Charlton Degg

• Project name:

• Project Number:

• Water Authority Reference:

• Conducted on:

  Date

• Auditor:

• Contractor:

• Principal Contractor:

• Location
  Address

• WORKS STATUS

  Pre-Commencement

  Under Construction

  Pre-AoW

  AOW

• WEATHER

  EXTREME HEAT

  HOT

  FINE

  SHOWERS

  RAIN

• SITE CONDITIONS

  DUSTY

  GOOD

  DAMP

  WET

  SATURATED

• TRAFFIC MANAGEMENT

  Functional

  Needs improvement

  N/A

• FENCING & HSE SIGNAGE

  GOOD

  ADEQUATE

  INADEQUATE

  N/A

Safety/Environmental - Earthworks, Excavation, Environmental protection

• Do stockpiles have adequate silt runoff protection.

  Yes

  No

  N/A

• Add media

  Media

• Are environmental No Go/Tree protection zones fenced where required.

  Yes

  No

  N/A

• Add media

  Media

• Are silt traps in place to prevent silt build up in previously installed drainage system.

  Yes

  No

  N/A

• Add media

  Media

• Does the contractor have utilities / services plans on site.

  Yes

  No

  N/A

• Does plant and equipment have suitable warning lights and reversing beepers

  Yes

  No

  N/A

• Are personnel in the vicinity of operating plant wearing high vis clothing and helmets where required.

  Yes

  No

  N/A

• Are there provisions to minimize dust / mud from leaving the site.

  Yes

  No

  N/A

• Add media

  Media

Sewer Works

• Sewer Contractor Onsite

  YES

  NO

• Does the contractor have issued for construction drawings and the latest revision

  YES

  NO

• Are materials stored correctly on site

  YES

  NO

• Add media

  Media

Works - Trenching, Pipelaying, Backfill, Surface Fittings

• Pipeline Percentage Complete

  Select PC 100 90 80 70 60 50 40 30 20 10 Pre-com

  • PC
  • 100
  • 90
  • 80
  • 70
  • 60
  • 50
  • 40
  • 30
  • 20
  • 10
  • Pre-com

• Is there an accredited pipe layer on site.

  Yes

  No

  N/A

• Accredited Pipe layer

• Are trench widths adequate for pipe size/ type

  Yes

  No

  N/A

• Add media

  Media

• Are all embedment materials on Water Authority approved products list and supplied by ISO 9001 accredited suppliers?<br>

  Yes

  No

  N/A

• Add media

  Media

• Is the bedding material & thickness within tolerance and being compacted correctly

  Yes

  No

  N/A

• Are PVC pipes within their "used by date"

  Yes

  No

  N/A

• Add media

  Media

• Are pipes being installed in accordance with design specification and manufacturers recomendations.

  Yes

  No

  N/A

• Are horizontal and vertical clearances to other services being maintained as per specification.

  Yes

  No

  N/A

• Add media

  Media

• Does trench backfill material comply with standard drawings and specifications

  Yes

  No

  N/A

Safety - Trenching, Pipelaying, Backfill

• Does the contractor have utilities / services plans on site.

  Yes

  No

  N/A

• Does plant and equipment have suitable warning lights and reversing beepers

  Yes

  No

  N/A

• Is ground support suitable for the ground conditions and depth of excavation

  Yes

  No

  N/A

• Add media

  Media

• Are workers provided with a ladder or other means of access where required.

  Yes

  No

  N/A

• Add media

  Media

• Are hats and vests being worn by workers where required

  Yes

  No

  N/A

• Are trenches barricaded/protected and made safe when left open.

  Yes

  No

  N/A

• Add media

  Media

• Is lifting equipment suitable for the works being carried out.

  Yes

  No

  N/A

Maintenance Structures - MH, MS, IS, TMS

• Have manhole covers been orientated to ensure 1m clearance is achieved from proposed fences/obstructions?

  Yes

  No

  N/A

• Add media

  Media

• Are lids / covers as per design and set correctly.

  Yes

  No

  N/A

• Are Maintenance Structures being constructed in accordance with standard drawings?

  Yes

  No

  N/A

• Has concrete been supplied from an ISO 9001 accredited plant, and grade as specified?<br>

  Yes

  No

  N/A

• Add media

  Media

• Are base details constructed in accordance with Standard drawings and/or base detail provided?<br>

  Yes

  No

  N/A

• Add media

  Media

Comments/ Progress/ Instructions

• Sketch of Work Area (Optional)

  Drawing

• Comments

• Photos

  Media

• Prepared by

  Sign