Title Page

  • DJ Reference

  • Audit Date

  • Prepared by

  • Location
  • Build Partner

Universal (Fibre & Civils)<br>Management Controls

Induction & Training

  • Site safety induction?

  • NRSWA for Operatives (LA + O1 to O8 / 001 to 009)

  • SWQR Card?

  • NOPS (Smart Awards) card?

Project Management

  • Site Manager Appointed?

  • Liability Insurance?

  • Modern Slavery & Human Trafficking Policy?

  • H&S Policy?

  • H&S Poster/Card?

RAMS & Emergency Arrangements

  • Method Statements?

  • Task risk assessments?

  • COSHH Assessments?

  • First Aiders identified?

  • Near-miss/Accident book/Reporting Procedure?

  • RAMS briefing?

Universal (Fibre & Civils)<br>Operational Controls

Emergency Preparedness

  • First aid kits?

  • Eye wash?

Occupational Health Control

  • Gas monitor in use?

  • Gas monitors tested before use?

  • HAV limits identified?

Welfare & Environmental Considerations

  • Sufficient washing facilities?

  • Supply of drinking water?

  • Changing rooms and drying facilities provided?

  • Suitable rest areas provided?

Plant, Tools & Equipment

  • Calibration/PAT testing/Inspection tags?

  • Tools properly stored when not in use?

Site Supervision

  • Work and site suitably supervised?

  • Signs to warn members of the public?

  • Site restricted zones controlled?

  • Materials safely stacked and stored within the site perimeter?

  • Sufficient PPE provided?

  • PPE worn where required?

  • PPE in serviceable condition?

Street Works

  • Supervisor available?

  • Correct Signs on site and placed?

  • Signs clean and in good condition?

  • Sufficient and correct barriers in place and clipped together?

  • Safety zones established?

  • Red book available on site?

Civils Specific

  • Utility prints available?

  • Services checked and marked out?

  • Cable avoidance tools used?

  • Hazardous substances clearly identified?

  • Hazardous substances adequately stored?

  • Housekeeping/Waste provision?

  • Roads kept clean from site waste?

  • Contact information clear and correct with full permit number displayed?

  • Permit complied with?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.