Information
-
Audit number
-
If No audit carried out give reason
- annual leave
- Sick leave
- No works on site
- Adverse weather
-
CPA Works Order No.
-
Confirm Job No.
-
Did Audit pass or fail?
-
Auditor (superintendent )
-
District
- Mendip
- Sedgemoor
- South Somerset
- Taunton
- West Somerset
-
Location
-
Audit type? Please choose
- DItching
- Grass Cutting
- Gully Emptying
- Hedge Trimming
- Jetting
- Local Drainage
- Local Footways & kerbs
- Patching
- Ploughing
- Safety Defects
-
Work Description
-
Work complete as requested on works order?
-
Quality of work in accordance with rates and spec?
-
Information Board present?
-
Site left tidy?
-
Defect notice required?
-
Please press button if Audit is Safety Defects?
-
Expected date and Time of repair
-
Actual Repair time
-
Specify days/Hours/minutes
-
Repair Type
- Permanent
- Temporary
-
If temporary specify action?
- signed
- temp fill
-
Has temporary repair been made permanent? ( if yes comment on quality, if no state reason)
Chapter 8 checks
-
Where chapter 8 is required complete the relevant boxes below
-
Chapter 8 carried out?
-
Did Chapter 8 pass or fail?
-
Where chapter 8 is required complete the relevant boxes below!
-
Signs and Lights
-
Men at Work x 2
-
Road narrows both ways
-
Blue arrows x 3
-
End of Works
-
Sandbags in use
-
Pedestrian direction
-
Red Light wait here
-
Temporary traffic signals
-
Traffic Control ahead
-
Barriers and Cones
-
Lead in taper of cones
-
Exit taper of cones
-
Safety zone (cones) if operatives working on site
-
Safety zone around temporary pedestrian footway
-
Pedestrian barriers and tapping rail against footway
-
Pedestrian barriers and tapping rail against traffic if crossing possible
-
Traffic barriers or a row of cones against traffic where pedestrians cannot cross from the opposite side of the carriageway
-
Additional Requirements
-
Footways ramps
-
Minimum one metre Footway
-
Road plates
-
Footways Boards
-
Auditor signature