Title Page
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DJ Reference
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Audit Date
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Prepared by
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Location
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Build Partner
Universal (Fibre & Civils)<br>Management Controls
Induction & Training
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Site safety induction?
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NRSWA for Operatives (LA + O1 to O8 / 001 to 009)
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SWQR Card?
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NOPS (Smart Awards) card?
Project Management
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Site Manager Appointed?
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Liability Insurance?
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Modern Slavery & Human Trafficking Policy?
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H&S Policy?
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H&S Poster/Card?
RAMS & Emergency Arrangements
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Method Statements?
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Task risk assessments?
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COSHH Assessments?
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First Aiders identified?
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Near-miss/Accident book/Reporting Procedure?
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RAMS briefing?
Universal (Fibre & Civils)<br>Operational Controls
Emergency Preparedness
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First aid kits?
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Eye wash?
Occupational Health Control
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Gas monitor in use?
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Gas monitors tested before use?
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HAV limits identified?
Welfare & Environmental Considerations
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Sufficient washing facilities?
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Supply of drinking water?
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Changing rooms and drying facilities provided?
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Suitable rest areas provided?
Plant, Tools & Equipment
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Calibration/PAT testing/Inspection tags?
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Tools properly stored when not in use?
Site Supervision
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Work and site suitably supervised?
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Signs to warn members of the public?
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Site restricted zones controlled?
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Materials safely stacked and stored within the site perimeter?
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Sufficient PPE provided?
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PPE worn where required?
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PPE in serviceable condition?
Street Works
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Supervisor available?
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Correct Signs on site and placed?
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Signs clean and in good condition?
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Sufficient and correct barriers in place and clipped together?
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Safety zones established?
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Red book available on site?
Civils Specific
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Utility prints available?
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Services checked and marked out?
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Cable avoidance tools used?
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Hazardous substances clearly identified?
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Hazardous substances adequately stored?
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Housekeeping/Waste provision?
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Roads kept clean from site waste?
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Contact information clear and correct with full permit number displayed?
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Permit complied with?