Title Page

  • Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall from part of the CDM Health & Safety file.

  • Sensible Monitoring Audit Completed By:

  • Site Manager:

  • Contract Number:

  • Project Title:

  • Conducted on

General

  • Any H&S actions identified shall be entered onto Audit / Inspection Action Log and brought to the urgent attention of the appropriate personnel as soon as possible. Contractor / Project Manager to be notified of actions required / taken.

  • 1) Is there a Method Statement on site specific to the activity?<br>i.e. Rotary, Shell and Auger

  • Comments:

  • Attach any images relevant to question 1 here.

  • 2) Are copies of relevant utilities plans on site?<br>a) Are operatives aware of overhead / buried services?

  • Comments:

  • Attach any images relevant to question 2 here.

  • 3) Has the Method Statement been briefed out and signed for by all personnel?

  • Comments:

  • Attach any images relevant to question 3 here.

  • 4) Are Risk Assessments available on site relevant to hazards that will be encountered?

  • Comments:

  • Attach any images relevant to question 4 here.

  • 5) Do operatives hold the relevant qualifications?<br>e.g. British Drilling Association card for foreman; CSCS for others.<br>a) What does the Method Statement require?

  • Comments:

  • Attach any images relevant to question 5 here.

  • 6) Have all operatives been inducted by the bore hole contractor and Principal Contractor?

  • Comments:

  • Attach any images relevant to question 6 here.

  • 7) Is the latest version of the Project Emergency Arrangements available on site?<br>a) Are operatives aware of contents and procedures?

  • Comments:

  • Attach any images relevant to question 7 here.

  • 8) What are the arrangements if a hazard is found during the operation? <br>e.g. voids.

  • Comments:

  • Attach any images relevant to question 8 here.

  • 9) Is there and inspection record for the plant?

  • Comments:

  • Attach any images relevant to question 9 here.

  • 10) Are copies of relevant lifting certificates available on site?<br>E.g. for wire rope and shackle on Shell and Auger, test cert for rig

  • Comments:

  • Attach any images relevant to question 10 here.

  • 11) Are COSHH assessments available on site for the substances to be used?<br>e.g. Bentonite, grease, oil

  • Comments:

  • Attach any images relevant to question 11 here.

  • 12) Is there an adequately stocked first aid kit on site?

  • Comments:

  • Attach any images relevant to question 12 here.

  • 13) Is there a qualified first aider on site?

  • Comments:

  • Attach any images relevant to question 13 here.

  • 14) Is there an in date, charged fire extinguisher with a pin inserted?<br>a) Is it stored in a secure manner that will avoid damage / accidental discharge?<br>b) Are fire hazards present?

  • Comments:

  • Attach any images relevant to question 14 here.

  • 15) Is there an in-date C.A.T with the team?<br>a) Has it been used prior to activities?

  • Comments:

  • Attach any images relevant to question 15 here.

  • 16) Is the rig situated on level and stable ground?

  • Comments:

  • Attach any images relevant to question 16 here.

  • 17) Is the working area free from tripping / slipping hazards?<br>a) Can operative move and carry items around the site safely?

  • Comments:

  • Attach any images relevant to question 17 here.

  • 18) Are all moving parts adequately guarded?

  • Comments:

  • Attach any images relevant to question 18 here.

  • 19) If compressed air hoses are being used are they adequately secured i.e. whip-checks or screwed fittings?

  • Comments:

  • Attach any images relevant to question 19 here.

  • 20) Are all hand tools in good condition and fit for purpose?

  • Comments:

  • Attach any images relevant to question 20 here.

  • 21) Are there any manual handling hazards which could be avoided?

  • Comments:

  • Attach any images relevant to question 21 here.

  • 22) Is adequate PPE available on site?<br>(Helmets, Eye Protection, Hearing Protection, Gloves, Boots, Overalls, Wet Weather Gear, Dust Masks)<br>a) What doe the Method Statement say will be worn?<br>b) Is noise a hazard from the rig?

  • Comments:

  • Attach any images relevant to question 22 here.

  • 23) Are the welfare arrangements adequate?<br>(Toilets, Hand Cleaning etc)

  • Comments:

  • Attach any images relevant to question 23 here.

  • 24) Can the vehicle and rig safely enter and exit the area?

  • Comments:

  • Attach any images relevant to question 24 here.

  • 25) Is the site left safe and secure at the end of the day><br>i.e. machinery locked off, boreholes safely capped.

  • Comments:

  • Attach any images relevant to question 25 here.

  • 26) Is there a process in place in the event of unforeseen / change in ground condition i.e. contaminated ground, running sand, high water table, mass concrete etc.

  • Comments:

  • Attach any images relevant to question 26 here.

Sign Off Audit

  • Print Name:

  • Signature:

  • Project Manager Name:

  • Signature:

  • Designation:

  • Select date

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