Tuesday

• Site

• Conducted on

  Date

• Audit Number

• Prepared by

• Document No.

Previous Report

• Previous corrective actions

  Outstanding

  Closed

  N/A

Health & Safety Documentation

• Accident Book

  Compliant

  NC

  OBS

  N/A

• Construction Phase H&S Plan

  Compliant

  NC

  OBS

  N/A

• COSHH Register

  Compliant

  NC

  OBS

  N/A

• Electrical Certificates

  Compliant

  NC

  OBS

  N/A

• Electricity

  Compliant

  NC

  OBS

  N/A

• Excavation Register

  Compliant

  NC

  OBS

  N/A

• Fire & Emergency Procedures

  Compliant

  NC

  OBS

  N/A

• HSEQ Reports

  Compliant

  NC

  OBS

  N/A

• Induction

  Compliant

  NC

  OBS

  N/A

• Permits

  Compliant

  NC

  OBS

  N/A

• Plant & Lifting Equipment Certification

  Compliant

  NC

  OBS

  N/A

• Plant Inspection Records

  Compliant

  NC

  OBS

  N/A

• Risk Assessments & Method Statements

  Compliant

  NC

  OBS

  N/A

• Scaffold Register

  Compliant

  NC

  OBS

  N/A

• Sign In Book

  Compliant

  NC

  OBS

  N/A

• Statutory Notices

  Compliant

  NC

  OBS

  N/A

• Temporary Works

  Compliant

  NC

  OBS

  N/A

• Toolbox Talks

  Compliant

  NC

  OBS

  N/A

• Traffic Management Plan

  Compliant

  NC

  OBS

  N/A

Site Arrangements

• Excavations

  Compliant

  NC

  OBS

  N/A

• Fire Extinguishers / Horn

  Compliant

  NC

  OBS

  N/A

• First Aid

  Compliant

  NC

  OBS

  N/A

• Housekeeping

  Compliant

  NC

  OBS

  N/A

• Lighting

  Compliant

  NC

  OBS

  N/A

• Parking

  Compliant

  NC

  OBS

  N/A

• PAT

  Compliant

  NC

  OBS

  N/A

• Plant & Machinery

  Compliant

  NC

  OBS

  N/A

• Plant & Machinery

  Compliant

  NC

  OBS

  N/A

• Plant & Machinery

  Compliant

  NC

  OBS

  N/A

• Podium / Step Ladders

  Compliant

  NC

  OBS

  N/A

• PPE

  Compliant

  NC

  OBS

  N/A

• RPE

  Compliant

  NC

  OBS

  N/A

• Scaffold

  Compliant

  NC

  OBS

  N/A

• Scaffold

  Compliant

  NC

  OBS

  N/A

• Scaffold

  Compliant

  NC

  OBS

  N/A

• Scaffold

  Compliant

  NC

  OBS

  N/A

• Scaffold

  Compliant

  NC

  OBS

  N/A

• Scaffold

  Compliant

  NC

  OBS

  N/A

• Security

  Compliant

  NC

  OBS

  N/A

• Signage

  Compliant

  NC

  OBS

  N/A

• Site Fencing / Hording

  Compliant

  NC

  OBS

  N/A

• Storage

  Compliant

  NC

  OBS

  N/A

• Subcontractor Equipment

  Compliant

  NC

  OBS

  N/A

• Vehicle / Pedestrian Segregation

  Compliant

  NC

  OBS

  N/A

• Welfare Facilities

  Compliant

  NC

  OBS

  N/A

• Other

  Compliant

  NC

  OBS

  N/A

• Other

  Compliant

  NC

  OBS

  N/A

• Other

  Compliant

  NC

  OBS

  N/A

• Other

  Compliant

  NC

  OBS

  N/A

Additional Comments

Corrective Actions

• High Risk NCs to be closed by

  Date

• Medium Risk NCs to be closed by

  Date

• Low Risk NCs & OBS to be closed by

  Date

Sign Off

• I confirm I have had the contents of this audit explained to me

• Site Manager

  Sign

• Person Conducting The Inspection

  Sign

• All corrective actions must be signed off and dated once completed.