and Egress

• Is there safe access and egress to all working areas of the site?

  Yes

  No

  N/A

• Do we need pedestrian walkways to protect them from moving vehicles?

  Yes

  No

  N/A

• Are access routes adequatelly lit?

  Yes

  No

  N/A

Asbestos Management

• Can we check if an asbestos survey has been carried out in accordance with HSG264?

  Yes

  No

  N/A

Confined Spaces

• Is there any Confined Spaces work including manholes, shafts, etc?

  Yes

  No

  N/A

• Confined Spaces compliant?

  Safe

  At Risk

  N/A

Environmental Management

• Site wide issues:

Excavations/Earthworks

• Do we need to determine the presence of any buried services before and during all excavation works.

  Yes

  No

  N/A

• Do we need a more detailed method statement s and permit to dig. Is there a permit to dig?

  Yes

  No

  N/A

• Any other information:

Fire Risks and Management

• Is a fire risk assessment necessary?

  Yes

  No

  N/A

First Aid

• We need a first aider on site?

  Yes

  No

  N/A

• Check the number of first aiders required, this is dependent on the type of work or operations, the number of workers on site and any special or unusual hazards.

  Yes

  No

  N/A

Mobile Scaffold Towers / Scissor Lifts

• Do we need mobile towers or scissor lifts?

  Yes

  No

  N/A

Permits to Work

• Do we need any permits to work?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Any special PPE required?

  Yes

  No

  N/A

Plant & Equipment

• What plant is required?

• Power Tools

• Hand Tools:

Road Works

• Is there road works involved?

  Yes

  No

  N/A

PFS Works

• Is there any forecourt works?

  Yes

  No

  N/A

Traffic Management

• Is traffic management required?

  Yes

  No

  N/A

Waste Management

• Do we need to remove any waste?

  Yes

  No

  N/A

Welfare Facilities

• Can we use current welfare on site?

  Yes

  No

  N/A

Working at Height

• Check whether the work can be undertaken without working at height.

  Yes

  No

  N/A

• Do we edge protection?

  Yes

  No

  N/A

• Do we need scaffold, handrail, harness, safety netting?

Summary

Next Steps

Sign off

• Surveyor

  Sign

• Audit concluded at:

  Date

Closure : to be completed by H&S Advisor

• All actions on this report have been completed on:

  Date

• H&S Advisor

  Sign