CFO Civils and Reinstatement Quality Assurance Check

• Site conducted

  Select

• 

• OHSF-PR-08-03 Version 1 Revision 1 Dated 21/01/2021
  

• Conducted on

  Date

• S Reference

• Team Leader/ Team name

• CityFibre Holdings Ltd, 15 Bedford St, London, WC2E 9HE

• Location
  Address

• Prepared by

• Before Works Commence Site Photo

  Media

• Please answer the following 3 questions based on your dynamic risk assessment on arrival at the site. If you answer 'No' to any of the following questions please explain this in the free text field which appears with a 'No' answer, end the audit and take the appropriate action.

• Is it safe for you to conduct this audit?

  Yes

  No

• Please explain why and what action you have taken as a result.

• Is it safe for the construction workers to continue work?

  Yes

  No

• Please explain why and what action you have taken as a result.

• Is it safe for members of the public in the areas, surrounding the site, that they are able to access?

  Yes

  No

• Please explain why and what action you have taken as a result.

Health & Safety Questions

• The following Health & Safety questions are unweighted and do not impact the overall score of the audit. The purpose of the section is to ensure that Health & Safety remains a priority for the entirety of the CityFibre build process. Please utilise the notes and media features to raise any H&S concern whether they are related to these questions or not. Please engage your local SHEQ advisor should you have any concerns.

SLG (is it immediately obvious to pedestrians what is happening, and what is expected of them)

• Chapter 8 : https://cityfibreholdings.sharepoint.com/:b:/r/SalesAndOperations/Shared%20Documents/Procurement/City%20Folders%20-%20Contract%20Management/Newcastle/8.0%20Working%20Folder/Useful%20Documents/Methods%20Of%20Measurement/Chapter%208/Traffic%20Signs-Manual-Chapter-08.pdf?csf=1&web=1&e=7RMmno

• Is the SLG set up compliant with Chapter 8?

  Yes

  No

• Please raise an action for site to be made safe within 2 hours and ensure rectification is evidenced (by staying on site or providing photo evidence on closure of action).

PPE

• Is adequate PPE being used for the task being undertaken?

  Yes

  No

  N/A

Traffic Management (is it immediately obvious to traffic what is happening, and what is expected of them)

• Is sufficient traffic management in place for the works being undertaken?

  Yes

  No

  N/A

Strike Avoidance

• Is there a fully operational, calibrated, CAT & Genny on site, being used appropriately?

  Yes

  No

  N/A

• Please raise an action for site to be made safe within 2 hours and ensure rectification is evidenced (by staying on site or providing photo evidence on closure of action).

Documentation

• Is there a valid permit, site specific risk assessment and in-date drawings on site?

  Yes

  No

  N/A

• Please raise an action for site to be made safe within 2 hours and ensure rectification is evidenced (by staying on site or providing photo evidence on closure of action).

• Are the operatives on site in possession of a valid NOPS card?

  Yes

  No

• Are the operatives on site accredited to carry out the task being undertaken?

  Yes

  No

  N/A

• Which Audit/Inspection are you completing today?

  Select

• which area are you conducting this inspection?

  Carriageway

  Footway / Verge

Expected Tools and Equipment

• (please provide a photograph and any relevant information).

• Cat and Genny

  Yes

  No

• Approved Tube Cutters?

  Yes

  No

  N/A

• Is a deburring tool available on site?

  Yes

  No

  N/A

• Tape Measure

  Yes

  No

Process

• Is the surface adjacent to the excavation clear of excavated material?

  Yes

  No

• Carriageway depth of cover?

  Select Type 3/4 at minimum depth of cover 450mm Type 1/2 at minimum depth of cover 600mm

  • Type 3/4 at minimum depth of cover 450mm
  • Type 1/2 at minimum depth of cover 600mm

• Please provide a photo of the depth of cover

  Media

• Is there 20mm sand bedding present?

  Yes

  No

  Not Witnessed

• Is there 50mm sand cover present?

  Yes

  No

  Not Witnessed

• Is marker tape placed in trench?

  Yes

  No

  Not Witnessed

Material used for backfill/compaction

• What material is being used to backfill/ compact?

  Select Imported Type One Recycled material As dug excavated material Concrete Foam Concrete SMR

  • Imported Type One
  • Recycled material
  • As dug excavated material
  • Concrete
  • Foam Concrete
  • SMR

Number of compaction passes

• Wide foot upright Wacker- suggested number of passes for every 150mm compacted lift thickness = 8
  Narrow foot upright Wacker -suggested number of passes for every 150mm compacted lift thickness = 4

• What type of upright wacker are they using?

  Vibro Plate (50kg)

  None on Site
No. of compacted lift/layers observed

• Number of passes/layers observed during compaction

  8 or more

  Less than 8

  Not Witnessed
No. of compacted lift/layers observed

• Number of passes/layers observed during compaction

  4 or more

  Less than 4

  Not Witnessed

• Is the material suitable for use?

  Yes

  No

Cavity depth for reinstatement

• Is it an Interim reinstatement?

  Yes

  No

  N/A

• Modular paving cavity depth should match the existing

  Yes

  No

  N/A

• Photograph required

  Media

• What type of road are you auditing?

  Type 1

  Type 2

  Type 3

  Type 4

• Bituminous cavity depth minimum for type 1 flexible road 320mm

  Yes

  No

  N/A

• Bituminous cavity depth minimum for type 2 flexible road 285mm

  Yes

  No

  N/A

• Bituminous cavity depth minimum for type 3 flexible road 190mm

  Yes

  No

  N/A

• Bituminous cavity depth minimum for type 4 flexible road 100mm

  Yes

  No

  N/A

Site Clean up

• All NRSWA equipment removed from site

  Yes

  No

  N/A

• Site swept clean

  Yes

  No

  N/A

• Photo capture of closed site as complete

  Yes

  No

  N/A

Tools and Equipment on Site

• Cat and Genny

  Yes

  No

• PVC Tape

  Yes

  No

• Approved Tube Cutters?

  Yes

  No

• Is a deburring tool available on site?

  Yes

  No

• Tape Measure

  Yes

  No

Process

• Are tubes/looms fitted with end caps and bound together utilising PVC insulation tape at 1m intervals to ensure they will lay within the trench and individual tubes lie parallel with each other without excessive intertwining?

  Yes

  No

  N/A

• Are the tubes/blown fibre tubes made up on-site or pre-loomed at another location?

  Pre-loomed

  on-site

• Is the surface clear of excavated material?

  Yes

  No

  N/A

• Is the depth of cover @ 250mm minimum?

  Yes

  No

  Not Witnessed

• Please provide a photo of the depth of cover

  Media

• Is there 20mm Sand Bedding present?

  Yes

  No

  Not Witnessed

• Is there 50mm Sand Cover present?

  Yes

  No

  Not Witnessed

• Is there Marker tape placed in the trench?

  Yes

  No

  Not Witnessed

• Is the toby box set in and flush with the surrounding surface and in accordance with CF specification?

  Select Yes No No toby box in the section being audited

  • Yes
  • No
  • No toby box in the section being audited

• Is there 300mm of subscribers tube within the toby box? (Please lift lid and take image.)

  Select Yes No No toby box in the section being audited

  • Yes
  • No
  • No toby box in the section being audited

• Has an end cap been fitted?

  Temporary Dust Cap

  Approved End Cap

  No End Cap

Material used for backfill/compaction

• What material is being used to backfill/ compact

  Select Imported Type One Recycled material As dug excavated material Concrete Foam Concrete SMR

  • Imported Type One
  • Recycled material
  • As dug excavated material
  • Concrete
  • Foam Concrete
  • SMR

• Is this for verge backfill?

  Yes

  No

• Is the material suitable for reuse?

  Yes

  No

• Is the material suitable for use?

  Yes

  No

Number of compaction passes

• Wide foot upright Wacker- suggested number of passes for every 150mm compacted lift thickness = 8
  Narrow foot upright Wacker -suggested number of passes for every 150mm compacted lift thickness = 4

• What type of upright wacker are they using?

  Vibro Plate (50kg)

  None on Site
No. of compacted lift/layers observed

• Number of passes/layers observed during compaction

  8 or more

  Less than 8

  Not Witnessed
No. of compacted lift/layers observed

• Number of passes/layers observed during compaction

  4 or more

  Less than 4

  Not Witnessed

• Clegg reading 4th drop expected value 22

  Yes

  No

  N/A

• Are all kerbs replaced including bedding and backing?

  Yes

  No

  N/A

Cavity depth for reinstatement

• What is the surface type?

  Bituminous

  Modular

  Concrete

  Verge

• What is the bituminous cavity depth?

  60mm or more

  Less than 60mm

  80mm or more

• Please provide a photo of the cavity depth

  Media

• Modular paving cavity depth should match the existing

  Yes

  No

  N/A

• Concrete surfacing should match existing minimum 100mm

  Yes

  No

  N/A

• Site swept clean

  Yes

  No

  N/A

• What surface is being reinstated?

  Concrete

  Bituminous

  Verge

  Modular & Paving

• which area are you conducting this inspection?

  Footway

  Carriageway Type 4

  Carriageway Type 3

Expected Tools and Equipment

• Tape Measure

  Yes

  No

• Upright Wacker Wide Foot

  Yes

  No

• Pedestrian plate

  Yes

  No

  N/A

• Vibrating roller

  Yes

  No

• Hand tamper

  Yes

  No

• Non corrosive tool cleaner

  Yes

  No

• Edge sealant

  Yes

  No

• Watering can fitted with a rose

  Yes

  No

• Temperature gauge

  Yes

  No

Process

• Type 4 carriageway 100mm bituminous material required

  Cavity depth 100mm or more

  Cavity depth less than 100mm

• Has the team checked the cavity depth?

  Yes

  No

• Please provide a photo of the cavity depth

  Media

• Has the team trimmed the reinstatement correctly to SROH?

  Yes

  No

• Has the team re-compacted the sub-base?

  Yes

  No

• Has the team applied edge sealant to top 100mm of bituminous material and exposed kerbs and ironwork?

  Yes

  No

• Binder course compacted lift thickness @ 60mm recommended number of passes 7 using upright wacker

  7 or more complete passes

  Less than 7

• Surface course compacted lift thickness @ 40mm recommended number of passes 10 using vibrating roller

  10 or more

  Less than 10

• have the road markings been replaced?

  Yes

  No

  N/A

• Has the site been swept clean?

  Yes

  No

• Please provide a photograph of site

  Media

Expected Tools and Equipment

• Tape Measure

  Yes

  No

• Pedestrian plate

  Yes

  No

  N/A

• Vibrating roller (Plate)

  Yes

  No

• Hand tamper

  Yes

  No

  N/A

• Non corrosive tool cleaner

  Yes

  No

• Edge sealant

  Yes

  No

Process

• Has the team checked the cavity depth?

  Yes

  No

• Please provide Image of the cavity depth

  Media

• Has the team trimmed the reinstatement to SROH/R correctly?

  Yes

  No

• Has the team re-compacted the sub-base?

  Yes

  No

• Has the team applied edge sealant to top 100mm of bituminous material and exposed kerbs and ironwork?

  Yes

  No

• Is the reinstatement Base/Surface course or All Surface course?

  Base/Surface Course

  All Surface Course

• Reinstatement cavity depth

  65mm Optimum

  Less than 65mm

  More than 90mm

• 20mm Binder course material compacted lift thickness @ 50mm recommended number of passes 6 using upright wide foot wacker

  6 or more complete passes

  less than 6

  N/A

• 20mm Binder course material compacted lift thickness @ 50mm recommended number of passes 3 using upright narrow foot wacker

  3 or more complete passes

  less than 3

  N/A

• Reinstatement cavity depth

  Select 60-70mm Optimum Less than 60mm More than 70mm Not less than 30mm (SMR/Foam Concrete

  • 60-70mm Optimum
  • Less than 60mm
  • More than 70mm
  • Not less than 30mm (SMR/Foam Concrete

• 6mm-15/10 Binder course material compacted lift thickness @ 30mm recommended number of passes 5 using upright Wide foot wacker

  5 or more complete passes

  5 or less

  N/A

• 6mm-15/10 Binder course material compacted lift thickness @ 30mm recommended number of passes 5 using upright narrow foot wacker

  3 or more complete passes

  less than 3

  N/A

• 3 or more complete passes

  less than 3

  N/A

• Surface course compacted lift thickness @ 30mm recommended number of passes 10 using vibrating roller. Or in the case of a deteriorated/distressed are, choose Driveway Plate.

  10 or more

  Less than 10

  Driveway Plate

• Please confirm the type of Driveway Plate in use.

  Pedestrian Lightweight

  Driveway Heavy Plate

• Please insert the number of passes witnessed.

• Is the site swept clean?

  Yes

  No

• Please Provide a photo of the site closed down

  Media

Expected Tools and Equipment

• Tape Measure

  Yes

  No

• Upright Wacker Wide Foot

  Yes

  No

• Pedestrian plate

  Yes

  No

  N/A

• Vibrating roller

  Yes

  No

• Hand tamper

  Yes

  No

• Non corrosive tool cleaner

  Yes

  No

• Edge sealant

  Yes

  No

• Watering can fitted with a rose

  Yes

  No

• Temperature gauge

  Yes

  No

Process

• Type 3 carriageway 190mm bituminous material required

  Cavity depth 190mm or more

  Cavity depth less 190mm

• Has the team checked the cavity depth?

  Yes

  No

• Please provide a photo of the cavity depth.

  Media

• Has the team trimmed the reinstatement correctly to SROH?

  Yes

  No

• Has the team re-compacted the sub-base?

  Yes

  No

• Has the team applied edge sealant to top 100mm of bituminous material and exposed kerbs and ironwork?

  Yes

  No

• Binder course compacted lift thickness @ 60mm recommended number of passes 7 using upright wacker

  7 or more complete passes

  Less than 7

• Binder course additional lifts will be required

Additonal Lifts

• Binder course compacted lift thickness @ 60mm recommended number of passes 7 using upright wacker

  7 or more complete passes

  Less than 7

• Surface course compacted lift thickness @ 40mm recommended number of passes 10 using vibrating roller

  10 or more

  Less than 10

• have the road markings been replaced?

  Yes

  No

  N/A

• Has the site been swept clean?

  Yes

  No

• Please provide a photograph of the site

  Media

• which area are you conducting this inspection?

  Concrete C-way

  Concrete Footway/ Driveway

• Is the sub-base material matching the existing in type and to a minimum thickness of 150mm

  Yes

  No

  N/A

• Has the adjacent concrete cracked as a result of the excavation operation.

  Yes

  No

• Has the damaged area of the slab been removed and included within the area to be reinstated?

  Yes

  No

• Have all 300mm trim-lines been included within the reinstatement?

  Yes

  No

• Has the slip membrane been replaced

  Yes

  No

  N/A

  Not Witness

• Has all reinforcement been replaced correctly/where required

  Yes

  No

  N/A

  Not Witness

• Is the concrete mixed to the correct strength

  Yes

  No

  Not Witnessed

• Does the concrete match the existing thicknesss (minimum 100mm)

  Yes

  No

  Not Witnessed

• Have all edging/road kerbs removed or damaged by our works been replaced correctly

  Yes

  No

  N/A

• Have all expansion/warping joints removed by our works been replaced

  Yes

  No

  N/A

• Does the texture and finish match the existing

  Yes

  No

• Is there a minimum of 150mm reinstatement around the CF toby box

  Yes

  No

  N/A

• Is the fillet to the surround of the CF chamber/cabinet reinstated correctly

  Yes

  No

  N/A

• Is the sub-base material matching the existing in type and to a minimum thickness of 100mm

  Yes

  No

  Not Witnessed

• Has the adjacent concrete cracked as a result of the excavation operation.

  Yes

  No

• Has the damaged area of the slab been removed and included within the area to be reinstated

  Yes

  No

• Have all 150mm trim-lines been included within the reinstatement

  Yes

  No

• Is the concrete mixed to the correct strength

  Yes

  No

  Not Witnessed

• Does the concrete match the existing thicknesss (minimum 100mm)

  Yes

  No

• Have all edging/road kerbs removed or damaged by our works been replaced correctly

  Yes

  No

  N/A

• Have all expansion/warping joints removed by our works been replaced correctly

  Yes

  No

  N/A

• Does the texture and finish match the existing

  Yes

  No

  N/A

• Is there a minimum of 100mm reinstatement around the CF toby box

  Yes

  No

  N/A

• Is the fillet to the surround of the CF chamber/cabinet reinstated correctly

  Yes

  No

  N/A

• Has any structural courses supporting the adjacent construction road/footway removed by our works been replaced

  Yes

  No

  N/A

  Not Witness

• Has the top 200mm of topsoil been removed and replaced

  Yes

  No

  Not Witnessed

• Has a minimum 100mm of topsoil been used to reinstate

  Yes

  No

  Not Witnessed

• Have the grassed areas been reinstated using the original turf, replacement turf or will they be seeded

  Yes

  No

  N/A

• Please Comment

• Where grassed areas have been mown, the reinstated surface must be demonstrably free from stones greater than 20 mm nominal size

  Yes

  No

  N/A

• Please Comment

• Have any signs/verge markers removed by our works been replaced correctly

  Yes

  No

  N/A

  Not Witness

• Have all edging/road kerbs removed or damaged by our works been replaced correctly

  Yes

  No

  N/A

• Is the fillet to the surround of the CF chamber/cabinet reinstated correctly

  Yes

  No

  N/A

• Is the sub-base material matching the existing in type and to a minimum thickness of 100mm

  Yes

  No

  Not Witnessed

• Is the bedding material matching the existing in thckness and type

  Yes

  No

  Not Witnessed

• Have any damaged modules/paving been replaced with the same type, colour and thickness

  Yes

  No

  Not Witnessed

• Does the permanent reinstatement of modules/paving include all modules/paving, which are situated within or extend beyond the effective width of the reinstatement

  Yes

  No

• Is the layout of modules/paving match that of the existing pattern

  Yes

  No

• Has Kiln dried sand been applied and vibrated in using a plate compactor fitted with a neoprene pad

  Yes

  No

  N/A

  Not Witness

• Are all moduls/paving laid within tollerance to the surroundng adjoining surfaces with no moduls/paving rocking

  Yes

  No

• Have all infills between modules/paving and kerbs been filled to the full depth including matching existing material type /colour

  Yes

  No

  N/A

• Is there a maximum fillet of 50mm around the CF toby

  Yes

  No

  N/A

• Is the fillet to the surround of the CF chamber/cabinet reinstated correctly

  Yes

  No

  N/A

• Have all existing fillets disturbed by our works been replaced

  Yes

  No

  N/A

• Have all edging/road kerbs removed or damaged by our works been replaced correctly

  Yes

  No

  N/A

• Would you like to highlight any good practice?

  Yes

  No

• Who would you like to highlight?

  Individual

  Other

• If answer is other, please specify.

• Please name the group / individual you would like to highlight

• Which category best describes the good practice? Categories TBC

  Select

• Please describe the category of the work being recognised.

• Please give a description of the practice you have observed and would like recognised.

• Auditor Signature

  Sign