WN MYS SHOP 17

• Document No.

• Audit Title

• Conducted on

• Prepared by

• Location
  Address

• Personnel

Crew Arrival

• Did the crew arrive at the agreed time

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

Transport

• Was the device transported on an appropriate vehicle

  Yes

  No

  N/A

• Was there a device being removed

  Yes

  No

  N/A

• Was the removed device put on the truck immediately

  Yes

  No

  N/A

Health & Safety

• Did the staff report to the site office for induction

  Yes

  No

  N/A

• Is there a suitable first aid kit onsite

  Yes

  No

  N/A

• Are the staff trained on manual handling

  Yes

  No

  N/A

• We're all materials unloaded to a designated area<br>

  Yes

  No

  N/A

• Have the crew signed the visitors book

  Yes

  No

  N/A

• Are the crew wearing full PPE

  Yes

  No

  N/A

• Was a risk assessment carried out

  Yes

  No

  N/A

• Were all staff trained to a qualified, experienced level.

  Yes

  No

  N/A

• We're all tools and equipment inspected for damage

  Yes

  No

  N/A

• Is there adequate facilities provided onsite.

  Yes

  No

  N/A

• Area has been isolated from unauthorized personnel.<br>

  Yes

  No

  N/A

• Is the site clean and clear of any debris pre and post works.

  Yes

  No

  N/A

• We're floor coverings in place while moving the device.

  Yes

  No

  N/A

• Have all staff signed out from site

  Yes

  No

  N/A

• Is the site foreman onsite to organise the work<br><br>

  Yes

  No

  N/A

• All staff are presentable in appearance

  Yes

  No

  N/A

• Vehicles are parked appropriately

  Yes

  No

  N/A

• Has the site been checked for Asbestos

  Yes

  No

  N/A

• Has the staff engaged and understand the works taking place

  Yes

  No

  N/A

Observations

• If you entered no or n/a to any of the above please explain in more detail.

  Yes

  No

  N/A

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• Engineer Signature

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• Customer Signature

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