Title Page

  • Client / Site Location
  • ROW, SDU, MDU or Other

  • What type of work was completed?

  • Prepared by

  • Conducted on

  • Pass or Fail

  • Lead Tech

  • Assistant Tech

  • Type of Audit

  • Please provide brief description of the training

  • Techs comprehension after training

  • Is the What Job Pre-Start / Risk Assessment Completed and practiced on site?

  • Stop works and find out why was there no Is the What Job Pre-Start / Risk Assessment Completed or not practiced?

  • What was the immediate action to address the situation?

  • Is the site and crews compliant with current Health, Safety & Environmental procedures & policies?

  • What are the non-compliance with Health, Safety & the Environment?

  • Attach Health, Safety & Environmental non-compliance photos

  • Was the personnel shown and instructed to correct the non-compliance with Health, Safety & the Environment?

  • Enumerate all corrective actions and coaching performed on site

  • Was all the Hazards Identified?

  • Enumerate / List down what hazards where not identified and next to them are the action points

  • Where you (the auditor) inducted properly before entering the site in the following informations?<br>1. Tasks to be performed & the hazards associated with it.<br>2. Checked your PPE if complete<br>3. First aiders on site, firt aid kit and fire extinguisher location (rego if in vehicle).<br>4. Exact location of evacuation point, nearest emergency center address.<br>5. Responsible department manager, field manager and NSM (network delivery specialist).

  • Was crews taught how to induct properly?

  • Enumerate all that has be taught

  • What are the good safety behaviors?

  • Attach good Health, Safety & Environmental photos

  • Comments for further improvent

  • Do you deem the site to be safe, at risk or significant at risk?

  • Stop Works reassess the hazard & their risks with the crew.

  • Is the site now made safe?

  • Crew has Complete PPE (fit for purpose)?

  • Enumerate what are are the missing PPE?

  • Proper use of PPE?

  • Was the crew/s shown how to use the PPE?

  • What are the PPE shown to be used?

  • Any PPE requests?

  • Site Set-up (OSB according to CoPTTM, ISB work site isolated)

  • Enumerate all rectifications made

  • First Aid Kit

  • Fire Extinguishers

  • Any ground disturbance (all types of trenching, concrete cutting and drilling)

  • Are the service plans (OSB) onsite?

  • Stop works, call department manager and get the services plans on site.

  • Has the power and telecom cable located & marked?<br>Has the water & storm water been located & exposed in potholes?

  • Stop Works and ask the crew to locate services, with the intention of not striking them.

  • Does the Vehicle have a CV Field pack?

  • Stop Works and ask one of the crew to pick one from the office

  • Does the vehicle have a Hazardous Chemical Container?

  • Is there a Hazardous Chemical Register?

  • Does the crew/van have the corresponding Material Safety Data Sheet (MSDS/SDS)?

  • Actions on Hazardous Chemicals:

  • Fibre and Sharps container

  • Ask Crew to get one from the office or label a sealed bottle as a sharps container

  • Site Final Assessment on Health and Safety

  • List all the learning that was gathered on this live audit

  • Would you like to complete a live Quality Assessment

  • FTP Installation & Fibre Management

  • Take Photos

  • Fibre / mini trunking / conduit run

  • Take Photos

  • ITP Installation & Fibre Management

  • Take Photos

  • ONT Installation & cable management

  • Take Photos

  • Was the phone line integrated to the VoIP?

  • Take Photos

  • Fence line / Surface Mounting

  • Take Photos

  • Slot-cut (micro-cutting) straight?

  • Take Photos

  • Slot-cut (micro-cutting) reinstated?

  • Take Photos

  • Boundary Reinstatement

  • Take Photos

  • Trenching Reinstatement (Soft, gravel, seal, concrete)

  • Take Photos

  • Is the Site Tidy during the inspection?

  • Is the Vehicle in a tidy and presentable condition?

  • Take Photos of the vehicle and site

  • Was the job completed according to the Quality Assurance standards of both client & Clearvision?

  • Attach the good quality workmanship photos

  • Comments for further improvement

  • Enumerate the non-compliance to the Quality Standards?

  • FTP Installation & Fibre Management

  • Take Photos

  • Fibre / mini trunking / conduit run

  • Take Photos

  • ITP Installation & Fibre Management

  • Take Photos

  • ONT Installation & cable management

  • Take Photos

  • Was the phone line integrated to the VoIP?

  • Take Photos

  • Fence line / Surface Mounting

  • Take Photos

  • Slot-cut (micro-cutting) straight?

  • Take Photos

  • Slot-cut (micro-cutting) reinstated?

  • Take Photos

  • Boundary Reinstatement

  • Take Photos

  • Trenching Reinstatement (Soft, gravel, seal, concrete)

  • Take Photos

  • Is the Site Tidy during the inspection?

  • Take Photos

  • Personnel
  • Personnel

  • Audited By:

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