Title Page

  • Permit Number

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Live Site

SITE DOCUMENTATION

  • SSRA/RAMS

  • PIA/NRSWA Qualified Persons Onsite

  • Permit Conditions Being Met

SLG

  • TM & Pedestrian Provision Match Permit

  • Signage & Barriers free from damage

  • Signage & Barriers correctly placed and connected as per Red book

  • 1.2m clearance For PEDS being Maintained

  • Is The Work Area Clean & Tidy

Excavation, Backfill , Reinstatement

  • Cat & Genny Calibrated

  • Utility Stats onsite & Checked (Spray should be visible)

  • Is Excavation to Correct Depth

  • Muck & Spoil sited correctly within Site Barriers on footway Board

  • Ducting, Subduct laid to Correct Depth

  • Blockage Repair Kit Correctly Fitted

  • Correct Base Layer, Compaction (CLegg Tested)

  • Reinstatement Type Correct (150 rule Adhered too)

  • Site Clean & Cleared

Health & Safety

  • First Aid Kit In date

  • PPE in Date Clean and fit for purpose

  • Operatives Aware of Closest Welfare Facilities & Hospital

  • Hand/power tools Free From Damage and in date

  • Vehicle parked Safely

  • Water Suppression in use

  • Fuel/Oil/Lubricants Correctly Stored

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