CCTV RIG AUDIT 29/07/14

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Add location
  Address

Vehicle Check

• Vehicle Tax In Date

• Working + Clean Roof Mounted Beacons

• Chevrons On Rear Of Vehicle Inclusive Of Frame

• Tyre Condition

• Tow bar fitted?

• General condition of vehicle

Health & Safety Risk Assessment + Method Statement

• Method Statement & Risk Assessment Signed?

  Yes

  No

  N/A

• Generic Risk Assessment & Method Statement held on van

  Yes

  No

  N/A

• Site specific Risk Assessment & Method Statement on Van?

  Yes

  No

  N/A

• Site File containing Training Certificates and Local Emergency Locations?

  Yes

  No

  N/A

• Site folder in tidy condition?

• Diesel CAG 002

• Petrol CAG 046

• WD40 Aerosol CAG 054

• Line Marker Paint CAG 057

• Sewage CAG 001

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

  Yes

  No

  N/A

• 2 Blue Arrow signs

  Yes

  No

  N/A

• 2 road narrow signs

  Yes

  No

  N/A

• 12 Cones (750mm)

  Yes

  No

  N/A

• 2m Lengths of cable matting

  Yes

  No

  N/A

• 2 x Ramp Signs

  Yes

  No

  N/A

• Four way Barrier System

  Yes

  No

  N/A

• Chapter 8 Book (small red book) or paper copy in site pack

  Yes

  No

  N/A

Ancillary Equipment

• Standard Man Hole Keys

  Yes

  No

  N/A

• Assorted Small Manhole Keys (S24)

  Yes

  No

  N/A

• 5 Foot Wrecking Bar

  Yes

  No

  N/A

• Crow Bar

  Yes

  No

  N/A

• Chisel Set

  Yes

  No

  N/A

• Club Hammer

  Yes

  No

  N/A

• Sledge Hammer

  Yes

  No

  N/A

• Screwdriver Set

  Yes

  No

  N/A

• Socket Set

  Yes

  No

  N/A

• Tape Measure

  Yes

  No

  N/A

• Drain Dye

  Yes

  No

  N/A

• Allen Key Set

  Yes

  No

  N/A

• Dust Sheets

  Yes

  No

  N/A

• Over shoes

  Yes

  No

  N/A

• Drip Tray

  Yes

  No

  N/A

• Spill kit?

• Equipment clean and being stored in a safe secure location?

• Add media

  Media

Safety Equipment

• Gas Monitor & Charger?

  Yes

  No

  N/A

• Harness?

  Yes

  No

  N/A

• Man riding Winch?

  Yes

  No

  N/A

• Fall Arrest System?

  Yes

  No

  N/A

• 2 Way Radio's

  Yes

  No

  N/A

• Escape set?

  Yes

  No

  N/A

• Safety Equipment clean and being stored in a safe secure location?

Computer Based Equipment

• Computer PAT Tested

  Yes

  No

  N/A

• Mouse & Keyboard Working Without Keys Missing

  Yes

  No

  N/A

Surveying Equipment

• What is the length of camera cable?

  300m

  200m - 300m

  150m - 200m

  less than 150m

• Condition of Camera Cable

  Good - clean no damage visible

  Fair - used and worn but structurally good

  Bad - clear damage, needs replacement

• 150mm Light Head

  Yes

  No

  N/A

• 225mm Light Head

  Yes

  No

  N/A

• 350mm Light Head

  Yes

  No

  N/A

• 150 Wheel Set (small Green)

  Yes

  No

  N/A

• 225mm Wheel Set with Seals In Place

  Yes

  No

  N/A

• 300mm Wheel Set

  Yes

  No

  N/A

• 350mm Wheel Set

  Yes

  No

  N/A

• Spare Bulbs + Bolts

  Yes

  No

  N/A

• Big Thin Wheel Set (heavy)

  Yes

  No

  N/A

• Push-Rod Minimum 30m

  Yes

  No

  N/A

• Link Cable

  Yes

  No

  N/A

• Camera Equipment clean and being stored in a safe secure location?

  Yes

  No

  N/A

• Add media

  Media

Miscellaneous

• First Aid Kit In Easy To Find Location

  Yes

  No

  N/A

• Eye Wash?

• Fire Extinguisher, In Date + Unused

  Yes

  No

  N/A

• Hand Washing Facility's With Hot Running Water?

• Open Manholes Protected?

• Confined Space Trained

• MSCC4 Sewer Classification

• Street Works

• Cscs Card

  Yes

  No

  N/A

• Thames Water Pink Card

Questions For Operator

• Please Explain Your Emergency Proceedure.

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

• Does pan and tilt work correctly (fully rotate)

  Yes

  No

  N/A

• Does camera unit sit in sewer correctly

  Yes

  No

  N/A

• Is the correct lighting fitted to provide adequate Illumination

  Yes

  No

  N/A

• Picture quality suitable & in focus

  Yes

  No

  N/A

• Video footage in correct format

  Yes

  No

  N/A

• Check the Generator is being used safely and is venting correctly.

• Add media

  Media

Comments

• Notes from Inspector

• Site Confidence rating.

• Add signature

  Sign