www.safevisit.vicesima.com Open in urlscan Pro
147.135.208.72  Public Scan

Form analysis
1 forms found in the DOM

Name: audit_form — POST

<form name="audit_form" method="post" id="auditForm">
  <input type="hidden" id="audit_form_closeAudit" name="audit_form[closeAudit]">
  <div class="row">
    <div class="col-sm-3"> Date: </div>
    <div class="col-sm-3"> Area visited: </div>
    <div class="col-sm-3"> Report Author (Supervisor): </div>
    <div class="col-sm-3"> e-mail addres: </div>
  </div>
  <div class="row questionPanel">
    <div class="col-sm-3">
      <div class="form-group"><input type="text" id="audit_form_timeAudit" name="audit_form[timeAudit]" required="required" class="js-datepicker form-control" value="10-08-2024"></div>
    </div>
    <div class="col-sm-3 parentTextInput">
      <div class="form-group"><input type="text" id="audit_form_areaVisited" name="audit_form[areaVisited]" maxlength="255" class="auditTextInput form-control"></div>
    </div>
    <div class="col-sm-3 parentTextInput">
      <div class="form-group"><input type="text" id="audit_form_reportAuthor" name="audit_form[reportAuthor]" maxlength="255" class="auditTextInput form-control"></div>
    </div>
    <div class="col-sm-3 parentTextInput'">
      <div class="form-group"><input type="email" id="audit_form_email" name="audit_form[email]" required="required" maxlength="255" class="auditTextInput form-control"></div>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-3"> Safe visit Team: </div>
    <div class="col-sm-2"> Number of People involved: </div>
    <div class="col-sm-3"> Group responsible for the work/activity area: </div>
    <div class="col-sm-3"> Activities observed: </div>
  </div>
  <div class="row questionPanel">
    <div class="col-sm-3 parentTextInput">
      <div class="form-group"><input type="text" id="audit_form_safeVisitTeam" name="audit_form[safeVisitTeam]" maxlength="255" class="auditTextInput form-control"></div>
    </div>
    <div class="col-sm-2 parentTextInput">
      <div class="form-group"><input type="text" id="audit_form_numberOfPeople" name="audit_form[numberOfPeople]" class="auditTextInput form-control"></div>
    </div>
    <div class="col-sm-3 parentTextInput">
      <div class="form-group"><input type="text" id="audit_form_groupResponsible" name="audit_form[groupResponsible]" class="auditTextInput form-control"></div>
    </div>
    <div class="col-sm-3 parentTextInput">
      <div class="form-group"><input type="text" id="audit_form_activitiesObserved" name="audit_form[activitiesObserved]" class="auditTextInput form-control"></div>
    </div>
  </div>
  <div class="panel-group js-audit-form" id="accordion" role="tablist" aria-multiselectable="true">
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_1">
        <h4 class="panel-title"> 1. <a id="link_collapse_1" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_1" aria-expanded="false" aria-controls="collapse_1">
                            <strong>Leadership and commitment</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_1" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_1">
        <div class="panel-body questionPanel" data-index-collapse="1">
          <div class="form-group col-sm-12"> Are the workers are aware about PTW, LMRA, etc. </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_0_answer" name="audit_form[auditQuestions][0][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_0_comment" name="audit_form[auditQuestions][0][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_2">
        <h4 class="panel-title"> 2. <a id="link_collapse_2" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_2" aria-expanded="false" aria-controls="collapse_2">
                            <strong>Training</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_2" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_2">
        <div class="panel-body questionPanel" data-index-collapse="2">
          <div class="form-group col-sm-12"> Are the workers inwolved aware of LMRA, Stop Work Authority, etc. </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_1_answer" name="audit_form[auditQuestions][1][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_1_comment" name="audit_form[auditQuestions][1][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_3">
        <h4 class="panel-title"> 3. <a id="link_collapse_3" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_3" aria-expanded="false" aria-controls="collapse_3">
                            <strong>Zoning</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_3" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_3">
        <div class="panel-body questionPanel" data-index-collapse="3">
          <div class="form-group col-sm-12"> Are there suficient signs for work zones, communication routes etc.? </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_2_answer" name="audit_form[auditQuestions][2][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_2_comment" name="audit_form[auditQuestions][2][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_4">
        <h4 class="panel-title"> 4. <a id="link_collapse_4" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_4" aria-expanded="false" aria-controls="collapse_4">
                            <strong>Barricades</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_4" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_4">
        <div class="panel-body questionPanel" data-index-collapse="4">
          <div class="form-group col-sm-12"> Is the site area properly fenced and protected? Are there warning signs at the entrance and outside the working area? </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_3_answer" name="audit_form[auditQuestions][3][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
              <option value="5">N. A.</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_3_comment" name="audit_form[auditQuestions][3][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_5">
        <h4 class="panel-title"> 5. <a id="link_collapse_5" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_5" aria-expanded="false" aria-controls="collapse_5">
                            <strong>PPE</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_5" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_5">
        <div class="panel-body questionPanel" data-index-collapse="5">
          <div class="form-group col-sm-12"> Are proper PPE in place? Are workers aware of the usage and assessment of the condition of PPE? </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_4_answer" name="audit_form[auditQuestions][4][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_4_comment" name="audit_form[auditQuestions][4][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_6">
        <h4 class="panel-title"> 6. <a id="link_collapse_6" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_6" aria-expanded="false" aria-controls="collapse_6">
                            <strong>Excavation</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_6" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_6">
        <div class="panel-body questionPanel" data-index-collapse="6">
          <div class="form-group col-sm-12"> Are there excavation properly protected (entrance, guards and hard barricades are installed and fall protection is provided as required, etc.)? </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_5_answer" name="audit_form[auditQuestions][5][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
              <option value="5">N. A.</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_5_comment" name="audit_form[auditQuestions][5][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_7">
        <h4 class="panel-title"> 7. <a id="link_collapse_7" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_7" aria-expanded="false" aria-controls="collapse_7">
                            <strong>Scaffolding and Other Access</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_7" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_7">
        <div class="panel-body questionPanel" data-index-collapse="7">
          <div class="form-group col-sm-12"> Are ladders, scaffolds and their access ways comply with international standards? Staircases should be the first option for access. Where ladders are used, access ladders must extend at least 92cm (3 feet)
            over any landing or scaffold platform. Swing gates or other barrier means must be used at the entry points to prevent falls. </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_6_answer" name="audit_form[auditQuestions][6][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
              <option value="5">N. A.</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_6_comment" name="audit_form[auditQuestions][6][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_8">
        <h4 class="panel-title"> 8. <a id="link_collapse_8" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_8" aria-expanded="false" aria-controls="collapse_8">
                            <strong>Housekeeping</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_8" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_8">
        <div class="panel-body questionPanel" data-index-collapse="8">
          <div class="form-group col-sm-12"> Is waste management is properly organized on the site? First Aid Kit is in place and signed? Is the site is organized in line with HASP? Are stairways, passageways, ladders, scaffold and gangways free of
            material, supplies and obstructions? </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_7_answer" name="audit_form[auditQuestions][7][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="1">Best practice</option>
              <option value="2">OK (consistent)</option>
              <option value="3">Not OK (Inconsistent)</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_7_comment" name="audit_form[auditQuestions][7][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
        </div>
      </div>
    </div>
    <div class="panel panel-default">
      <div class="panel-heading" role="tab" id="heading_9">
        <h4 class="panel-title"> 9. <a id="link_collapse_9" class="collapsed" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapse_9" aria-expanded="false" aria-controls="collapse_9">
                            <strong>Are there high risk activities carried on the site?</strong>
                        </a>
        </h4>
      </div>
      <div id="collapse_9" class="panel-collapse collapse" role="tabpanel" aria-labelledby="heading_9">
        <div class="panel-body questionPanel" data-index-collapse="9">
          <div class="form-group col-sm-12"> Are all risks included in PTW documentation? Are all controls in place? Is PH aware of all risks and controls </div>
          <div class="form-group col-sm-3">
            <select id="audit_form_auditQuestions_8_answer" name="audit_form[auditQuestions][8][answer]" class="questionAnswer form-control">
              <option value="">Please select..</option>
              <option value="6">Yes</option>
              <option value="7">No</option>
            </select>
          </div>
          <div class="form-group col-sm-6">
            <textarea id="audit_form_auditQuestions_8_comment" name="audit_form[auditQuestions][8][comment]" required="required" class="questionComment form-control"></textarea>
          </div>
          <div class="col-sm-3"></div>
          <div class="col-sm-12 subQuestions">
            <div class="questionPanel" data-index-collapse="10" style="display: none;">
              <div class="form-group col-sm-12">
                <strong>PTW</strong>
              </div>
              <div class="form-group col-sm-3">
                <select id="audit_form_auditQuestions_9_answer" name="audit_form[auditQuestions][9][answer]" class="questionAnswer form-control">
                  <option value="">Please select..</option>
                  <option value="1">Best practice</option>
                  <option value="2">OK (consistent)</option>
                  <option value="3">Not OK (Inconsistent)</option>
                </select>
              </div>
              <div class="form-group col-sm-6">
                <textarea id="audit_form_auditQuestions_9_comment" name="audit_form[auditQuestions][9][comment]" required="required" class="questionComment form-control"></textarea>
              </div>
            </div>
            <div class="questionPanel" data-index-collapse="11" style="display: none;">
              <div class="form-group col-sm-12">
                <strong>JHA</strong>
              </div>
              <div class="form-group col-sm-3">
                <select id="audit_form_auditQuestions_10_answer" name="audit_form[auditQuestions][10][answer]" class="questionAnswer form-control">
                  <option value="">Please select..</option>
                  <option value="1">Best practice</option>
                  <option value="2">OK (consistent)</option>
                  <option value="3">Not OK (Inconsistent)</option>
                </select>
              </div>
              <div class="form-group col-sm-6">
                <textarea id="audit_form_auditQuestions_10_comment" name="audit_form[auditQuestions][10][comment]" required="required" class="questionComment form-control"></textarea>
              </div>
            </div>
            <div class="questionPanel" data-index-collapse="12" style="display: none;">
              <div class="form-group col-sm-12">
                <strong>WCF</strong>
              </div>
              <div class="form-group col-sm-3">
                <select id="audit_form_auditQuestions_11_answer" name="audit_form[auditQuestions][11][answer]" class="questionAnswer form-control">
                  <option value="">Please select..</option>
                  <option value="1">Best practice</option>
                  <option value="2">OK (consistent)</option>
                  <option value="3">Not OK (Inconsistent)</option>
                </select>
              </div>
              <div class="form-group col-sm-6">
                <textarea id="audit_form_auditQuestions_11_comment" name="audit_form[auditQuestions][11][comment]" required="required" class="questionComment form-control"></textarea>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <button type="button" id="audit_form_save" class="btn btn-primary btnSave btn" formnovalidate="formnovalidate">Save</button>
  <button type="button" id="audit_form_close" class="btn btn-success btnSaveClose btn" formnovalidate="formnovalidate">Save &amp; Close</button>
  <input type="hidden" id="audit_form__token" name="audit_form[_token]" value="V7tWTG2MkXTQrQtyI38dEMsQoE_tOkB5n1vXtlFCDtA">
</form>

Text Content

SAFE VISIT REPORT

Date:
Area visited:
Report Author (Supervisor):
e-mail addres:

Safe visit Team:
Number of People involved:
Group responsible for the work/activity area:
Activities observed:


1. LEADERSHIP AND COMMITMENT

Are the workers are aware about PTW, LMRA, etc.
Please select..Best practiceOK (consistent)Not OK (Inconsistent)



2. TRAINING

Are the workers inwolved aware of LMRA, Stop Work Authority, etc.
Please select..Best practiceOK (consistent)Not OK (Inconsistent)



3. ZONING

Are there suficient signs for work zones, communication routes etc.?
Please select..Best practiceOK (consistent)Not OK (Inconsistent)



4. BARRICADES

Is the site area properly fenced and protected? Are there warning signs at the
entrance and outside the working area?
Please select..Best practiceOK (consistent)Not OK (Inconsistent)N. A.



5. PPE

Are proper PPE in place? Are workers aware of the usage and assessment of the
condition of PPE?
Please select..Best practiceOK (consistent)Not OK (Inconsistent)



6. EXCAVATION

Are there excavation properly protected (entrance, guards and hard barricades
are installed and fall protection is provided as required, etc.)?
Please select..Best practiceOK (consistent)Not OK (Inconsistent)N. A.



7. SCAFFOLDING AND OTHER ACCESS

Are ladders, scaffolds and their access ways comply with international
standards? Staircases should be the first option for access. Where ladders are
used, access ladders must extend at least 92cm (3 feet) over any landing or
scaffold platform. Swing gates or other barrier means must be used at the entry
points to prevent falls.
Please select..Best practiceOK (consistent)Not OK (Inconsistent)N. A.



8. HOUSEKEEPING

Is waste management is properly organized on the site? First Aid Kit is in place
and signed? Is the site is organized in line with HASP? Are stairways,
passageways, ladders, scaffold and gangways free of material, supplies and
obstructions?
Please select..Best practiceOK (consistent)Not OK (Inconsistent)



9. ARE THERE HIGH RISK ACTIVITIES CARRIED ON THE SITE?

Are all risks included in PTW documentation? Are all controls in place? Is PH
aware of all risks and controls
Please select..YesNo


PTW
Please select..Best practiceOK (consistent)Not OK (Inconsistent)

JHA
Please select..Best practiceOK (consistent)Not OK (Inconsistent)

WCF
Please select..Best practiceOK (consistent)Not OK (Inconsistent)

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