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?
- New authorisation
- Routine audit
- Reauthorisation following suspension
- Other (please specify)
-
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:
- Client requirements not met
- Consumables
- Samples (contaminated, etc.)
- Equipment
- Deviation from procedures
- Calibration
- Staff skills and training
- Typographical error
- Other
-
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: