Title Page

SITE / JOB DETAILS

  • Date of inspection

  • GANG

  • Vehicle registration Number

  • Address
  • Location

  • County

  • AMEY order numer

  • Are courtesy boards set out?

  • Is site specific risk assessment valid?

  • If required by location do operatives have NRSWA accreditation ?

  • Do operatives carry EUSR safe digging cards?

  • Are visitors inducted by ganger / team leader?

  • Are ID cards carried by operatives?

  • Additional comments

GENERAL SAFETY CHECKS

  • PPE Worn?<br>Helmet,high viz, safety footwear, risk assessed other as required

  • Utility drawings available ?

  • Services identified and marked?

  • CAT and genny 4 on site and in use?

  • Operatives have Leptospirosis cards?

  • Suitable site access and egress where required

  • Operatives aware of accident/ hazard reporting procedure?

  • In date gang pack on site?

  • Is the Health, Safety and Environment pack available and at correct issue status?

  • Additional comments

PLANT AND EQUIPMENT CHECKS

  • Plant stored safely away from excavation ?

  • Plant suitable for operation?

  • Plant in good condition

  • Suitable straps available to secure excavator on trailer

  • Operatives trained and competent to use plant on site ?

  • Dust suppression available?

  • Test, inspection, calibration certificates available?

  • All plant within service / calibration date

  • Additional comments

EXCAVATIONS

  • Excavation shored where required by depth / conditions?

  • Materials stored in safe location away from watercourse / drains

  • Operatives trained in trench support?

  • If temporary works are required is design available

  • Is inspection regime in place

  • Is suitable access / egress available

  • Has check been carried out to ensure excavation does not undermine any structures?

  • Is methodology and plant suitable for works being carried out?

  • Are siting services / ducts correctly supported?

  • Is there adequate edge protection in place

  • Is spoil stored sufficient distance from excavation ?

  • If heras fencing is required and used is it double clipped?

  • Is deep excavation signage in place on site?

  • Additional comments

WELFARE AND HYGIENE

  • Are team / gang aware of public convenience location?

  • Are wash facilities / wipes available onsite

  • Are there adequate drinking water facilities on site

  • Additional comments

STREETWORKS

  • Are correct barriers / signs set up ?

  • Is all plant / equipment inside barriers?

  • Sandbags used where necessary?

  • Are pedestrian walkways suitable and fit for purpose?

  • Are kerb ramps if used fit for purpose and secure?

  • If used are footway boards fit for purpose?

  • If traffic lights are used are they correctly set up ?

  • Are stop / go boards available if required ?

  • Are materials / spoil / stores correctly guarded?

  • Is there an information board on site ?

  • Are vehicles parked considerately ?

  • Is there a copy of the street works red book on site?

  • Additional comments

VEHICLE

  • Are vehicle and trailer tyres in roadworthy condition?

  • Is the driver correctly trained / certificated to drive vehicle and or tow if required.

  • Is there a fitted and working flashing beacon on plant / vehicle

  • Are vehicle defects recorded and has depot been advised of defects?

  • Are keys removed from vehicle when not in use and is vehicle secure when not in use?

  • Are all loads secure and covered where necessary

  • Is windscreen free from damage

  • Does vehicle appear overloaded?

  • Additional comments

CONFINED SPACE ENTRY

  • Is there a charge, calibrated and in date gas detector on site?

  • Has atmosphere been tested prior to entry?

  • Are operatives trained for confined space entry?

  • Is there sufficient light for the working area?

  • Are tools and equipment suitable for the working environment and maintained / tested / calibrated?

  • Is there safe access and egress?

  • Is there suitable ventilation?

  • Additional comments

CUSTOMER

  • Has customer impact been assessed?

  • Has customer been informed of the works?

  • Does site project the correct image?

  • Additional comments

EMERGENCY ARRANGEMENTS

  • Are there an adequate number of first aides on site?

  • Is the fire extinguisher in the vehicle serviced yearly?

  • Is there a suitable first aid box with eye wash on site?

  • Additional comments

ENVIRONMENTAL

  • Are chemicals and fuels stored in bunds and prevented from accidental damage?

  • Is spoil stored to prevent risks to watercourses?

  • Is a spill kit available on site?

  • Is there adequate storage for hazardous substances?

  • Is noise kept to a minimum?

  • Is dust suppression carried out to reduce dispersion?

  • Is care taken to prevent damage to tree roots ?

  • Is waste segregated and stored correctly?

  • Additional comments

COMPANY IMAGE

  • Are all operatives wearing correct corporate or non badged PPE ?

  • Is clothing in acceptable condition?

  • Is clothing reasonably clean and visible?

  • Is vehicle clean, tidy, displaying correct livery and free from damage?

  • Have any customer queries been resolved?

  • Is there a physical barrier between cab and rear of vehicle

  • Additional comments

  • Inspected by:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.