Field Audit Report & Checklist Digitalize this paper form now
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Cut inspection time by 50% Uncover more issues and solve them 4x faster Select from over 4000 expert-proofed templates Field Audit Report & Checklist Name of crew being audited. Select PFM Water PFM Sewer Maintech Donnaz Allabout P&B Plumbing Underground Logistics LMF Sunny M&E Enter the names of the crew being audited. Yes No N/A OHS Considerations Has the JSA been completed correctly with all risks identified? Safe At Risk N/A Has the JSA been signed by all personnel at the site? Yes No N/A Are all personnel on site wearing or carrying their Identification Cards? Yes No N/A Is the proper PPE being worn? Yes No N/A Is the PPE in good condition and being worn correctly? Safe At Risk N/A Is there a First Aid Kit available and is it stocked appropriately for the activity being undertaken? Safe At Risk N/A Are proper Health & Hygiene safeguards in place and being practiced? Safe At Risk N/A Are all hazardous substances correctly labelled? Safe At Risk N/A Is the AVDD unit being used for this task? If so, is it being used correctly and is it within the required calibration period-date? Record the calibration/service date and unit number. Safe At Risk N/A Have all other services in the vicinity of the Site been identified and located? Safe At Risk N/A Are all activities being conducted within written procedures? Safe At Risk N/A Are correct manual handling techniques being used by all personnel? Safe At Risk N/A Traffic & Pedestrian Management Has the Traffic Management Assessment been completed? If so, has the appropriate Traffic Management Plan been implemented? Yes No N/A If Traffic Management is being provided by a third party, are their JSA's and Plans completed and appropriate for the task/s being undertaken? Safe At Risk N/A Is there appropriate Pedestrian / Traffic protection? Safe At Risk N/A Has the worksite been tapped off to prevent unauthorized entry? Safe At Risk N/A Are all signs and equipment being used in required condition? Yes No N/A Confined Space Entry Is this activity involving Confined Space Entry? Yes No N/A Do all personnel performing the Confined Space Entry have the appropriate training and licenses? Safe At Risk N/A Have the correct Confined Space permit/s been obtained and filled out correctly? Take specific notice of the rescue plan and make comment. Safe At Risk N/A Is the Confined Space Entry being conducted to the Confined Space Entry Plan? Yes No N/A Has the OCC been notified of the Confined Space Entry? Yes No N/A Is all PPE being used for the Confined Space Entry in service and in proper condition for it's use? Safe At Risk N/A Vehicles Plant and equipment Are all vehicles and equipment in good working order and clean and presentable? Yes No N/A Carry out a vehicle, Plant and Equipment inspection and report any deficiencies. Safe At Risk N/A Is there a Fire Extinguisher available, is it secured correctly and is it in service, I.e. been checked and in date with the regular service checks? Safe At Risk N/A Is there a refueling container available, is it fitted with a fuel transfer nozzle? Safe At Risk N/A Are vehicle and plant log books correctly filled out with any faults listed? Yes No N/A Asbestos Tasks Is there Asbestos removal or repairs involved in this task? Yes No N/A Are all personnel involved in the task appropriately trained and certified to carry out asbestos tasks? Safe At Risk N/A Is the Asbestos Plan completed and the Supervisor nominated? Note: take specific notice of names and signatures. Yes No N/A If so is the appropriate PPE being worn Safe At Risk N/A Is the appropriate signage displayed correctly? Yes No N/A Has all waste been removed as per the requirements, i.e. double bagged, SR Number written on outer bag. Safe At Risk N/A Environmental Aspects Has the worksite been reinstated as per requirements and standards? (eg. The cleanup of driveways, gutters nature strip etc.) Yes No N/A Are silt traps in place to prevent excessive entry into storm water drains? How many are in place? Safe At Risk N/A Customer Have customers been notified of the activity if required? Yes No N/A Prior to commencing the activity, have all considerations for customers been taken, I.e. blocked driveways, water off to their property whilst the repairs are being carried out? Safe At Risk N/A Has the water been shutdown? Have the "water off" times been minimized? Yes No N/A Does the worksite require a specific clean up/ disenfection due to a sewer spill etc. Safe At Risk N/A Has there been any damage caused to other assets or customers property? Yes No N/A If there are damages, have all of the relevant details been recorded and reported? Yes No N/A Excavation Is the excavation for the activity appropriate in size? Yes No N/A Is the excavation over 1.5 mt deep? Are proper shoring devices being used? Safe At Risk N/A Does the operator of the excavator have the appropriate license? Who is the appointed operator? Are they licensed? Name the spotter. Safe At Risk N/A Was the correct equipment used for the excavation, I.e. shovel digging first and then a mud bucket? Safe At Risk N/A Is the available back fill material appropriate, and is there sufficient quantity available to complete the task? Safe At Risk N/A Has the excavation been back filled correctly and compacted? Safe At Risk N/A Road opening Have the correct materials been used, compacted and all cuts and drill holes filled? Safe At Risk N/A Has the road opening been measured and correctly marked for completion? Yes No N/A M&E / Sewer Is the wet well clean to procedures? Safe At Risk N/A Are all alarm inhibit override/s reset? Safe At Risk N/A Are all covers correctly refitted and in proper condition? Safe At Risk N/A Are log book details entered and station locked up? Yes No N/A Safety Conversations We're any safety conversations conducted during this audit? If so please record the conversation. Yes No N/A Opportunity for Improvement Were there any opportunities for improvement identified during this audit? If so please record the details and ensure that the OFI is reported, registered and followed up. Yes No N/A
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.