Work Activity Monitoring & Inspection

• Engineer Name / Supplier Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Work Activity Detail

• Client / Contract / Site

• Risk Assessment (RA) or POWRA Ref.:

• Method Statement (MS) Ref.:

• Detail of Work Activity Under Review:

• Is the work being carried out in line with risk assessment

  Yes

  No

  N/A

• Is the work being carried out in line with method statement

  Yes

  No

  N/A

• If not why not?

* Checks applicable to the task or work area, ** To be checked at the discretion of the person carrying out the monitoring

• Security / ID Pass Visible*

• High-Vis Vest Norn*

• Hard-Toe Boots Worn*

• Hard Hat Worn*

• Eye Protection Worn*

• Ear Protection Worn*

• Understands RA*

• Understands MS*

• Competency check * *

Audit Actions

Actions

• Action Detail

• Responsibility of:

• Timescale:

  Date

• Completion Details and notes

Workplace Inspection Imagaes

• Add media

  Media

• Engineer / Supplier Print Name & Signature

  Sign

• Area Manager / Senior Engineer Print Name & Signature

  Sign