Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Excavations
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Is safe digging practices being observed
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Are exposed services suitably supported/protected
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Is protection provided to prevent falls into excavation
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Excavations suitably supported and safe access/ egress provided
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Other comments
Vehicle/welfare
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Is the vehicle clean and tidy. <br><br>
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Are wash facilities suitable
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Is there any sign of damage/ Faults
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Are toilets in good order and well stock
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Are first aid provision available and suitable for task
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Fire extinguishers available and in good order
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Other comments
Administration/Documentation
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Are risk assessments produced for task.
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Is a task method statement developed and briefed
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Is a permit to work in place and authorised
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Is there a lift plan in place is it suitable for task
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Are service/utilities drawings available and current issue
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Do operatives hold appropriate competency/training cards and up to date
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Other comments
Personal Protective Clothing
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Are operatives wearing appropriate PPE /RPE and is it in good order
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Is disinfection equipment available
Plant and Equipment
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Are electrical tools appropriate for task and in good order with P.A.T. Identified
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Lifting equipment in good order and with in date examination certificate
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CAT & Genny in good order and with in date calibration
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Is plant and equipment in good order
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Service/Mains fittings being stored in appropriate manner and in clean condition
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Other comments
General site/ work activities
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Are COSHH materials being used/stored appropriately and COSHH assessments available and in date
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Protection to and from public- are measures implemented to ensure adequate protection.
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Work at height - is work at height being conducted in safe manner with appraise controls in place.
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Traffic management - barriers/ signage in good order and appropriate to task in accordance with chapter 8 NRSWA
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Other comments
Environment
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Housekeeping - site in good order with waste disposed correctly . Slip/trip hazards identified and controlled.
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Is spill kit/ equipment available and in good order
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Is the site free from spills/ leaks
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Are sensitive areas nearby identified and suitable protection provided
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Is there suitable lighting provided for task.
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Other comments
Additional Comments
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Any additional issues or good practices identified
Signatures
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Site operatives/manager/supervisor
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Auditor/inspected by