CCTV RIG AUDIT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add media

  Media

• Select date

  Date

Health & Safety Risk Assessment + Method Statement

• Method Statement & Risk Assessment Signed?

  Yes

  No

  N/A

• Generic Risk Assessment & Method Statement held on van computer system

  Yes

  No

  N/A

• Site specific Risk Assessment & Method Statement on Vehicle?

  Yes

  No

  N/A

• Site File containing Training Certificates and Local Emergency Locations?

  Yes

  No

  N/A

PPE

• Safety Boots

  Yes

  No

  N/A

• Hard hat

  Yes

  No

  N/A

• Suitable gloves for work being carried out

  Yes

  No

  N/A

• Hi visibility vest

  Yes

  No

  N/A

• Safety Glasses, Eye protection?

  Yes

  No

  N/A

• Ear defenders, ear protection

  Yes

  No

  N/A

• General appearance of personnel on site?

Signing Lighting & Guarding - Chapter 8

• 2 Men at works signs

  Yes

  No

  N/A

• 2 road narrow signs

  Yes

  No

  N/A

• 2 Arrow signs

  Yes

  No

  N/A

• 6 Cones

  Yes

  No

  N/A

• Chapter 8 Book (small red book)

  Yes

  No

  N/A

• Barrier System with BB number clearly visible?

  Yes

  No

  N/A

Ancillary Equipment

• Standard Man Hole Keys

  Yes

  No

  N/A

• Small Manhole Keys (S24)

  Yes

  No

  N/A

• Pinch Bar

  Yes

  No

  N/A

• Crow Bar

  Yes

  No

  N/A

• 5 Foot Wrecking Bar

  Yes

  No

  N/A

• Screwdriver Set

  Yes

  No

  N/A

• Socket Set

  Yes

  No

  N/A

• Allen Key Set

  Yes

  No

  N/A

Safety Equipment

• Gas Monitor & Charger?

  Yes

  No

  N/A

• Harness?

  Yes

  No

  N/A

• Safety Rope?

  Yes

  No

  N/A

• Man riding Winch?

  Yes

  No

  N/A

• Fall Arrest System?

  Yes

  No

  N/A

• Escape set?

  Yes

  No

  N/A

Computer Based Equipment

• Computer PAT Tested

  Yes

  No

  N/A

• Mouse & Keyboard Working Without Keys Missing

  Yes

  No

  N/A

• Monitors Working, PAT Tested

  Yes

  No

  N/A

Surveying Equipment

• Minimum 200m Of Camera Cable + In Good Condition

  Yes

  No

  N/A

• 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

• Nematic Wheel Set (heavy)

  Yes

  No

  N/A

• Push-Rod Minimum 30m

  Yes

  No

  N/A

• Link Cable

  Yes

  No

  N/A

• Ex Rated

  Yes

  No

  N/A

Miscellaneous

• First Aid Kit In Easy To Find Location

  Yes

  No

  N/A

• Fire Extinguisher, In Date + Unused

  Yes

  No

  N/A

• Does vehicle have Tax

  Yes

  No

  N/A

Questions For Operator

• 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

  Safe

  At Risk

  N/A

Comments

• Add signature

  Sign