Contractor H&S Performance Inspection

• Conducted on

  Date

• Select site

  Select

• Prepared by

• Location
  Address

• Contractor name

• Reported to

Pre-start works H&S Documentation

• Were documentation checks carried out during this visit?

  Yes

  No

  N/A

• Has the point of work Risk Assessment being completed and signed by all involved?

  Yes

  Improvements required

  No

  N/A

• Have operatives read and signed the appropriate RAMS for the works?

  Yes

  Improvements required

  No

  N/A

• Have operatives received a site induction and signing in on a daily basis?

  Yes

  Improvements required

  No

  N/A

• Are all permits in place for the works being completed i.e. to dig or confined space entry?

  Yes

  Improvements required

  No

  N/A

Streetworks and site set up

• Complete this section for all site visits

  Yes

  No

  N/A

• Has the traffic management system been set up in accordance with New Roads Street Works Act?

  Yes

  Improvements required

  No

  N/A

• Site Personnel are in possession of up to date Street Works tickets (supervisor - operative)?

  Yes

  Improvements required

  No

  N/A

• Are the working areas being well managed with good housekeeping being maintained?

  Yes

  Improvements required

  No

  N/A

• Are the contractors Information boards displayed at each end of the working areas along with the permit number?

  Yes

  Improvements required

  No

  N/A

• Are the correct size signs / barriers / cones for the speed of road and all plant and equipment placed within the barriers?

  Yes

  Improvements required

  No

  N/A

• Are pedestrian walkways compliant with the NRSWA (minimum width requirements (1.5m) absolute minimum 1m).

  Yes

  Improvements required

  No

  N/A

• Are suitable measures in place to ensure residents are able to access / egress their properties safely and without risk of damaging vehicles?

  Yes

  Improvements required

  No

  N/A

• Is the working area suitably segregated to ensure operatives and public safety is provided?

  Yes

  Improvements required

  No

  N/A

• Sandbags available and used effectively.

  Yes

  Improvements required

  No

  N/A

Plant & Equipment

• Are there items of plant or equipment being used?

  Yes

  No

  N/A

• Is the Plant and Equipment (including safety guards) in good condition and suitable for the work?

  Yes

  Improvements required

  No

  N/A

• Are vehicles and plant fitted with fully functional amber flashing beacons

  Yes

  Improvements required

  No

  N/A

• Are Operatives trained and competent to operate the plant / equipment and hold the relevant CPCS or NPORS qualifications?

  Yes

  Improvements required

  No

  N/A

• Are daily plant checks being completed with weekly checks recorded on the PUWER register?

  Yes

  Improvements required

  No

  N/A

Welfare / First Aid

• Were the welfare facilities and first aid provisions checked during this visit.

  Yes

  No

  N/A

• Does each gang have a suitably sized First Aid, Eye Wash and Burns kit?

  Yes

  Improvements required

  No

  N/A

• Is there a suitably qualified first aider on site?

  Yes

  Improvements required

  No

  N/A

• Are operatives wearing the required PPE as per the site rules and RAMS?

  Yes

  Improvements required

  No

  N/A

• Are there suitable washing facilities available such as sterile hand wipes and sanitiser (COVID-19)?

  Yes

  Improvements required

  No

  N/A

• Are Toilet Facilities or details of the nearest Toilet Facilities provided?

  Yes

  Improvements required

  No

  N/A

• Is there an adequate supply of drinking water?

  Yes

  Improvements required

  No

  N/A

Work at Height - MEWP's - Ladders

• Are any works taking place which involves working at height via MEWPS or Ladders?

  Yes

  No

  N/A

• Has a Permit to climb been completed (suitable pre climb check)

  Yes

  Improvements required

  No

  N/A

• Are Safety Harnesses being worn and in good condition ?

  Yes

  Improvements required

  No

  N/A

• Evidence of appropriate LOLER inspection undertaken (6 Months)

  Yes

  Improvements required

  No

  N/A

• Have operatives working at height received the relevant training for the type of work undertaken?

  Yes

  Improvements required

  No

  N/A

• Are operatives required to operate MEWP's?

  Yes

  No

  N/A

• Do operatives have an up to date IPAF ticket?

  Yes

  Improvements required

  No

  N/A

• Is there available an up to date thorough examination certificate (6 monthly).

  Yes

  Improvements required

  No

  N/A

• Are daily pre use checks being completed?

  Yes

  Improvements required

  No

  N/A

• Does the machine look to be in good serviceable condition.

  Yes

  Improvements required

  No

  N/A

• Are ladders being used?

  Yes

  No

  N/A

• Are ladders used in good condition and of a class 1 design (EN131)?

  Yes

  Improvements required

  No

  N/A

• Have the ladders been correctly secured in accordance with SA001 and Tetra to prevent displacement?

  Yes

  Improvements required

  No

  N/A

• Work at height being undertaken in accordance with BT and WPD safety controls

  Yes

  Improvements required

  No

  N/A

• Emergency rescue plan in place and suitable equipment and training provided?

  Yes

  Improvements required

  No

  N/A

Environmental

• Were Environmental checks completed during this visit

  Yes

  No

  N/A

• Are there any areas of concern in which works could have an impact on the local environment such as noise, dust, vibration, fuel spills or silt / contaminated water run off?

  No

  Improvements required

  Yes

  N/A

• Are arrangements in place to contain any fuel spills or oil leaks such as suitably sized spill kits, fuel bunds or trip trays?

  Yes

  Improvements required

  No

  N/A

Working within inspection Chambers

• Are operatives required to work within inspection chambers (confined space)

  Yes

  No

  N/A

• Is there available a gas detector with an up to date calibration certificate?

  Yes

  Improvements required

  No

  N/A

• Has the underground network been gas tested and chamber opened correctly

  Yes

  Improvements required

  No

  N/A

• Where the risk assessment denotes the chamber as being a confined space, has the confined space permit been completed?

  Yes

  Improvements required

  No

  N/A

• Are operatives confined space trained? and is the required rescue equipment provided?

  Yes

  Improvements required

  No

  N/A

• Has the chamber been suitably guarded to protect operatives and members of the public against falls from height?

  Yes

  Improvements required

  No

  N/A

• Have the cables been secured correctly (both the installation cables and pre-installed cables)

  Yes

  Improvements required

  No

  N/A

• Have the cables been labelled correctly

  Yes

  Improvements required

  No

  N/A

• Is the chamber clear of rubbish

  Yes

  Improvements required

  No

  N/A

• Are the team aware of risk from leptospirosis and taking suitable controls.

  Yes

  Improvements required

  No

  N/A

• Are the team aware of the risk of discarded used syringes and have the equipment to deal with them.

  Yes

  Improvements required

  No

  N/A

Subduct and Blowing Operations

• Are works taking place involving Subduct and Blowing operations?

  Yes

  No

  N/A

• Has all the blowing equipment been PAT tested and has been checked by the operative that is in good working order and is safe to use.

  Yes

  Improvements required

  No

  N/A

• Are operatives trained and competent to operate the blowing machine?.

  Yes

  Improvements required

  No

  N/A

• Do operatives have a means of communication either 2 way radios or mobile phones to ensure they are able to effectively communicate to each other?

  Yes

  Improvements required

  No

  N/A

Rodding, Cobra and Roping Operations

• Are Rodding and Roping works taking place?

  Yes

  No

  N/A

• Has the cobra / rods been transported and stored correctly to ensure it is safe to use.

  Yes

  Improvements required

  No

  N/A

• Are operatives wearing suitable eye / hand protection and other appropriate PPE for this operation?

  Yes

  Improvements required

  No

  N/A

• Are the team using the cobra equipment safely and correctly

  Yes

  Improvements required

  No

  N/A

• Are the appropriate measures being taken to help minimise the risk of slipping and tripping hazards to both the team and members of the public?

  Yes

  Improvements required

  No

  N/A

• Is the cobra /rods in good working order with no visible defects

  Yes

  Improvements required

  No

  N/A

Splicing Operations

• Are splicing works taking place?

  Yes

  No

  N/A

• Has Splicing equipment been checked to ensure it is in good working order, PAT tested and safe to use.

  Yes

  Improvements required

  No

  N/A

• Has the crew got a suitable sharps box available and being used for cut fibre?

  Yes

  Improvements required

  No

  N/A

• Are chemicals stored and used correctly?

  Yes

  Improvements required

  No

  N/A

• COSHH assessment and chemical safety information available including emergency response?

  Yes

  Improvements required

  No

  N/A

Other SHE issues / Good Practice not covered

• Issues / Good Practice Observed

• Photographs of Issue / Good Practice

  Media