Title Page

  • Document No.

  • Conducted on

  • Site Name

  • Engineer

  • Audit carried out by

1 Site Procedures

  • 1.1 Completion of Visitors Book

  • 1.2 Clearance Certificate

  • 1.3 Safe Work Area

  • 1.4 Electrical Isolation and Lock Off (LOTO)

2 Work Carried Out Correct

  • 2.1 Electrical Repairs

  • 2.2 Mechanical Repairs

  • 2.3 Plumbing Repairs

  • 2.4 Chemical Top-up

  • 2.5 Installation

  • 2.6 Machine and Work Area Left Tidy

3 Engineer

  • 3.1 Tidy Appearance

  • 3.2 Correct PPE Worn

  • 3.3 PPE Missing/Out of Date

  • 3.4 SMS & RA Read and Understood

4 Vehicle

  • 4.1 Exterior Clean & Tidy Without Damage

  • 4.2 Interior Clean &Tidy Without Damage

  • 4.2a Evidence of Smoking

  • 4.3 Tyre's in Road Worthy Condition

  • 4.4 Fire Extinguisher Charged & In Date

  • 4.5 First Aid Kit Complete & In Date

  • 4.6 Ladder and Platform Serviceable Condition & In Date

  • 4.7 Electrical Tools PAT Test in Date

  • 4.8 Vehicle Service Book up to Date

  • 4.9 Blue Book Up to Date

5 Toolbox Talk Carried Out

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