3CIX- Audit Civils Works

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Customer

• Activity

• Team Names

• Are all operatives aware of the Customer Life saving rules?

  Yes

  No

  N/A

• Have all operatives received the Customer project induction?

• Are Task specific RAMS, Required permits (digging/hot works?) & Point Of Work Risk Assessment available on site/completed?

  Yes

  No

  N/A

• Is there any suitable storage of PPEs provided in van?

  Yes

  No

  N/A

• Can the operative(s) demonstrate understanding of the above documents?

  Yes

  No

  N/A

• Is correct PPE for task being worn (hard hat, Hi-vis, safety footwear, gloves) and in good condition, clean, in date?

  Yes

  No

  N/A

• Is RPE/Dust mask (FPP3) being worn, in good condition, and has operative been face fit tested, and is currently clean shaven?

  Yes

  No

  N/A

• Is additional PPE requirements as detailed in RAMS being worn/used - e.g. correct standard Hi-Vis for Road type, harness etc.?

  Yes

  No

  N/A

• Is there a certified person in team for First Aid/CPR?

  Yes

  No

  N/A

• Are residents aware of work being undertaken, have they been informed - drop cards, local notices?

  Yes

  No

  N/A

• Have all the persons on site been trained (all certs/cards in date) and are they competent to carry out the work activity - Supervisor, Operative, plant operator, First aider, Traffic Management, relevant network accreditations, minimum of one NRWSA qualified?

  Yes

  No

  N/A

• Are alternative passenger/public footways arrangements are in place?

  Yes

  No

  N/A

• Supervision: Is lead Op/Sub- con supervisor on site?

  Yes

  No

  N/A

• Comments related to section B - High Risk Activities

• Do crew have correct equipment for lifting of chamber lids - roll bar, lifting keys etc?

  Yes

  No

  N/A

• Is the equipment - lifting key, roll bar etc., in good condition?

  Yes

  No

  N/A

• Are correct, legible and up to date (no older than 3 months) utility drawings available on site?

  Yes

  No

  N/A

• Have any Overhead services, High Voltage services, High Pressure Pipelines etc., been identified during pre-survey, POWRA process deeming area a `zone of intertest/Hot job' ?

  Yes

  No

  N/A

• If yes to the above, have relevant control measures been introduced?

  Yes

  No

  N/A

• Is Cat & Genny held (CAT4+), in date calibration, and used in conjunction with the stats?

  Yes

  No

  N/A

• Is GDU held, working, in good condition and within calibration, and can operative demonstrate competent to use?

  Yes

  No

  N/A

• Is work area segregated and secured with adequate barriers to prevent access by others - signed, fully guarded and clipped?

  Yes

  No

  N/A

• Is Permit to break ground completed and signed off by authorised person?

  Yes

  No

  N/A

• Has CAT been checked? -minimum standard of CAT4+ with GPS function?

  Yes

  No

  N/A

• Has Genny been checked?

  Yes

  No

  N/A

• Is C&G - Charged and Operative trained to use C&G?

  Yes

  No

  N/A

• Are all hand tools for digging activities insulated? No picks or Throw bars.

  Yes

  No

  N/A

• Has CAT been used to check excavation at regular intervals CAT4 data can be reviewed via data a download function?

  Yes

  No

  N/A

• Are items of PPE held/being used in good condition, clean, in data etc for civils for road type, RPE - has Op been face fit tested/clean shaven, Flame retardant, coveralls, eye protection for digging activities. etc.)?

  Yes

  No

  N/A

• Is there evidence of visual survey being carried out to identify presence of existing services - feeds into properties, installation of strett furniture, scarring etc.?

  Yes

  No

  N/A

• Is there evidence that sufficient amount of trial holes has been dug?

  Yes

  No

  N/A

• Does Excavation require `shoring', support (due to depth or to prevent loss of ground)?

  Yes

  No

  N/A

• Has Excavation been carried out so as not to undermine existing structures?

  Yes

  No

  N/A

• Have existing Ducts / Mains supported correctly?

  Yes

  No

  N/A

• Have Amber/Green (seat belt) beacons fitted & working correctly on plant (consisting of at least 2 independent light sources visible through 360 degrees)?

  Yes

  No

  N/A

• Are there any Confined space activities being undertaken on site?

  Yes

  No

  N/A

• Has the CS activity been detailed in task specific RAMS/SSoW?

  Yes

  No

  N/A

• Is equipment specified in RAMS/SSoW available on site (GDUs, Winch, harnesses, radios, blower etc etc)

  Yes

  No

  N/A

• Are operatives trained and competent to undertake CS activity, use equipment?

  Yes

  No

  N/A

• Does the CS RAMS/SSoW detail arrangements of what to do during an emergency situation (evacuation rescue plan)?

  Yes

  No

  N/A

• Comments related to section B - High Risk Activities - Civil Works

• Are plants/tools/equipment serviced/calibrated/PAT tested and personnel trained?

• Are any of the work streams required to access/work in close proximity/or install any electrical systems or components?

• If Yes to the above, is there a task specific RAMS/SSoW in place?

• Are the operatives trained and competent to undertake the works?

• Job pack/work instructions containing all relevant information (Permit conditions, equipment & material required, Emergency arrangements?) available on site?

• Are operatives aware of escalation process for reporting of incidents, near misses, utility strikes?

Environmental Safety Management

• Are there sufficient arrangements for waste management at site?

  Yes

  No

  N/A

• All fiber waste, optical (glass) ends shards safely contained in correct sharps container

  Yes

  No

  N/A

• Are left over material at site is properly disposed off? (Empty boxes, metal scraps, plastic)

  Yes

  No

  N/A

• Is plant, vehicle or equipment is shut down when not in use? (To cut down CO2 emissions)

  Yes

  No

  N/A

• Are all chemicals are stored safely and marked?

  Yes

  No

  N/A

• Is COSHH risk assessment in place?

  Yes

  No

  N/A

• All mechanical tools and machines are in good condition without any leak?

  Yes

  No

  N/A

Vehicle safety Management

• Is site vehicle equipped with complete and valid first aid box?

  Pass

  Fail

  N/A

• Does vehicle have correct fire extinguisher (ABC) with accurate pressure?

  Pass

  Fail

  N/A

• Are Vehicle tires in good condition? (Any wear and tear/ damage to tire)

  Good

  Fair

  Poor

  N/A

• Does vehicle have working beacons and approriate chevron markings?

  Pass

  Fail

  N/A

• Are all lights and wipers working?

  Pass

  Fail

  N/A

• Any damage to vehicle/abnormal sound/smell or leakage?

  Pass

  Fail

  N/A

Closing Comments

• Supervisor Name

• Observation/closing remarks:

• Auditor Name

• Auditor signature

  Sign