Title Page

  • Conducted on

  • Prepared by

  • Location

Untitled Page

Audit sheet

  • · Site Supervisor Name

  • · Contractor

  • · Project Number

  • · Date & time

  • 1. Have all operatives signed the risk assessment

  • 2. Are all operatives wearing the correct PPE

  • 3. Operative have the correct SA001 SA002 qualification & in date with SWQR S3 through to S7

  • 5. Does the team have access to safe dig prints

  • Images

Live site Civils & Cable

  • 1. Are all signs suitable at site set up Chapter 8

  • 2. Safety Zone in place

  • 3. Are Barriers linked together

  • 4. TM required

  • 5. Pedestrian Crossing required/ ped walkway

  • 6. Back fill apparatus surround and marker tape in place

  • 7. Is there backfill materials onsite and suitable for use

  • 8. Is Type1 onsite

  • 9. Has Edge sealant been applied

  • 10. Is bedding sand delivered to site and stored correctly

  • 11. Courtesy board displayed correctly

  • 12. Backfill base in place

  • 13. Has entry points into BT chambers made good and to spec

  • 14. BTs boxes left clean & Site Tidiness

  • 15. Are all fuels labelled and stored safely in line with COSH

  • Images of the live site

Equipment

  • 1. Gate guards / GDU in place

  • 2. CAT 4 with Genny

  • 3. Cable dispenser

  • 4. A frame for Back rope

  • 5. Are cable guides in place for pulling of cable & subduct

  • 6. Cable lubricant maybe required when pulling equipment through Openreach infrastructure

  • 7. Vehicle fit for purpose

Comments to highlight great working practices

Signed

  • Signed by Auditor

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.