AMS East (Ryan Ward) - Fully loaded

• AMS job number:

• Organisation Unit:

  Select AMS/East Hub AMS/West Hub AMS/Central Hub AMS/North Hub Construction

  • AMS/East Hub
  • AMS/West Hub
  • AMS/Central Hub
  • AMS/North Hub
  • Construction
• Audit location:
  Address

• Specific Location:

• Date Audit Completed:

  Date

Contractor Details:

• Contractors:

• Contractor Site Manager:

Scope of Audit:

• What's in Scope:

• What's out if Scope:

SHE001 Close Out:

• SHE001 Close Out: Have actions from SHE inspections / audits from the previous month been closed out as agreed?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

SHE002 Documentation:

• SHE002: Is the Construction Phase Plan available at site and up to date?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• DOCS.001: Is the environmental control plan available at site and up to date?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.002: Is the quality management plan available at site and up to date

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.003: Is there a F10 in place and a copy on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.004: Are valid insurance certificates available?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.005: Are current health safety and environmental policies available and displayed where applicable?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.006: Are emergency arrangements in place and clearly displayed where applicable?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.007: Is there a robust mechanism in place for receiving UU issued alerts / bulletins on site?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• DOCS.008: Is there a robust mechanism in place for communicating UU issued alerts / bulletins on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.009: Have recentUU issued alerts / bulletins been communicated as applicable?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.010: Has a temporary works coordinator been appointed and is there evidence of this on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.011: Has the ISP been updated as required?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• DOCS.012: Are ID Card(s) available if required and in date? (I.e. Company, UU role specific only)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE003: Training/ Competence: Are inductions taking place and are they adequate. Do

• SHE003 Training / Competence: Are inductions taking place and are they adequate. Do workers hold appropriate CSCS/NRSWA or relevant cards?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
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  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• TCs.001: Have on site staff received a site/ contract specific and environmental induction (where applicable) and is there evidence of this i.e. A record on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.002: Are all visitors receiving the UU standard visitors induction and is there evidence on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.003: Do all site operatives hold a current base level competency card? (CSCS / SHE etc)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.004: Do all plant operators hold valid mobile plant card(s) / certification? (I.e. Excavators / dumpers / rollers / lorry loader / crane - CPCS /NPORS, PAL/iPAF and ALLMI where applicable)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.005: Do personnel involved in safety at street/ road works operations hold a valid NRSWA card(s) / correct level / correct modules / units.

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.006: Do all personnel involved in lifting operations hold valid lifting operations cards/ certification?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.007: Where applicable has a competent person been appointed for lifting operations?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.008: Are personnel involved in banks-man / signaller duties appropriately trained?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.009: Do all personnel involved with confined space operations hold valid confined space cards / certification, City & Guilds where applicable.

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.010: Do all personnel involved in restricted operations hold a valid EUSR National Water Hygiene card / cover note?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.011: Has scaffold erection, modification, inspection and dismantling been carried out by a qualified person? (CISRS, PASMA, NASC)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.012: Do all personnel involved in driving operations hold the correct valid driving licence for the vehicles they are driving and towing?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.013: Has the person responsible for selecting the size / type of MEWP attended a MEWP for managers course? (Eg IPAF or equivalent)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.014: Is there a robust mechanism in place for checking on- going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TCs.015: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE005: Welfare

• SHE005 Welfare Arrangements: Are adequate welfare facilities available? (Clean, tidy and well lit, including the office area)

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
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  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• WELL.01 : Are toilets readily available and are they kept clean and properly lit?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL.02: Are there washbasins, hot and cold (or warm) running water, soap and towels?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 003: Are the washbasins large enough to wash up to the elbow and are they kept clean?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 004: Is there somewhere to change, dry and store clothing

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 005: Are drinking water cups provided?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 006: Is there a place where workers can sit, make hot drinks and prepare food which is readily available, clean and hygienic?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 007: Can everyone who needs to use them get to welfare facilities easily and safely?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 008: Are welfare facilities kept warm and well ventilated?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 009: Adequate Smoking / No Smoking facilities / procedures?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 010: Is there evidence that the work force is maintaining a good standard of occupational health? (e.g. hand washing, clean / serviceable PPE, not eating / drinking / smoking whilst working).

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WELL. 011: Is there evidence that the electrical installation for the welfare facilities have been deemed suitable by a competent person?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE006: Protecting Public

• SHE006 Protecting Public: Are adequate safety and security measures in place to protect the public?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
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  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• PPUB.001: Is there adequate perimeter protection and signage in place? (Meet with HSG151)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPUB.002: Is there suitable segregation of work activities and the public?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPUB.003: Are there measures to prevent access by unauthorised persons to site at all times?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPUB.004: Has consideration been given to pedestrian safety including positioning / movement of plant path and sweep?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPUB.005: Have all barriers been erected in the proper manner and encompass all works? (including plant, spoil, materials etc.)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPUB.006: Is an information / courtesy boards displayed on site showing the correct information and phone number(s)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE007: Risk Assessment / Method Statements

• SHE007 Risk Assessment / Method Statements: Are Risk Assessments / Method Statements in place and are they being worked too?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
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  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• RAMS.001: Are RAMS in place for all current activities?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• RAMS.002: Select RAMS(s): Is RAMS Site Specific, correctly completed with all significant hazards and controls identified?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• RAMS.003: Select RAMS(s): Are RAMS approved, authorised, current and reviewed at appropriate intervals?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• RAMS.004: Are current RAMS briefed out and recorded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• RAMS.005: Are RAMS being adhered to?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE008 Permits:

• SHE008 Permits: Are UU Work Authorisation procedures being complied with?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• PERM.001: Where relevant is there a UU Access or Transfer certificate in place specific to the location / type of work being carried out??

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PERM.002: Are all the significant hazards identified and associated control measures documented?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PERM.003: Is the Work Authorisation Certificate signed and dated by all duty holders?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PERM.004: Where there is an Transfer Certificate in place, is the contractor / partner using a permit to work system to control high risk?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PERM.005: Where there is an Access Certificate in place, is the contractor / partner using a permit to work to control high risk activities (either UU Permit To Work or where agreement has been reached with the Person Coordinating the Work using their own permits)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PERM.006: Are the conditions of the permit being adhered to?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE009 Confined Spaces:

• SHE009 Confined Spaces: Are adequate controls in place to manage confined space work?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• CONF.001: Are adequate task specific RAMS in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.002: Are adequate permits in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.003: Are emergency procedures in place including self-rescue? (refer to risk assessment)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.004: Are current RAMS, permits and emergency procedures briefed out and recorded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.005: Do all personnel involved in confined space operations hold valid confined space card(s) / certification?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.006: Is there an adequate gas detection system in place and in good working order and calibrated?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.007: Is suitable access / egress maintained including winches, harnesses, man-rider, ladders etc. and with evidence of inspection?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.008: Is suitable breathing apparatus / escape set(s) available, charged, in good working order and in test date?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.009: Is compliance with the RAMS, permits and emergency procedure(s) requirements being adhered to?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.010: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• CONF.011: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE010 Excavations:

• SHE010 Excavations: Are Excavations safe from collapse and have they adequate access egress and edge protection?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• EXCV.001: Are adequate task specific RAMS in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.002: Are adequate permits in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.003: Are adequate temporary works design in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.004: Are excavations safe from collapse - supported using a proprietary method and / or sides battered, in accordance with method statement / temporary works design, taking into account the stage of works and surcharge?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.005: Is there adequate access and egress to/ from the excavation?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.006: Are there adequate measures in place to prevent people, plant and material from falling in to excavations?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.007 Is the stability of any adjacent structures being put at risk?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.008: Are exposed services undamaged, adequately protected / supported?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.009: Is the excavation and shoring work being undertaken and / or supervised by trained and competent person(s) in this sort of work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.010 Are required statutory inspections being carried out and documented appropriately?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.011: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• EXCV.012: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE011 Services:

• SHE011 Services: Are appropriate steps being taken to avoid damage to underground and overhead services?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• SERV.001: Are adequate task specific RAMS in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.002: Are adequate permits in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.003: Are suitable and sufficient utility plans available on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.004: Is the workforce trained and competent in using cable locating equipment?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.005: Is there evidence the workforce can interpret all relevant information?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.006: Is cable location equipment (inc accessories) available on site and in good working order and within calibration, where relevant? (check dates of CAT and Genny calibration)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.007: Has the work area been surveyed and all existing utilities locations marked accurately? (where applicable)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.008: If there is a MAHP within the work area is there evidence that the workforce are aware of this?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.009: Are you working to an agreed SSW that covers the requirements of the MAHP owners?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.010: Is there provision for avoidance of overhead lines if applicable?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.011: Is a safe system of work being adhered to?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.012 Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SERV.013: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE012 Working at Height:

• SHE012 Working at Height: Are adequate controls in place to manage working at height?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Photos:

  Media

• Action:

• Add Notes:

Additional Questions - if not required move to next section

• WAH.001: Are adequate task specific RAMS in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.002: Have the principals of prevention been applied when conducting the task specific RAMS?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.003: Are adequate permits in place where appropriate?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.004: Are emergency / rescue procedures in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.005: Are current RAMS, permits and emergency procedures briefed out and recorded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.006: Is there evidence of compliance with RAMS, permits and emergency procedures requirements?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.007: Are persons working round temporary openings (e.g. open manholes, deep excavations and access to shafts) protected from falling?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.008: Is the appropriate access, fall arrest / restraint, fall prevention equipment (e.g. MEWP, scaffold, harness, lanyards, fall arrest blocks, work positioning restraints, karabiners and hooks, barriers / edge protection) readily available?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.009: Is the access, fall arrest / restraint, fall prevention equipment (e.g. MEWP, scaffold, harness, lanyards, fall arrest blocks, work positioning restraints, karabiners and hooks, barriers / edge protection) in good condition?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.010: Are statutory inspections being carried out and documented appropriately?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.011: Are scaftags in use and up to date?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.012: Has scaffold erection, modification, inspection and dismantling been carried out by a qualified person? (CISRS, PASMA, NASC)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.013: Is there evidence of competency in the use of powered access equipment (observe the operation if possible)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.014: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAH.015: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE013 Traffic Management Plan (TMP):

• SHE013 Traffic Management: Is an appropriate Traffic Management Plan (TMP) in place, and is it being followed?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• TMP.001: Is traffic management on site as per the arrangements within the Construction Phase Plan?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.002: Has traffic management been planned to eliminate reversing where practical?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.003: Are all personnel briefed on the current Traffic Management Plan?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.004: Are vehicle and pedestrian movements segregated?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.005: Are vehicle and pedestrian routes clearly signed?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.006: Are vehicle and pedestrian routes well lit, so that drivers and pedestrians can see each other?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.007: Are vehicle and pedestrian routes being adhered to?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.008: Are vehicle and pedestrian routes clear of obstructions such as plant, excavations or scaffolds?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.009: Are structures (temporary and permanent) protected from being struck by moving vehicles?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.010: Are vehicles prevented from accessing close to the edge of excavations?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.011: Where traffic routes pass close to the edge of an excavation, embankment or other drop, is the edge of the roadway supported where necessary and has a suitable barrier been provided to prevent vehicles running off the roadway?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.012: Is there appropriate segregation around slewing plant to prevent access to the danger zone during operation?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.013: Are all routes regularly inspected and well maintained? (minimising potholes, ruts, debris and other obstructions)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.014: Are any diversions clearly marked on site and in the Traffic Management Plan?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.015: Where necessary are all vehicle / plant movements under the control of a banksman? (what is the Principle Contractor policy - by risk assessment, where pedestrians and vehicles use the same routes, where there are multiple vehicle movements in the same area etc)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.016: Are all vehicles / plant operating with visual beacon, audible alarm and / or CCTV when moving / reversing?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.017: Are the correct size and type of plant in use for tasks identified on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.018: Are deliveries to site appropriately managed?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.019: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• TMP.020: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE014 Site Vehicles / Plant

• SHE014 Site vehicles / plant: Are plant / site vehicles (i.e. Liveried vehicles) checks being undertaken as required and are they free from obvious defects?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• SVP.001: Have regular plant / work equipment inspections been carried out and recorded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.002: Have identified defects been managed and rectified in an appropriate time scale?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.003: Do plant operators hold valid mobile plant card(s) / certification? (i.e. Excavators / Dumpers / Rollers / Lorry Loader / Crane - CPCS / NPORS and ALLMI where applicable)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.004: Are vehicles safely loaded, including attachments with loads secure?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.005: Are all ignition keys removed from vehicles and plant when not in use and are vehicles/ plant left secure?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.006: Where a restraint system / seat belts are required, are they fitted and are they in good condition?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.007: Where a restraint system / seat belts are required, are they being worn?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.008: Is there evidence of competency in the use of vehicle / plant? (observe the operation if possible)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.009: Is the excavator / lifting device suitable for the particular task or operation?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.010: Do all vehicles and plant bodies and structures appear to be in safe condition? (including guarding, pins etc.)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.011: Do all hoses appear (including high pressure, hydraulic, pneumatic) to be in good condition? (i.e. free from visible damage)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.012: Are whip checks in place on hydraulic and pneumatic hoses?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.013: Are all devices fitted for safety, including emergency stop buttons, intact and functioning correctly?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.014: Are all vehicles / plant operating with visual beacon, audible alarm and / or CCTV when moving / reversing?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.015: Does the operator have all round visibility when operating site vehicles / plant? (i.e. mirrors, windows, CCTV, banksman)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.016: Can the machine operator demonstrate familiarity and competence with the quick hitch safety requirements?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.017: Where a Roll-Over Protection Structures (ROPS) has been fitted, is the frame properly locked in it's normal working position and in good condition?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.018: Is the operator of a dumper in a safe position when the dumper is being loaded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.019 Are the correct size and type of plant in use for tasks identified on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.020: Is there evidence that portable electrical appliances are in good condition?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.021: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SVP.022: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE015 Housekeeping:

• SHE015 Housekeeping: Is the site tidy, with slip and trip hazards being managed

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• HOUSE.001: Are site walkways / access routes free from defects and obstructions which could cause slips, trips and falls?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.002: Are site working areas free from defects and obstructions which could cause slips, trips and falls?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.003: Are lay down / storage areas free from defects and obstructions which could cause slips, trips and falls?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.004: Are site welfare facilities free from defects and obstructions which could cause slips, trips and falls?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.005: Are site car parks and access to site cabins (including stairways) free from defects and obstructions which could cause slips, trips and falls?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.006: Are there sufficient storage facilities on site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.007: Are site storage facilities (including containers / lay down areas) safe, secure, tidy and well maintained?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.008: Are site welfare facilities (including toilets, drying room, canteen etc) safe, secure, tidy and well maintained?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.009: Are site waste management facilities (including skips, bins, wheel wash areas etc) safe, secure, tidy and well maintained?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.010: Are site offices safe, secure, tidy and well maintained?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.011: Is timber or other material free from projecting nails (or similar sharp objects) which may be a source of danger to any person?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HOUSE.012 Is the site free from litter?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE016 COSHH: Are harzardous substances being Risk assessed and stored and used in accordance with the assessment?

• SHE016 COSHH: Are hazardous substances being risk assessed and stored and used in accordance with the assessment?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• COSHH.001: Have hazardous substances (including asbestos) on site been identified and documented?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.002: Are adequate assessments in place for identified substances?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.003: Are current assessments briefed out and recorded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.004: Are hazardous substances stored correctly as per controls in the assessment?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.005: Are hazardous substances used in accordance with the assessment? (verify with user)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.006: Are hazardous substances used in accordance with the assessment? (verify with user)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.007: Where health surveillance has been identified as a control measure - have relevant personnel been identified and included within the health surveillance programme?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.008: Where necessary (including asbestos control area etc) are non-authorized personnel prevented from accessing the area?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.009: Where necessary is a licensed contractor undertaking work associated with asbestos?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.010: When working with cement, is there evidence that precautions are in place to prevent contact with the substance?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.011: If the site is excessively dusty, is this being controlled?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.012: Where dust is generated is a suitable damping down process in use?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.013: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• COSHH.014: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE017 Health Hazards:

• SHE017 Health Hazards: Is noise and vibration being suitably controlled?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• HHAZ.001: Are adequate assessments in place for noise?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.002: Are adequate assessments in place for vibration?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.003 Are current assessments for noise and vibration briefed out and recorded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.004: Is noise and vibration monitoring being undertaken as required?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.005: Are hazardous areas suitably signed?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.006: Where necessary (asbestos control area, hazardous noise area etc) are non-authorized personnel prevented from accessing the area?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.007: Has the work been adequately planned and risk assessed to identify most relevant control measures? (e.g. super silent tools, reduction / elimination / substitution of hazards in design)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.008: (Observe an individual working on site) Can the individual identify the hazards associated with the task and do they know what controls should be / are in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.009: Where dust is generated is a suitable damping down process in use?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.010: Are relevant personnel subject to regular health surveillance?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.011: Is all plant and equipment (including hand tools) well maintained, inspected and in good working order?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.012: Can operatives using vibrating / noisy tools and equipment identify the tools exposure limits?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.013: Is PPE / RPE in use appropriate to the task and is it as per the risk assessment?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.014: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• HHAZ.015: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE018 Lifting Equipment and Operations

• SHE018 Lifting Equipment and Operations: Are adequate controls in place to manage Lifting Equipment and lifting operations?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• LIFT.001: Are adequate task specific lifting plans in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.002: Are emergency procedures in place including self-rescue? (refer to risk assessment)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.003: Are current lifting plans and emergency procedures briefed out and recorded?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.004: Is there evidence on site of thorough examination for all lifting appliances and accessories?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.005: Is there evidence on site of regular inspections for all lifting appliances and accessories?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.006: Do personnel selected for Appointed Person duties hold a valid card / certificate?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.007: Do all crane operator(s) / driver(s) hold a valid operator(s) card / certification?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.008: Are personnel involved in banksman / signaller duties appropriately trained?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.009: Is the crane / lifting device suitable for the particular task or operation?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.010: Is the crane / lifting device on a firm, level base and are the riggers properly set?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.011: Is the load secure?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.012 : Are arrangements in place to make sure the crane operator can see the load or a banksman is provided to help?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.013 : Are arrangements in place to prevent people from walking / working underneath a raised load?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.014: Is the lifting plan(s) being adhered to?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.015: Are straps / slings in an acceptable condition (i.e. not damaged, cut, abraded or stretched and suitably stored)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.016: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• LIFT.017 : Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE019 Fire / First Aid

• SHE019 Fire / First Aid: Are suitable first aid and Fire arrangements in place (including competent persons, equipment, cover for absence etc)

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• FFA.001: Has a fire risk assessment been undertaken?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.002 : Are there emergency procedures for evacuating site in case of fire or other emergency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.003 Do people on site know what the emergency procedures are?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.004: Is the quantity of flammable materials, liquids and gases on site kept to a minimum?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.005: Are the flammable materials, liquids and gases on site properly stored?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.006 : Is smoking and other ignition sources banned in area where flammables are stored or used?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.007: Are suitable fire extinguishers provided?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.008: Are there designated fire extinguisher points and muster points indicated by signs?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.009: Are fire safety arrangements inspected on a regular basis? (i.e. weekly)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.010: Is there adequate first aid provision? (numbers, location and cover for absence)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.011 :Where first-aiders have been provided in the workplace, is a valid certificate available in either First Aid at Work (FAW) or Emergency First Aid at Work (EFAW)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.012: If it is decided a first-aider is not required in the work place, has a person been appointed to take charge of the first aid arrangements?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.013: Are first aid provisions maintained, suitably marked and easily accessible including emergency eyewash?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.014: Is the team aware of the procedure for accident / near miss / hazard reporting?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.015 Is a route to the nearest A and E hospital been produced and clearly displayed?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.016: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• FFA.017: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE020 Reporting:

• SHE020 Reporting: Are accidents, incidents and hazards being reported?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• REPO.001: Do you have a process for reporting accidents?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• REPO.002: Do you have a process for reporting near misses / hazards?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• REPO.003: Are site personnel aware of the process for reporting accidents, near misses and hazards?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• REPO.004: Is positive action taken to investigate reported issues?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• REPO.005: Are actions identified from the investigated issues closed out in a timely manner?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• REPO.006: Are issues arising from the investigation communicated back to the workforce?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• REPO.007: Are you aware of the process of reporting (potential) RIDDOR incidents to UU?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Actions:

SHE021 Environmental Controls:

• SHE021 Environmental Controls: Are ecological and nuisance Environmental Controls being managed effectively??

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• ENVC.001: Where areas are to be protected or avoided, is it adequate (in accordance with BS5837 and planning conditions where applicable) with the correct fencing in place, and any damage logged? (e.g. easements through livestock fields, trees and hedgerows, endangered flora / fauna habitats / SSSI's, Special Protection Area, Ramsar, invasive species and dry stone walls and archaeological)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• ENVC.002: Is there adequate biosecurity measures / arrangements in place for invasive non-native species?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• ENVC.003: Are adequate measures taken to prevent dust, mud, air, noise and vibration issues i.e. dampening down, use of road sweepers, switching off plant etc and free of excessive exhaust emissions and meeting planning condition hours?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• ENVC.004: Is the site tidy (including roads and footways) and is it well managed? (i.e. litter / cigarette butt free, etc)

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• ENVC.005 Are vehicles parked considerately, away from drives / access / drains / gulley's / grass verges?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• ENVC.006 Is plant, equipment and materials stored securely, off private land / not leaning against any walls / fences?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• ENVC.007: Are employees considerate to the public keeping noise and vibration to a minimum, switching off plant etc and free of excessive exhaust emissions?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• ENVC.008: If planned work is being undertaken out of hours, have residents, businesses and the local council been informed?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• ENVC.009: Is there a robust mechanism in place for checking on-going competency?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• ENVC.010: Do individuals on site display the right behaviour when carrying out the work?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Actions:

SHE022 Waste:

• SHE022 Waste & Resource Management: Are wastes and resources being effectively managed on site (including Waste documentation)?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• WAST.001: Has a Site Waste Management Plan (SWMP) been produced, implemented and maintained on the project where applicable?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.002: Have checks been made to ensure that the Waste Carrier and disposal site (including exemptions) is properly licensed in accordance with the Duty of Care (DoC) Regulations?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.003: Are all waste transfer notes being completed correctly for all waste streams?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.004: Is all hazardous waste documentation correct including hazardous waste consignment note/s (HWCN), quarterly returns and hazardous waste registration (where applicable)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.005: Has hazardous waste and non hazardous waste been correctly segregated and stored with signage?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.006: Are WRAP certificates on site for recycled aggregate brought onto site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.007: Have Exemptions been applied for to allow waste materials to be brought onto site?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.008: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• WAST.009: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE023 Pollution Prevention:

• SHE023 Pollution Prevention: Are effective measures in place to prevent contaminations to land or water, and are environmental consents / licenses being adhered too?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

  Media

Additional Questions - if not required move to next section

• POLL.001: Are all chemicals and fuel on site correctly stored in a suitable bund (i.e. in good condition, 110 percent capacity, away from collision risks and watercourses, locked (safely contained) and refuelling nozzles being stored inside the bunded area etc)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.002: Are drip trays / plant nappies being used on site where required, and are they being maintained (e.g. free from rain water)?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.003: Are operatives competent to deal with an environmental incident (check team's understanding of how the work impacts on the environment and on the local community) and are adequate emergency arrangements (spill kits) in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.004: Have spills / leaks been adequately managed?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.005: Where necessary is a concrete washout facility provided and is it correctly used and maintained?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.006: Is pollution being prevented from entering rivers, streams, ditches and drains? (e.g. use of settlement tank(s), silty water pumped on to grass, utilising sand bags / straw bales etc.)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.007: Where consents are in place (e.g. Trade effluent, Flood Defence Consent (FDC), Discharge consent, Marine Management Organisation (MMO) etc.) are sufficient control measures in place and monitored?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.008: Are stockpiles of excavated material controlled to prevent silty run-off into environmentally sensitive receptors? (Materials should be stored at least 10 meters away from a watercourse)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.009: If over pumping has been set up, has a risk assessment and method statement been prepared?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.010: Are over pumping operations being undertaken in accordance with the risk assessment and method statement?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.011: Is all plant, vehicles, equipment and materials free from leaks and positioned away from drains, watercourses, grass verges?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.012: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• POLL.013: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Actions:

SHE024 PPE:

• SHE024 PPE: Is all required PPE available, in good condition and being worn where applicable?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

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Additional Questions - if not required move to next section

• PPE.001: Could engineering controls and safe systems of work have been better considered first to rid the hazard rather than use PPE?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.002 : Are all operatives on site complying with the PPE stated in the site rules?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.003: If specific PPE has been identified by the RAMS, is it being worn?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.004: Is the PPE being used in good condition and fitted correctly to the wearer?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.005: If more than one item of PPE are used together, are the different items of PPE compatible with each other to ensure that they continue to be effective against the risks?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.006: Is the choice of PPE correct for the particular risks involved and for the circumstances of its use?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.007: If users are allergic to or sensitised by PPE materials, are alterative solutions available to them?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.008: Is appropriate accommodation available for the storage of PPE to prevent damage, contamination or loss?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.009: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• PPE.010: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

SHE025 Signing Lighting and Guarding:

• SHE025 Signing Lighting and Guarding: Are all requirements in place and followed including the Safety at Street Works and Road Works Code of Practice?

  Select Best Practice Fully Minor Partially Little Evidence N/A

  • Best Practice
  • Fully
  • Minor
  • Partially
  • Little Evidence
  • N/A

• Action:

• Add Notes:

• Photos:

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Additional Questions - if not required move to next section

• SLG.001 Have men at work, road narrows and direction arrow signs been placed the correct way, clearly visible and at correct distances in all required directions?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.002: Are all signs, barriers and cones clean, in a good condition and fixed to prevent them from being blown over or out of position by wind or passing vehicles?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.003: Is an Information / Courtesy board displayed at every street works site, showing the correct information and phone number?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.004: Has an appropriate Safety Zone been provided to protect the workforce from traffic and to protect traffic from the workforce?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.005: Has an appropriate lead-in and exit taper been established and appropriate where required?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.006: Have all barriers been erected in the proper manner and encompass all works? (including plant, spoil, materials etc.)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.007: Is all unused SLG equipment being stored safely and unobtrusively and not causing obstruction or trip hazard?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.008: Is there a copy of the Safety at Street Works and Road Works on site for guidance on principles that must be followed?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.009 Has the minimum unobstructed width of the road past the works meet the correct criteria?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.010: If a positive traffic control is being used, is there evidence notification has been given from the relevant statutory authority for 2 way lights and has authorisation been received if using 3 or 4 way lights?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.011: If any special signing is required, is it being displayed and in good condition? (i.e. traffic control, high pressure jetting in progress, ramp ahead, delays possible, mobile works etc.)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.012: Are all vehicles positioned correctly and safely with the correct traffic barriers and cones in place as required?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.013: Are all road plates made of suitable material with an appropriate skid resistant surface, in good condition, rigidly secured to the road surface and either sunk into the surface or suitably ramped with a bitumastic material?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.014: Are all the footway boards in use in a good condition, have chamfered edges and a slip resistant surface, rigidly fixed in place with sufficient length beyond the excavation to provide the necessary support?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.015: Is a minimum usable footway width of 1.2 metres being maintained or has an alternative safe temporary route been provided for pedestrians including suitable footway ramps where required for negotiating kerbs safely?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.016: Are all road closures clearly marked and diversions clearly signed? (Checks must be made ensuring that signs, lighting and guarding have not moved, missing or become damaged or dirty)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.017: Are adequate task specific RAMS in place?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.018: Do site vehicles meet the correct basic requirements where applicable? (i.e. beacons / light bars and chevron markings etc.)

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.019: Is there evidence the railway owner has been contacted prior to any works taking place at or near a level crossing or work on a 'Road Over Rail' or a 'Rail Over Road bridge?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.020: Is an appropriate Streetworks Reference No. (i.e. Permit) displayed on site where applicable?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.021: Is there a robust mechanism in place for checking on-going competency?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• SLG.022: Do individuals on site display the right behaviour when carrying out the work?

  Select YES NO N/A

  • YES
  • NO
  • N/A

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