D804 Audit Form - HSEQ (Site)
Version 3.1 review due Dec 2026
Date
*
/
Day
/
Month
Year
Date
Auditor
*
Please Select
Andrew Butcher
Chris King
Phil Nichols
Matt Readman
Pete Hulyer
Site Name
*
Project No.
Brief description of works
Lead contractor on site?
*
Ace Subcontractors on site?
*
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1 - Is a site induction register available?
*
Yes
No
N/A
1 - Add comments / actions?
Yes
No
1 - Comments / actions
2 - Is a sign in sheet available?
*
Yes
No
N/A
2 - Add comments / actions?
Yes
No
2 - Comments / actions
3 - Is the appropriate H&S signage displayed?
*
Yes
No
N/A
3 - Add comments / actions?
Yes
No
3 - Comments / actions
4 - Has the site area been made secure to prevent unauthorised access by third parties?
*
Yes
No
N/A
4 - Add comments / actions?
Yes
No
4 - Comments / actions
4 - Provide photo/s
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5 - Is the work area on public highway?
*
Yes
No
N/A
5 - Add comments / actions?
Yes
No
5 - Comments / actions
5a - Is an appropriate Highways Permit in place with a Permit Board displayed?
Yes
No
N/A
5a - Provide photo/s
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6 - Are appropriate warning signs / storage in place for COSHH?
*
Yes
No
N/A
6 - Add comments / actions?
Yes
No
6 - Comments / actions
6 - Provide photo/s
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7 - Are appropriate welfare provisions available?
*
Yes
No
N/A
7 - Add comments / actions?
Yes
No
7 - Comments / actions
7 - Provide photo/s
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8 - Is a First Aid Kit readily available?
*
Yes
No
N/A
8 - Add comments / actions?
Yes
No
8 - Comments / actions
8 - Provide photo/s
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9 - Is suitable fire equipment and spill kit available?
*
Yes
No
N/A
9 - Add comments / actions?
Yes
No
9 - Comments / actions
9 - Provide photo/s
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10 - Is a suitably sized and in date eye wash readily available (minimum 500ml bottle)?
*
Yes
No
N/A
10 - Add comments / actions?
Yes
No
10 - Comments / actions
10 - Provide photo/s
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11 - Is the auditee aware of steps to take in the event of an injury to themselves or another person on site?
*
Yes
No
N/A
11 - Add comments / actions?
Yes
No
11 - Comments / actions
12 - Is the auditee aware of steps to take in the event of a fire on site?
*
Yes
No
N/A
12 - Add comments / actions?
Yes
No
12 - Comments / actions
13 - Is the auditee aware of the accident/incident, hazard and near miss reporting process?
*
Yes
No
N/A
13 - Add comments / actions?
Yes
No
13 - Comments / actions
14 - Are appropriate waste management facilities available on site?
*
Yes
No
N/A
14 - Add comments / actions?
Yes
No
14 - Comments / actions
14 - Provide photo/s
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15 - Are there any additional specific restrictions or precautions on site not covered above?
*
Yes
No
N/A
15 - Add comments / actions?
Yes
No
15 - Comments / actions
15 - Provide photo/s
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Signature on behalf of site (if applicable)
Signature of Auditor
*
Submit
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