Information

  • Site & Audit Title

  • Conducted on

  • Prepared by

  • Personnel

Site overview

  • Principal Contractor

  • Sewer Contractor

Site Safety & Management

  • Contractor has approved up to date construction plans on site

  • Nominated supervisor on site

  • Correct PPE being worn as per site specific requirements

  • Contractor has Project Management Plan onsite and up to date

  • Contractor has Safe Work Method Statments (SWMS) on site and up to date

  • Contractor has Inspection Test Plan on site and up to date

  • Contractor has Site Induction documentation on site and up to date

  • Contractor has One call documentation on site and up to date

  • Is traffic control required?

  • Tap to enter information
  • Is traffic management adequately set up and maintained

Confined Spaces

  • Is confined space entry required

  • Tap to enter information
  • Has permit to work been obtained

  • Is gas detector in use

  • Correct PPE used and in date?

Machinery

  • Is machinery in use

  • Tap to enter information
  • Does plant have flashing lights that are working and being used

  • Does plant have reversing beepers

  • Has provision for overhead and under ground services been allowed for

Excavations / Trenching

  • Are there any excavation works

  • Tap to enter information
  • Is trenching / excavation > 1.5m deep with appropriate protection

  • Edge protection & ladder access in place

  • Is there a "Mine Mangers" certificate holder on site

  • Is spoil away from edge of trench

  • Appropriate dewatering in place if necessary

Pipe laying

  • Pipe laying construction inspected?

  • Tap to enter information
  • Is alignment as shown on detailed plan

  • Correct pipe class/in date

  • Bedding Material is approved and installed as required within code

  • Are pipe layers ensuring pipe is pushed fully home to witness marks

  • Are joints free from contamination i.e. dust, dirt, mud and free from water

Property Branches

  • Property branches inspected

  • Are property branches being constructed in accordance with the standard drawings

  • Does the excavation extend a minimum of 300mm beyond the end of the property branch fitting.

Backfilling

  • Backfilling inspected?

  • Backfill complies with specification and design

  • Has compaction testing been carried out by a NATA registered tester

Maintenance Structures

  • MH internals inspected?

  • Tap to enter information
  • Location as per design

  • Base layout as per design

  • MH connector/coupling placed as per standard drawing

  • Nibwall formwork being utilized

  • Formwork in satisfactory condition

  • Step irons/ladders located and installed correctly

  • Has concrete been vibrated

  • Is MH finish within wall and channel acceptable

  • Have drops been installed in accordance with standard drawings

  • IS/MS frame and surround sturdy

  • IS/MS 225-300mm stack clearance to top of cover

  • Concrete infill behind drop structure

  • Height of make up ring 300/350mm maximum

Trench/Surface Restoration

  • Was trench restoration inspected?

  • Tap to enter information
  • Have private properties given acceptance

  • Sewer has adequate protection from heavy machinery

  • All disturbed surfaces have been reinstated

Summary

  • Comments

  • Photo Records:

  • Superintendent Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.