Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add media

  • Select date

  • Add location

Vehicle Check

  • Vehicle Tax In Date

  • Working + Clean Roof Mounted Beacons

  • Chevrons On Rear Of Vehicle Inclusive Of Frame

  • Tyre Condition

Health & Safety Risk Assessment + Method Statement

  • Near Miss Book

  • COSHH Sheets

  • Method Statement & Risk Assessment Signed?

  • Generic Risk Assessment & Method Statement held on van

  • Site specific Risk Assessment & Method Statement on Van?

  • Site File containing Training Certificates and Local Emergency Locations?

PPE

  • Hard Hat

  • Hi Visibility Clothing Must Be Long Sleeved

  • Hi Vis Trousers for Night Works

  • Ear Defenders

  • Eye Protection

  • Suitable Gloves for Relevant Works

Signing Lighting & Guarding - Chapter 8

  • 2 Men at works signs

  • 2 Arrow signs

  • 2 road narrow signs

  • 12 Cones (750mm)

  • Chapter 8 Book (small red book)

  • 2m Lengths of cable matting

  • 2 x Ramp Signs

  • Barrier System with BB number clearly visible?

Ancillary Equipment

  • Standard Man Hole Keys

  • Small Manhole Keys (S24)

  • 5 Foot Wrecking Bar

  • Crow Bar

  • Pinch Bar

  • Over shoes

  • Spill kit?

  • Dust Sheets

  • Screwdriver Set

  • Socket Set

  • Allen Key Set

Safety Equipment

  • Gas Monitor & Charger?

  • Harness?

  • Safety Rope?

  • Man riding Winch?

  • Fall Arrest System?

  • Escape set?

Computer Based Equipment

  • Computer PAT Tested

  • Mouse & Keyboard Working Without Keys Missing

  • Monitors Working, PAT Tested

Surveying Equipment

  • Minimum 200m Of Camera Cable + In Good Condition

  • 150mm Light Head

  • 225mm Light Head

  • 350mm Light Head

  • 150 Wheel Set (small Green)

  • 225mm Wheel Set with Seals In Place

  • 300mm Wheel Set

  • 350mm Wheel Set

  • Spare Bulbs + Bolts

  • Nematic Wheel Set (heavy)

  • Push-Rod Minimum 30m

  • Link Cable

  • Ex Rated

Miscellaneous

  • First Aid Kit In Easy To Find Location

  • Eye Wash?

  • Fire Extinguisher, In Date + Unused

  • Hand Washing Facility's With Hot Running Water?

  • Open Manholes Protected?

  • Optimise Inducted

  • Confined Space Trained

  • MSCC4 Sewer Classification

  • Street Works

  • Thames Water Pink Card

Questions For Operator

  • Please Explain Your Emergency Proceedure.

  • All light units working and suitable bulb types used, Lighting to be able to follow pan & tilt where appropriate.

  • Does pan and tilt work correctly (fully rotate)

  • Does camera unit sit in sewer correctly

  • Is the correct lighting fitted to provide adequate Illumination

  • Picture quality suitable & in focus

  • Video footage in correct format

Comments

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