Cappagh Browne WNS Site Inspection

• Location
  Address

• Conducted on

  Date

• WR Number

• Supervisors Name

• Gangers Name

1. External Site Layout/Chapter 8

• 1.1 Site adequately segregated from the public?

  Pass

  Fail

  N/A

• 1.2 Permit board displayed with relevant information?

  Pass

  Fail

  N/A

• 1.3 Traffic Management compliant with COP?

  Pass

  Fail

  N/A

• 1.4 Adequate safety signage displayed?

  Pass

  Fail

  N/A

• 1.5 Pedestrian route adequate and well signed?

  Pass

  Fail

  N/A

• 1.7 Safety barriers and fences in good condition, secured correctly with no gaps?

  Pass

  Fail

  N/A

• 1.6 Suitable ramps and disabled access provided on footways and change of levels?

  Pass

  Fail

  N/A

• 1.8 Branding compliant with contract and in good condition?

  Pass

  Fail

  N/A

• 1.9 Does the site create a good and safe impression?

  Pass

  Fail

  N/A

2. Site Personnel

• 2.1 Did responsible person contact a site induction?

  Pass

  Fail

  N/A

• 2.2 Scope of works detailed during induction, if so please note.

  Pass

  Fail

  N/A

• 2.3 Has scope of works changed, if so are correct job packs available on site?

  Pass

  Fail

  N/A

• 2.4 Were site hazards and risks explained during induction?

  Pass

  Fail

  N/A

• 2.5 Were site roles of individuals clear when questioned?

  Pass

  Fail

  N/A

• 2.6 If other contractors on was the co-ordination explained and interface risks detailed?

  Pass

  Fail

  N/A

• 2.7 Correct PPE worn by all.

  Pass

  Fail

  N/A

3. Competence

• 3.1 Ganger suitably qualified and competent?

  Pass

  Fail

  N/A

• 3.2 Plant operatives suitably qualified and competent?

  Pass

  Fail

  N/A

• 3.3 Top man suitably qualified and competent?

  Pass

  Fail

  N/A

• 3.4 NRSWA qualified operative on site?

  Pass

  Fail

  N/A

• 3.5 Sufficient, qualified and competent confined space operatives for task?

  Pass

  Fail

  N/A

• 3.6 Sufficient, qualified and competent emergency rescue operatives for task?

  Pass

  Fail

  N/A

• 3.7 Sufficient, qualified and competent operatives available for works to be undertaken?

  Pass

  Fail

  N/A

• 3.8 Do all on site fully understand their Roles and Responsibilities

  Pass

  Fail

  N/A

4. Gang pack

• 4.1 Gang Pack reviewed and signed off by competent supervisor/manager before works commenced?

  Pass

  Fail

  N/A

• 4.2 Method statement briefed to all on site?

  Pass

  Fail

  N/A

• 4.3 Relevant risk assessments completed and communicated to all on site?

  Pass

  Fail

  N/A

• 4.4 All utility Stats information and maps available in gang pack?

  Pass

  Fail

  N/A

• 4.5 Daily excavation checklist completed?

  Pass

  Fail

  N/A

• 4.6 Lifting operations checklist completed?

  Pass

  Fail

  N/A

• 4.7 Plant and Equipment checklist completed?

  Pass

  Fail

  N/A

• 4.8 Permit to dig completed and communicated?

  Pass

  Fail

  N/A

• 4.9 Hand, Arm vibration exposure recorded?

  Pass

  Fail

  N/A

• 4.10 Workplace inspection report completed?

  Pass

  Fail

  N/A

• 4.11 Toolbox talks and safety alerts communicated (evidence)?

  Pass

  Fail

  N/A

• 4.12 Site log in and visitors register completed and up to date?

  Pass

  Fail

  N/A

5. Plant and Equipment

• 5.1 Adequate gas monitors, in date, correctly positioned (note serial No and dates)?

  Pass

  Fail

  N/A

• 5.2 CAT & Genny available and in date?

  Pass

  Fail

  N/A

• 5.3 Excavator Thorough inspection certificate in date? (log serial No and date)

  Pass

  Fail

  N/A

• 5.4 Lifting accessories certified and in date?

  Pass

  Fail

  N/A

• 5.5 Weekly PUWER inspections completed and recorded?

  Pass

  Fail

  N/A

• 5.6 Compressor in good condition (jockey wheel)?

  Pass

  Fail

  N/A

• 5.7 Compressor tow board and number plate in good condition?

  Pass

  Fail

  N/A

• 5.8 Suitable and sufficient containers for fuel and water?

  Pass

  Fail

  N/A

• 5.9 Suitable and sufficient rescue equipment for works?

  Pass

  Fail

  N/A

• 5.10 Disc cutter with correct guarding?

  Pass

  Fail

  N/A

• 5.11 Compacting plate stored correctly?

  Pass

  Fail

  N/A

• 5.12 Site vehicle in a clean and tidy condition?

  Pass

  Fail

  N/A

• 5.13 Vehicle beacons in working order?

  Pass

  Fail

  N/A

6. Welfare

• 6.1 First aid box available?

  Pass

  Fail

  N/A

• 6.2 First aider available on site at all times?

  Pass

  Fail

  N/A

• 6.3 Locations of local A&E department available on site?

  Pass

  Fail

  N/A

• 6.4 Eye wash available on site?

  Pass

  Fail

  N/A

• 6.5 Fresh water available on site?

  Pass

  Fail

  N/A

• 6.6 Welfare facilities suitable and sufficient for duration and type of works?

  Pass

  Fail

  N/A

7. Working Area

• 7.1 Correct EX rated lighting for heading works?

  Pass

  Fail

  N/A

• 7.2 Suitable and sufficient measures for dealing with ground water ingress?

  Pass

  Fail

  N/A

• 7.3 Safe access for shaft and heading?

  Pass

  Fail

  N/A

• 7.4 Suitable and sufficient fall protection in place?

  Pass

  Fail

  N/A

• 7.5 Ladder angle suitable?

  Pass

  Fail

  N/A

• 7.6 All services adequately supported?

  Pass

  Fail

  N/A

8. Environmental

• 8.1 Spill kit available on site?

  Pass

  Fail

  N/A

• 8.2 Drip trays available and in use?

  Pass

  Fail

  N/A

• 8.3 Suitable and sufficient fire extinguishers available and in date?

  Pass

  Fail

  N/A

• Additional Comments

• List any corrective actions resolved during audit

• Name of Auditor

• Name of Supervisor/ Ganger

• Is further action required

  No Further Action Required

  Further Action Required

• Detail action(s) required.

Yes

• Detail action (s) required to close out report.

• All actions closed out.