Title Page

  • Audit Date

  • Name of Client

  • Client Site Ref.

  • Site Address
  • Team Names

  • Auditor Name

Site Inspection

  • Is there safe access & egress?

  • Is all required works paperwork present, completed correctly & signed by the required persons, i.e. RAMS, Permits, DRA & 10 Point Checklist?

  • Are the Utility Drawings on site & up to date?

  • Have there been any hazardous substances identified on site, i.e., Asbestos? If so, is it being appropriately managed?

  • Have all hazards been identified & controlled, i.e. trip hazards, fire hazards, fall from height hazards etc.?

  • Do the operative have access to COSHH Assessments?

  • Is the TM/PM & any SLG set out correctly, with signs & reflective area clearly visible, in good condition & sandbagged

  • Are the Permit, (Symology) details correct & Permit number displayed, (if applicable)?

  • Was a site induction given by Team Lead upon arrival on site?

  • Can the operatives evidence their qualifications for the tasks being carried out on site, i.e. Streetworks, CPCS?

  • Are all operative wearing the correct PPE for the works being carried out & is it in good condition?

  • Are FFP3 Masks, Ear Defenders, High Impact Goggles & a Dust Suppression Water Bottle available on site for when carrying out cutting tasks?

  • Is any WAH PPE or Access Equipment, i.e. Harnesses, Lanyards, Ladders/Hop-ups, in good condition & within inspection date?

  • Are all Tools/Plant/Equipment within service/inspection date & correct for the job?

  • Has the area been scanned using CAT & Genny on Power, Radio & Genny mode?

  • Have all identified Services been marked up?

  • Are Excavations appropriately shored/battered/barriered correctly?

  • Have Exclusion Zones been identified & non-essential personnel/public safely excluded?

  • Is Fall Protection in place?

  • Are waste materials stored safely & correctly away from the works area?

  • Are surface water drains protected from possible run off & spills from site?

  • Is any lifting equipment marked with SWL, in good condition & LOLER certificate within date?

  • Is there a Spill Kit & Plant Nappy readily available on site?

  • Are the operatives aware of the emergency fire escape plans?

  • Is there a Powder Fire Extinguisher on site with legible service information sticker, pressure needle sitting in green & in good condition?

  • Is there a qualified 1st Aider on site?

  • Is there a 1st Aid Kit & Trauma 1st Aid Kit, (where applicable), & Eyewash available & in date?

  • Is there appropriate welfare facilities available, i.e. toilet & handwashing?

  • Is any temporary lock out equipment in good order with tags visible & in date?

  • Are there any additional comments, observations or actions to add?

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.