Undesired Circumstances

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add drawing

  Drawing

• Add media

  Media

External

Roof

• Roof works. Works required, Location of work, Cherry Picker required?

  Safe

  Works Required

• Roof Works

  Drawing

• Fascias & Soffits. Include works required, Location of works, Measurements

  Safe

  Works Required

• Fascia & Soffits

  Drawing

• Gutters, Downpipes and rainwater goods. Include Building name & measurements

  Safe

  Works Required

• Add drawing

  Drawing

• Tower Scaffold

• Attridge

Paths & Roads

• Steps and handrails unsafe / trip hazards. Include work required, Location of work, Measurements

  Safe

  Works Required

• Steps and Handrails

  Drawing

• Hazards for vehicle movement on site. Include work required, Location of work, Measurements, Concrete/Stone/Tarmac

  Safe

  Works Required

• Site Roads

  Drawing

• Road Gullies and Drains. Works required, Location of work

  Safe

  Works Required

• Gullies & Drains

  Drawing

• Trip hazards. Include work required, Location of work, Measurements

  Safe

  Works Required

• Trip Hazards

  Drawing

Manhole/Valve covers

• Manhole covers unsafe. Include work required, Location of work, Measurements

  Safe

  Works Required

• Manholes

  Drawing

• Valve covers unsafe. Include work required, Location of work, Measurements

  Safe

  Works Required

• Valve Covers

  Drawing

Brickwork

• Brickwork unsafe, Include work required, Location of work, Measurements

  Safe

  Works Required

• Brickwork

  Drawing

• Louvre Vents

  Safe

  Works Required

• Vents

  Drawing

• Cat Flap

  Safe

  Works Required

• Cat Flap

  Drawing

Windows & Doors

• External Doors and Locks. Works required, Location of work, Measurements

  Safe

  Works Required

• External doors

  Drawing

• Windows unsafe. Works required, Location of work, Measurements

  Safe

  Works Required

• Windows

  Drawing

• Rubbish and debris to be cleared causing potential hazards. Location on site

  Safe

  Works Required

• Debris

  Drawing

• Leaks and pipe work repairs. Location of work, work required

  Safe

  Works Required

• Pipe work

  Drawing

• Other

• Add drawing

  Drawing

Internal

• Internal doors unsafe. Include Building name, Measurements

  Safe

  Works Required

• Internal Doors

  Drawing

• Trip hazards. Works required, Include building name, type of flooring, Measurements

  Safe

  Works Required

• Trip Hazards

  Drawing

• Internal walls and ceilings in bad condition. Include work required, location of work, measurements

  Safe

  Works Required

• Internal Walls

  Drawing

• Leaks or blockages in the Kitchen. Include works required and Location of work

  Safe

  Works Required

• Leaks or Blockages. Kitchen

  Drawing

• Leaks or blockages in the Toilets. Include works required and work location

  Safe

  Works Required

• Leaks or Blockages. Toilets

  Drawing

• Hazards regarding electricals. Include works required, Location of work

  Safe

  Works Required

• Electricals

  Drawing

• Trip hazards to the Stairs

  Safe

  Works Required

• Stairs

  Drawing

• Comments. Include location and works required, Measurements