C&L TM Division LTD Onsite Audit Form

Job Details

• Type of Works

  Select 2way lights 3way lights 4way lights Ped crossings Road closure Lane Closure Priority AWS Install Give + Take Footway Closure / Barriers TO15

  • 2way lights
  • 3way lights
  • 4way lights
  • Ped crossings
  • Road closure
  • Lane Closure
  • Priority
  • AWS Install
  • Give + Take
  • Footway Closure / Barriers
  • TO15

• Reason for Visit

• Operative Name

• Client

  Select Morrison Telecom Services Virgin Media NGE Magdelene Dr Stump

  • Morrison Telecom Services
  • Virgin Media
  • NGE
  • Magdelene
  • Dr Stump

• Job Number

• Date

  Date

• Speed of Works

  20MPH

  30MPH

  40MPH

  50MPH

  60MPH
• Address
  Address

• MUS Card (Photo)

  Yes

  No

  N/A

• Smart Awards Card (Photo)

  Yes

  No

  N/A

• Lantra Card (Photo)

  Yes

  No

  N/A

Activity (Marks Out Of 60)

• If any activities are N/A then please mark down as a 5.

  Yes

  No

  N/A

• Pre Hire Report Done Prior to site Install

  Yes

  No

  N/A

• Broom and Shovel on Vehicle

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

• Van Cleanness inside and outside

  1

  2

  3

  4

  5

• Full PPE

  1

  2

  3

  4

  5

• Method Statements on site

  1

  2

  3

  4

  5

• Risk assessment prior to install

  1

  2

  3

  4

  5

• All safety zones / shuttle lane width compliant to red book

  1

  2

  3

  4

  5

• Chapter 8 correct and fit for purpose

  1

  2

  3

  4

  5

• Correct Yardage on site for Location

  1

  2

  3

  4

  5

• All signs have C&L sticker

  1

  2

  3

  4

  5

• Cone Lamps (60MPH)

  1

  2

  3

  4

  5

• Safety Culture app completed

  1

  2

  3

  4

  5

• Cone sleeves compliant

  1

  2

  3

  4

  5

• Walkway or Civils Equipment compliant

  1

  2

  3

  4

  5

• Stop go boards

  Yes

  No

  N/A

• Correct permit board on site

  Yes

  No

  N/A

• Are all signs 300mm of the ground

  Yes

  No

  N/A

• Any additional comments

Site Photos

• Chapter photos

  Media

• Taper photos

  Media

• Permit Board

  Media

• Ped crossing (If Used)

  Media

• Cone run pictures

  Media

• Excavation / work area

  Media

Signature/Completion

• Operative Signature

  Sign

• Auditor Signature

  Sign