Information
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Document No Ver 02-10-13
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Auditor
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Engineer
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Audit Title (state if WIP, Post, Skills, etc)
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Conducted on
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Location
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Installation Date
Safe Site Environment :
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Fire Extinguisher Visible at entrance 2kg - (com)
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Please state why
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Is the fire extinguisher charged and in date - (com)
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Please state why
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Is the fire extinguisher with soldering equipment 1 kg - (com)<br>
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Please state why
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Is the fire extinguisher charged and in date - (com)
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Please state why
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Hot Works Boards Visible at entrance - (com)
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Please state why
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Dynamic risk assessment completed correctly at start of install - (com)
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Please state why
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Is job survey and risk assessment on site - (com)
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Please state why
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Roll and Stroll used correctly - (qual)
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Please state why
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Dust sheets used correctly (no trip Hazard's) (qual)
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Please state why
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Work top protector mat used (qual)
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Please state why
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Walk ways clear (H&S)
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Please state why
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Tools and materials appropriately positioned/stored (H&S)
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Please state why
Engineers Appearance ?
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Does the engineer have their Gas Safe I.D available (comp)
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Please state why
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Correct uniform in use (comp)
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Please state why
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Does the engineer have correct specifications/procedures manuals (comp)
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Please state why
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Does the engineer know where the waste carriers licence and COSHH assessments are. (comp)
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Please state why
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PPE in use (comp)
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Please state why
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PPE correct and in good condition (comp)
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Please state why
Ladders
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Is the engineer certified in ladders + steps level 3, including ladder restraint safety training. (Train)
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Has the engineer been issued with a harness "If No then please state why"
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Is it being used correctly and in good condition
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Please give details
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Correct ladders in use (H&S)<br>
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Please state why
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Ladders safe and fit for purpose (H&S)
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Please state why
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Ladders tagged (comp)
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Has the compliance department been contacted for ladder tag number
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Please state why
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Does the engineer hold a UKATA Asbestos Awareness certificate? (Train)
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Please state why
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First aid kit present (equip)
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Please state why
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Has the engineer completed a dust mask face fit test(equip)
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Please state why
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Has all electrical equipment been P.A.T tested and in date (comp)
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R.C.D (stand alone type) present/in use (comp)
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Please state why
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Does the engineer have the works' mobile phone on site (equip)
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Please state why
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Does the engineer have the works' iPad on site (equip)
Safe Isolation
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Electrical Safe isolation in place. (comp)
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Please state why
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Gas meter/E.C.V correctly capped. (comp)
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Please state why
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Continuity Bonds present/in use. (comp)
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Please state why
Customer Feedback
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Did the customer have an ETA?
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Please state why
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We're works explained to customer ?
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Please state why
Comments
Auditors signature
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Add signature
Engineers signature
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