Site HSEQ Survey Service

Site HSEQ Survey Service
Site Name:*
Contact:
Job No:*
Auditor*
Auditee:*
Date of Survey:*
DayMonthYear
Date
Prestart Checks
1. Are all risk assessments and method statements available, current and issued to all 1 concerned (including Noise and HAVS)?*
YESNON/A
Comment
2. If a sub-contractor is the auditee do they have the appropriate insurances in place?*
YESNON/A
Comment
3. Does the Engineer hold an up to date version of the Orona Safety Information Pack?*
YESNON/A
Comment
4. Does the Engineer have a copy of the LEIA Site Safety Handbook?*
YESNON/A
Comment
Take Photo
5. Does the Engineer have a copy of:0903056 Maintenance Work Safety 0903035 Maintenance Process 0903036 General Preventive Maintenance Manual*
YESNON/A
Comment
6. Is the Engineer aware of the fire evacuation procedure and muster points?*
YESNON/A
Comment
7. Is the Engineer fully aware of the company Asbestos Policy?*
YESNON/A
Comment
8. Is the Asbestos register/survey available for review? Including the lift / working area*
YESNON/A
Comment
9. Are COSHH Assessment sheets available for all hazardous substances?*
YESNON/A
Comment
Take Photo
10. Is all Personal Protective Equipment (PPE) available and in good condition? Gloves (cut resistance =3, puncture resistance =2), Safety footwear, Safety Glasses, Hard Hat, Hi-Vis Vest/Top, Ear Protection, Electrical Safely Gloves.*
YESNON/A
Comment
Take Photo
11. Are Voltage Probes available (preferred in lieu of multimeters - HSE Guide)*
YESNON/A
Comment
12. Are shorting kits available?*
YESNON/A
Comment
13. Are lift door stops available?*
YESNON/A
Comment
14. Are mains lock off kits available? (Including Clips for MCB/RCD devices)*
YESNON/A
Comment
15. Are lifts out of service notices / stickers available?*
YESNON/A
Comment
16. Have portable appliance tools and leads been tested, certificated and is the certificate current?*
YESNON/A
Comment
17. Is all electrical equipment (incl' plugs, wires, and cables free from damage)?*
YESNON/A
Comment
18. Is there a Residual Current Device (RCD) available for use with 240v equipment?*
YESNON/A
Comment
19. Is the company vehicle in good condition? (e.g. Lamps, Tyres, Oil, Screen wash)*
YESNON/A
Comment
Take Photo
20. Vehicle Cleanliness - Exterior*
YESNON/A
Comment
Take Photo
21. Vehicle Cleanliness - Interior - Cab*
YESNON/A
Comment
Take Photo
22. Vehicle Cleanliness - Interior - Load space*
YESNON/A
Comment
Take Photo
23. Does the vehicle have a first aid kit?*
YESNON/A
Comment
24. Are hand tools in a good condition and suitable for the task being undertaken?*
YESNON/A
Comment
25. Specific manufacturers maintenance instruction available & understood?*
YESNON/A
Comment
Take Photo
Take Photo
Take Photo
Working Environment
1. Is the access / egress to / from the work place safe?*
YESNON/A
Comment
Take Photo
Take Photo
Take Photo
2. Is there safe means to access / egress the lift pit?*
YESNON/A
Comment
Take Photo
3. Is lighting and emergency lighting to and from the workplace adequate?*
YESNON/A
Comment
4. Is the machine/pulley room lighting, and emergency lighting, suitable and sufficient?*
YESNON/A
Comment
5. Is the Lift well lighting suitable and sufficient?*
YESNON/A
Comment
6. Are em' lights fitted & working on the roof of the car (also where machinery is in the pit)?*
YESNON/A
Comment
7. Are fire extinguishers available for use?*
YESNON/A
Comment
Take Photo
8. Are door barriers available for use, and suitable for the building environment?*
YESNON/A
Comment
Take Photo
Take Photo
Take Photo
Lift / Work Area Protection
1. Are the correct gloves being worn?*
YESNON/A
Comment
Take Photo
2. Is the F129 Site Safety Risk Assessment current and checked before starting work?*
YESNON/A
Comment
Take Photo
3. Are notices for lifts out of service used?*
YESNON/A
Comment
4. Is the engineer working in accordance with their method statement?*
YESNON/A
Comment
5. Is the engineer following any required COSHH assessments?*
YESNON/A
Comment
6. Is the relevant PPE equipment being used on this site?*
YESNON/A
Comment
7. Are door barriers used?*
YESNON/A
Comment
8. Is there a good level of housekeeping in the work area (including the lift pit)?*
YESNON/A
Comment
Take Photo
Take Photo
Take Photo
9. Does the car top controls include shrouded buttons (except STOP) and a run button?*
YESNON/A
Comment
Take Photo
10. If lift car roof is used as working platform during maintenance / repair, where gaps exceed 300mm, has it been suitably guarded to stop falling?*
YESNON/A
Comment
Take Photo
Take Photo
11. Are lift door stops appropriately used?*
YESNON/A
Comment
12. Are shorting kits appropriately used?*
YESNON/A
Comment
13. Are mains lock off kits correctly used?*
YESNON/A
Comment
14. Are safe access procedures for lift car top access followed?*
YESNON/A
Comment
15. Are safe access procedures for lift pit access followed?*
YESNON/A
Comment
16. Is lift log card up to date and signed?*
YESNON/A
Comment
Take Photo
17. Is signage adequate (eg. live/electric shock notices)?*
YESNON/A
Comment
18. Machine Area/Controller Door always kept locked shut when not in attendance?*
YESNON/A
Comment
19. All keys returned to client on completion of works?*
YESNON/A
Comment
20. Is the lift/surrounding area left in a clean and tidy condition?*
YESNON/A
Comment
Take Photo
Take Photo
Take Photo
Electricity
1. Can the supply be permanently isolated by locking and tagging out?*
YESNON/A
Comment
Take Photo
2. Where a permit to work system is in place, is this followed?*
YESNON/A
Comment
3. Has the need for any live working been identified?*
YESNON/A
Comment
4. Is there a risk assessment to cover live working?*
YESNON/A
Comment
5. Have precautions been applied for any live working requirements?*
YESNON/A
Comment
6. Are rubber mats available for use?*
YESNON/A
Comment
Take Photo
Take Photo
Take Photo
Health and Welfare
1. Are suitable washing facilities available / does engineer have his own handwash or sanitiser?*
YESNON/A
Comment
2. Is the engineers work clothing presentable & in good condition (Orona Brand)?*
YESNON/A
Comment
Health, Safety and Environmental Management
1. Does the Engineer know how the accident and incident reporting process works?*
YESNON/A
Comment
2. Have toolbox talks (including environmental) been delivered and recorded?*
YESNON/A
Comment
3. Are all accidents / incidents / near misses / Dangerous Condition recorded and reported?*
YESNON/A
Comment
4. Did the site induction cover environmental issues (e.g. waste, dust, noise etc.?)*
YESNON/A
Comment
5. Does the engineer have a current waste carriers license?*
YESNON/A
Comment
6. Are Waste Skips / Bins (labelled correctly) available for use?*
YESNON/A
Comment
7. Can the engineer demonstrate the lone working procedure & do they follow?*
YESNON/A
Comment
8. PDA completed with H&S Comments (if appropriate), customer signature obtained (or entered as not available)?*
YESNON/A
Comment
Comments
Engineer to be instructed to 'STOP WORK' in the event of: Missing relevant RAMS, LEIA Site Safety Handbook, or Gloves. Site Related Issues should be raised & immediately closed by engineer notes on PDA / Work Record sheet where a quote to Customer is NOT required. Where PPE is missing / inadequate, the engineer must liaise with the their manager to rectify the situation. Where necessary, engineer to purchase required equipment & re-claim monies through expenses. Engineers are NOT authorised to work unless the correct PPE is worn.
Signed as a true record of audit findings:
Auditor*
Clear
Auditee*
Clear
Date:*
DayMonthYear
Date
Should be Empty:

Site HSEQ Survey Service

Prestart Checks

Working Environment

Lift / Work Area Protection

Electricity

Health and Welfare

Health, Safety and Environmental Management