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Record Monthly Performance Safety Audit
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Contractor Performance Metrics
date_time
id
Contracting Company Name
Please select
Acre Industrial & Cleaning
Astutis
Avery Weightronix
Coles Design Services Ltd
EHSCHELON Systems Ltd
Hughes
Keegan Power Systems
McDonalds
Sackkall Engineering Project Services Ltd
Speedy Services
Spirax-Sarco Ltd
Swale Consulting Ltd
Thorne International Boiler Services
Contractor Metrics Year
Contractor Metrics Month
SM Organisation Coordination
1
2
3
4
5
SM Quality of Supervision
1
2
3
4
5
SM Programme Progress
1
2
3
4
5
SM Quality of Workmanship
1
2
3
4
5
SM Communication with Company
1
2
3
4
5
PDE Quality of Planning
1
2
3
4
5
PDE Work Execution
1
2
3
4
5
PDE Work Progress & Reporting
1
2
3
4
5
PDE Work Completion & Handover
1
2
3
4
5
PDE Staff Skills & Competency
1
2
3
4
5
HSE Safety Performance
1
2
3
4
5
HSE Documentation / Procedures
1
2
3
4
5
HSE Risk / Method Statements
1
2
3
4
5
HSE Environmental / Good Safety Awareness
1
2
3
4
5
HSE Housekeeping
1
2
3
4
5
Metrics Button
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Record Site Safety Audit
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Contractor Site Safety Audit
id
date_time
Site Safety Audit Project Title
Site Safety Audit Job Description
Site Safety Audit Contractor Name
Please select
Acre Industrial & Cleaning
Astutis
Avery Weightronix
Coles Design Services Ltd
EHSCHELON Systems Ltd
Hughes
Keegan Power Systems
McDonalds
Sackkall Engineering Project Services Ltd
Speedy Services
Spirax-Sarco Ltd
Swale Consulting Ltd
Thorne International Boiler Services
Site Safety Audit Date Time
Personal Protective Equipment
Safety Helmet
Yes
No
PPE - Safety Helmet Comment
PPE - Safety Glasses
Yes
No
PPE - Safety Glasses Comment
PPE - Safety Goggles
Yes
No
PPE - Safety Goggles Comment
PPE - Full Face Visor
Yes
No
PPE - Full Face Visor Comment
PPE - Safety Footwear
Yes
No
PPE - Safety Footwear Comment
PPE - Hearing Protection
Yes
No
PPE - Hearing Protection Comment
PPE - Respiratory Protection
Yes
No
PPE - Respiratory Protection Comment
PPE - PVC / Nitrile / Leather Gloves
Yes
No
PPE - PVC / Nitrile / Leather Gloves - Comments
PPE - Overalls
Yes
No
PPE - Overalls Comments
PPE - Safety Harness
Yes
No
PPE - Safety Harness Comments
PPE - Weather Protection (Overcoat)
Yes
No
PPE - Weather Protection (Overcoat) Comments
PPE- Other Type
Yes
No
PPE - Other Type Comments
Work Equipment
Work Equipment - Ladder
Yes
No
Work Equipment - Ladder Comments
Work Equipment - Scaffold
Yes
No
Work Equipment - Scaffold Comments
Work Equipment - Access Equipment
Yes
No
Work Equipment - Access Equipment Comments
Work Equipment - Hand Tools
Yes
No
Work Equipment - Hand Tools Comments
Work Equipment - Barrier Equipment
Yes
No
Work Equipment - Barrier Equipment Comments
Work Equipment - Fire Equipment
Yes
No
Work Equipment - Fire Equipment Comments
Work Equipment - Other
Yes
No
Work Equipment - Other Comments
HWC - Shower & Eyewash Condition
Yes
No
HWC - Shower & Eyewash Condition Comments
HWC - Walkways / Stairs Clear
Yes
No
HWC - Walkways / Stairs Clear Comments
HWC - Flooring & Handrails In Place - Elevated Areas
Yes
No
HWC - Flooring & Handrails In Place - Elevated Areas Comments
HWC - Tripping Hazards
Yes
No
HWC - Tripping Hazards Comments
HWC - Slipping Hazards
Yes
No
HWC - Slipping Hazards Comments
HWC - RCD Units In Use - Tested/Not Tested
Yes
No
HWC - RCD Units In Use - Tested/Not Tested Comments
HWC - Other
Yes
No
HWC - Other Comments
Permits To Work - LOTO
Yes
No
Permits To Work - LOTO Comments
Permits To Work - Hazard Identification and Awareness
Yes
No
Permits To Work - Hazard Identification and Awareness Comments
Permit to Work - Confined Space
Yes
No
Permit to Work - Confined Space Comments
Permit to Work - Work at Height
Yes
No
Permit to Work - Work at Height Comments
Permit to Work - Roof Access
Yes
No
Permit to Work - Roof Access Comments
Permit to Work - Hot Work
Yes
No
Permit to Work - Hot Work Comments
Permit to Work - SSoW / RAMS Available
Yes
No
Permit to Work - SSoW / RAMS Available Comments
Site Safety Auditor Name
Site Safety Audit Date
Submit
Record Work Completion Review Audit
