Title Page

  • Auditor:

  • Date:

  • Audit report number:

  • Survey reference number:

  • Surveyor being audited:

  • Assistant surveyor:

  • Site address:

  • Add location
  • Survey type:

  • Property type

  • Site photo:

Pre-survey points:

  • What is the purpose of this audit?

  • TP1: Surveying & Sampling Procedures available on site?

  • Version:

  • TP2: Maintenance & Use of Equipment available on site?

  • Version:

  • TP3: Staff Training & Audits available on site?

  • Version:

  • TP4: Site Staff Conduct available on site?

  • Version:

  • Has an allocation been made on the surveyors diary which details the type and scope of the survey?

  • What is the scope of the survey being undertaken?

  • Is there suitable and sufficient information available in relation to the scope of the survey being undertaken?

  • Is there a method statement and risk assessment available for the survey being undertaken?

  • Has a dynamic risk assessment been completed by the surveyor prior to starting the survey?

  • Are all site personnel wearing company uniform?

  • Is there a company vehicle on site?

  • Vehicle registration:

  • Is the vehicle, as far as practically possible, clean and tidy?

  • Is there a fully stocked first aid kit available within the vehicle / on site?

Surveying Tools, RPE & PPE

  • Is there a suitable and sufficient surveying equpment available on site for the type of survey being undertaken?

  • Pliers

  • Screwdrivers

  • Knife & spare blades

  • Chisels

  • Torch

  • Core sampler

  • Cloth tape

  • Paint pot (sample point encapsulation)

  • Wet wipes

  • Hammer

  • Crowbar

  • Cordless drill

  • Sample bags

  • Asbestos waste bags

  • Polythene sheeting

  • Phone (camera & alpha tracker)

  • 'No access' signs

  • Is there sufficient PPE on site for the type of survey being undertaken?

  • Type 5 category 6 coveralls

  • Overshoes or wellington boots

  • Gloves

  • Hard hat

  • Safety boots

  • Hi-visibility clothing

  • What type of RPE is required for the survey?

  • Is this sufficient for the nature of the survey being undertaken?

  • Does the surveyor have an in date face fit for the type of mask being used?

  • Does the assistant surveyor have an in date face fit for the type of mask being used?

  • Has each piece of RPE in use been tagged to show a unique identification number?

  • Surveyor's tag i.d.

  • Assistant surveyor's tag i.d.

  • Are all personnel clean shaven?

  • Has a mask checklist been undertaken on each piece of RPE used on site?

  • Is a h-type vacuum available for use on site?

  • Identification number:

  • Expiry date:

  • Are suitable ladders available for use on site?

  • Identification number:

  • Inspection expiry date (6 months from inspection):

  • Identification number:

  • Inspection expiry date (6 months from inspection):

  • Identification number:

  • Inspection date (6 months from inspection):

  • Is there any other access equipment being used on site?

  • Details:

Inspection Processes

  • Have the site plans been completed prior to starting the inspection process?

  • What format is being used?

  • Do the floor plans match the current layout of the building / area being surveyed?

  • Is each room / area being inspected in a methodical manor?

  • Details:

  • Are all aspects of each room / area being covered by the surveyor?

  • If the survey is intrusive, are the void spaces being accessed and assessed as per the scope of the survey?

  • Is there a loft space which requires inspection as part of the survey?

  • Describe the process for undertaking the inspection:

  • Are there external elevations which require assessing as part of the survey?

  • Describe the process for undertaking the inspection:

Sampling Processes

  • Did the surveyor request personnel to leave the immediate area prior to obtaining the samples?

  • How where they requested / prevented from being within the immediate sampling area?

  • Was each sample bag completed prior to each sample being taken?

  • Was each sample bag doubled up upon completion of the sampling process?

  • Was the surveyor’s procedures for obtaining the sample in line with HSG 264 & in-house procedures?

  • Was the surveyor confident in undertaking the samples and collecting the relevant data?

  • Was each area left clean and tidy (as far as practical) upon completion of the sampling process?

Material sampled:

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

  • Material

  • Were the correct tools used?

  • Tools used:

  • Was the sample size sufficient?

  • Was the sample sealed upon completion of the sampling.

Data Collection

  • Does the surveyor understand the alpha tracker system?

  • Is the survey being completed under the correct survey number?

  • Was each area being surveyed allocated a unique location number and name?

  • Were the material assessments completed correctly for each sample taken, referenced or presumed?

  • Was a general and close-up photo taken for each sample taken, referenced or presumed?

  • Were the recommendations made sufficient for the condition of each material and the scope of the survey being undertaken?

  • Were all non-accessed and limited accessed areas correctly captured and also justified?

  • Were all sample, referenced and presumed points placed onto the drawing(s)?

  • Upon completion, were the plans sent over to the correct person in preparation of the report being put together?

General Points

  • Was this audit satisfactory?

  • Did the site staff interact well with the client and/or occupiers of the property?

  • Additional information:

  • Surveyor confirmation:

  • Auditor confirmation:

Summary

  • Was any non-conforming work identified during the course of this audit?

  • Details:

  • Cause analysis:

  • Most probable cause:

  • Corrective actions:

  • Timescale:

  • Person responsible:

  • Corrective actions carried out by:

  • Effectiveness of corrective actions:

  • Additional audits required?

  • Timescale:

  • Person responsible:

  • Confirmed by audit officer:

  • Confirmed by Managing Director:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.