Surveyor Health, Safety & Environmental Audit

Audit Information

• Audit Reference

• Client / Site

• Surveyor

• Assistant

• Project Number

• Conducted on

  Date

• Prepared by

• Time on Site

  Date

• Time off Site

  Date
• Location
  Address

• Survey Type

  Management

  R&D

  Re-Inspection

• Description of Work Activities

Introduction

• General
  This report describes matters observed during the visit to the site as a part of a periodic site audit programme carried out to ascertain the level of health and safety and environmental management of Redhills.
  
  Assessments of priorities for Action
  This report identifies areas where in the opinion of the writer, action is required to prevent accidents, ill health or risks to Redhill operatives, contractors or others. It is also aimed at ensuring compliance with the relevant statutory requirements either as mandatory or as interpreted requirements within Redhills Health, Safety and Environmental Policy, Safety Plan or QA Procedures.
  
  PRIORITY 1
  Contravention of statutory requirements which could lead to issue of a Prohibition Notice and/or Legal Proceedings being instituted by the enforcing authority. These matters will require immediate action to alleviate imminent risk to health and safety. Scoring for each breach a Priority 1 will be 6 points
  
  PRIORITY 2
  Contravention of statutory requirements which could lead to the issue of an Improvement Notice, Legal Proceedings being instituted and/or letter from the enforcing authority indicating areas of non-conformity. Scoring for each breach of a Priority 2 will be 2 points.
  
  PRIORITY 3
  Matters in addition to basic statutory requirements and will include Codes of Practices, and desired improvements and precautions or techniques consistent with a good risk management programme. Scoring for each breach of a Priority 3 will be 1 point.
  
  Should priority 1 non-conformity be identified, the audited person will be subjected to a re-visit within the current audit year.

Section 1 - Safety Planning Provisions

• Does the surveyor have a plan of work on site?

  Yes

  No

• Is the Plan of Work adequate for the works being undertaken?

  Yes

  No

• Has the Surveyor signed the Plan of Work?

  Yes

  No

• Has the Assistant Surveyor / Contractor signed the Plan of Work?

  Yes

  No

  N/A

• Has the Site Hazards Identification & Resolution Record been completed and is it correct?<br><br>

  Yes

  No

  N/A

• Have any additional hazards been identified or additional control measures put in place and has this been noted on the appropriate section of the Plan of Work?

  Yes

  No

  N/A

• Does the surveyor have a copy of the Redhills ‘Hazard ID and Model Risk Assessments’ available on site?

  Yes

  No

  N/A

• If YES, are they the current version?

  Yes

  No

  N/A

• Are the risk assessments for the works suitable and sufficient?

  Yes

  No

  N/A

• Has the surveyor read and understood the H&S Policy and aware of where it can be accessed?

  Yes

  No

  N/A

• Is the surveyor aware of the Redhills accident reporting procedure (as per H&S Policy)?

  Yes

  No

  N/A

• If required, has the surveyor signed in that day?

  Yes

  No

  N/A

• If NO, who on-site has the surveyor reported to?

• Has the surveyor been inducted to site including first aid, fire and emergency arrangements and if not, has the surveyor identified them personally?

  Yes

  No

  N/A

• If NOT, what alternative arrangements has the surveyor made in the event of an emergency?

• Are welfare facilities available and sufficient?

  Yes

  No

  N/A

• If NOT, what alternative welfare arrangements are in place?

• If required, are all Permits to Work being used and completed correctly?

  Yes

  No

  N/A

• Is safe access & egress available for the works?

  Yes

  No

  N/A

• Does the work involve Lone Working? If YES, are the following arrangements being operated?

  Yes

  No

  N/A

• Lone Working Contact Record issued with POW?

  Yes

  No

  N/A

• What time was last contact made with office/PM?

  Date

• Any significant working at height involved? If YES, what is the estimated maximum working height and what access arrangements are being used?

  Yes

  No

  N/A

• Is there adequate planning provision for WAH?

  Yes

  No

  N/A

• Is the surveyor competent to WAH?

  Yes

  No

  N/A

• Is the surveyor using the correct access equipment?

  Yes

  No

  N/A

• Has the surveyor inspected the access equipment and recorded this on the POW?

  Yes

  No

  N/A

• Any access to confined space required (or roof/floor voids or service ducts?) If YES, are the following arrangements in place and being operated?

  Yes

  No

  N/A

• Permit to Work system?

  Yes

  No

  N/A

• Documented working procedure?

  Yes

  No

  N/A

• Adequate team numbers for work being undertaken?

  Yes

  No

  N/A

• Toxic gas/oxygen meters?

  Yes

  No

  N/A

• Escape set/breathing apparatus?

  Yes

  No

  N/A

• Rescue plan/or rescue team?

  Yes

  No

  N/A

• Supervisor/competent person?

  Yes

  No

  N/A

• Adequate access/egress/tripod access?

  Yes

  No

  N/A

• Adequate/ IS lighting?

  Yes

  No

  N/A

• Adequate means of remote communication?

  Yes

  No

  N/A

Section 2 -PPE / RPE

• Is the surveyor wearing their safety boots?

  Yes

  No

  N/A

• If there is a possibility of contamination, is the surveyor wearing disposable overalls?

  Yes

  No

  N/A

• Is the surveyor wearing all other PPE required by the site?

  Yes

  No

  N/A

• Does the surveyor have a Hi-Viz available?

  Yes

  No

  N/A

• Does the surveyor have a hard hat available?

  Yes

  No

  N/A

• Does the surveyor have ‘cut-proof’ safety gloves available?

  Yes

  No

  N/A

• Does the surveyor have safety glasses available?

  Yes

  No

  N/A

• Does the surveyor have spare overalls available of the correct type?

  Yes

  No

  N/A

• If male, is the surveyor clean shaven?

  Yes

  No

  N/A

• Is ONM available, clean and in good condition?<br><br>Ref. ONM/ RDS mask……………..

  Yes

  No

  N/A

• Is RPE checklist for ONM in use and up to date?

  Yes

  No

  N/A

• Is there a cover for the ONM including test disk?

  Yes

  No

  N/A

• Is FFM available, clean and in good condition?<br><br>Ref. FFM/………………. (If applicable)

  Yes

  No

  N/A

• Is flow-checker available for FFM? (if applicable)

  Yes

  No

  N/A

• Is RPE checklist for FFM in use and up to date?

  Yes

  No

  N/A

• Are spare filters available for each mask used?

  Yes

  No

  N/A

Section 3 - Equipment, etc...

• Is the surveyor in possession of their Redhills ID/security pass?

  Yes

  No

  N/A

• Does the surveyor possess a CSCS Card?<br><br>Card No: 02535987. Exp: Feb 2018…

  Yes

  No

  N/A

• Is a Redhills ladder in use for the survey?

  Yes

  No

  N/A

• If not, is there a set in the surveyor’s vehicle?

  Yes

  No

  N/A

• If yes, is the ladder tag in date?<br><br>Ladder No 4093.. Due Date16/10/13.

  Yes

  No

  N/A

• If in use, has the surveyor inspected the ladders and recorded this on the Plan of Work?

  Yes

  No

  N/A

• If in use, is the overall condition of the ladder acceptable?

  Yes

  No

  N/A

• Does the surveyor have adequate tools to undertake the works?

  Yes

  No

  N/A

• Are the surveyor’s tools as detailed in Form 025 ‘Issue of Equipment’ checklist?

  Yes

  No

  N/A

• Are the survey tools in an adequate condition? (In particular, check teeth of pliers / blade of Stanley knife)

  Yes

  No

  N/A

• Is the surveyor using, or have any hand tools that are not supplied, or approved by Redhills? If YES, please list the items: All his own tools. Redhills tool kit has been ordered.

  Yes

  No

  N/A

• Is the surveyor using, or have any power tools that are not supplied or approved by Redhills? If YES, please list the items<br><br> <br><br>

  Yes

  No

  N/A

• Is a torch available with spare batteries?

  Yes

  No

  N/A

• Are wet wipes & spray bottle available in the kit?

  Yes

  No

  N/A

• Is tape available for sealing sampled locations?

  Yes

  No

  N/A

• Does the surveyor have a drop sheet available?

  Yes

  No

  N/A

• Does the surveyor have an asbestos waste bag available?

  Yes

  No

  N/A

• Does the surveyor have a suitable marked container for the storage of asbestos samples?

  Yes

  No

  N/A

Section 4 -Activities

• Is the surveyor undertaking all works in a safe manner?

  Yes

  No

  N/A

• Is work being carried out in accordance with the Plan of Work and in-house documentation?

  Yes

  No

  N/A

• Is the surveyor taking all reasonably practicable steps to ensure the health, safety and Welfare at Work of themselves and all persons likely to be affected by their actions?

  Yes

  No

  N/A

• Is all contractors’ equipment 110v? (If applicable)

  Yes

  No

  N/A

• Is access and egress satisfactory?

  Yes

  No

  N/A

• Is the surveyor using cut-proof gloves when using ANY hand tools?

  Yes

  No

  N/A

• Are there any works taking place at height? If YES, is the work satisfactory and give a brief description of the work/equipment/work techniques in use etc

  Yes

  No

  N/A

• Has any access equipment (towers, MEWP’s etc) been inspected prior to use by competent person and noted on the Plan of Work? (if applicable)

  Yes

  No

  N/A

• Is any work taking place within a confined space, or other enclosed space, such as roof/floor voids, lift shafts, ducts or any other ‘high risk’ areas? If YES, is there a safe method of work in place and what emergency rescue plans and arrangements are in place.

  Yes

  No

  N/A

• Is there any works taking place at high temperatures? If YES, is there a defined work regime in place and what are the details?

  Yes

  No

  N/A

• Is noise satisfactorily controlled and monitored if required?

  Yes

  No

  N/A

Section 5 - Vehicle

• Private or Company Car?

  Private

  Company

• REG No, Make, Model, Mileage……

• When was the vehicle last serviced?

  Date

• Are the wipers satisfactory & wash function fully operational?

  Yes

  No

  N/A

• Are all of the lights working?

  Yes

  No

  N/A

• Are tyre treads adequate?

  Yes

  No

  N/A

• Is general condition of vehicle adequate?

  Yes

  No

  N/A

• Is there a fully stocked first aid kit available?

  Yes

  No

  N/A

• If private car, does the surveyor have current road tax, MOT, and business insurance cover?

  Yes

  No

  N/A

• Stowage of equipment within luggage compartment area.

  Equipment

  None

• Stowage of equipment within passenger compartment area.

  Equipment

  None

Section 6 - General Comments

Section 7 - Environmental

• Is the surveyor aware of the company’s commitment to its environmental performance, and where to find its policies?

  Yes

  No

  N/A

• Does the surveyor car share or use public transport where possible?

  Yes

  No

  N/A

• Is the surveyor disposing of waste on site appropriately?

  Yes

  No

  N/A

• Are adequate provisions in place for safe removal of hazardous waste? (i.e. sealed asbestos bags and sealed skips and/or bags for overalls from surveys etc).

  Yes

  No

  N/A

• Have adequate provisions been made to prevent release of contaminated water to water course? (i.e. filtering of DCU water if in use for works).

  Yes

  No

  N/A

• Is all electrical equipment turned off when not in use? (If applicable)

  Yes

  No

  N/A

• Are there any noise pollution issues which have been identified on site?

  Yes

  No

  N/A

• Does the surveyor have any suggestions on how Redhills can further reduce its Environmental Impact?

  Yes

  No

  N/A

Section 8 - Working Hours

• Details of working pattern, hours worked & mileage driven - 24 (Hours 1), 48 (Hours 2), and 72 hours (Hours 3)
  

Hours

• Site Hours

• Driving Hours

• Total Hours

• Mileage

Section 9 - Specific Employee Issues / Consultations

Section 10 - Details of Findings / Sign Off Actions

• Detail of Finding / Action Required

Finding / Action

• Section

• Detail of Finding / Action Required

• By Whom

• Priority

• Points

• Signed Off

  Sign

Section 12 - Signature

• I Accept this Health and Safety Audit Undertaken on..

  Date

• And Completed At...

• As a fair representation of the Health & Safety conditions on-site at the time of the audit.
  

Name

• Signed

  Sign