Title Page
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Site conducted
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Conducted on
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Audit by
SIPP & PTW
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Is SIPP available?
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Is PTW available?
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Are control measure listed in SIPP / MRA complied?
Housekeeping
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Inspection area tidy, clean and well organised?
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Access ways obstructed?
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Tripping hazards (including floor finishes)?
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All electrical cleaning equipment tested?
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All equipment stored under correct conditions?
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Rubbish disposal area clean and clear?
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Sharps removal procedure in place?
Electrical
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Is there any electrical equipment/appliance usage?
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Is all portable equipment tested and labeled?
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Leads undamaged?
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Trailing leads?
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Sockets overloaded?
Chemical Exposure
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Is there any chemical usage?
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Exposure adequately controlled?
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Data sheet information available?
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Spillage procedure in place?
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Correctly stored?
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Correctly disposed of?
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Disposal of hazardous waste in place?
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Flammable liquids correctly stored/signed?
Machinery
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Is there any machinery usage?
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All guards in place?
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Kept clean of rubbish?
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Emergency stop buttons fitted?
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Safety warning notices in place?
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PMA / PMT in place? Yes
PPE (personal protective equipment)
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Correct type for hazard identified?
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Good condition?
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Correctly stored?
Hazard
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Is there any hazard identified during inspection?
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Details of hazard identified.
Declaration
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Recommendation
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Details of recommendations.
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Upload picture of contractor working on site
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Auditor name and signature