Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Underground Services

  • 1.1 Are all Utility Plans / Drawings on site? Do they clearly show position of apparatus, and are they for the correct location, legible & within 3 months of being issued to supervisor? Has a utility survey been carried out?

  • 1.2 Cat & Genny checked prior to use and working correctly? Is calibration date valid

  • 1.3 Is there an adequate number of operatives to carry out the task?

  • 1.4 Has squad checked for surrounding visible indicative utilities?

  • 1.5 Position of utilities marked with wax crayon on hard surfaces or biodegradable paint for grass / soil?

  • 1.6 CAT & Genny next to excavation point and regular sweeps being carried out

  • 1.7 Power tools not used within 500mm of known / suspected utilities?

  • 1.8 Check operatives certification for the CAT

  • 1.9 Are all PTD in place and up to date

  • 1.10 Trial holes hand dug prior to use of excavator?

  • 1.11 Condition of lifting appliance / excavator?

  • 1.12 Lifting assessment/plan in place

  • 1.13 Suitably trained Slinger

  • 1.14 Plant operator CPCS cards in date?

  • 1.15 Lifting appliance inspection due date?

  • 1.16 Daily inspection form completed for mobile plant , excavators etc?

  • 1.17 Are Chains and slings tagged and within inspection date?

  • 1.18 Are slings within inspection date and in visually good condition?

  • 1.19 Other comments and associated photographs

Working in Carriageways

  • 2.1 NRSWA ID on site and current if applicable<br>Card Name, No, Expiry date to be included

  • 2.2 Seek evidence to see if the Site Manager has a NRSWA ticket

  • 2.3 Traffic management plan in place & clearly on display

  • 2.4 Permits for local council available for inspection.

  • 2.5 Signage/barriers correctly installed in accordance with traffic management plan

  • 2.6 Other comments

Site Safety

  • 3.1 Are risk assessments available for inspection.

  • 3.2 Have all operatives been briefed on their relevant risk assessments and recorded.

  • 3.3 Are on site Risk Assessment carried out on all job’s and site specific for the task?

  • 3.4 Are sub- contractors supervisors capable of identifying additional hazards & control measures required?

  • 3.5 Have the Risk assessments (including those detailing any additional hazards identified) been checked and counter signed by the Contracts Manager?

  • 3.6 Is there a approved Method Statement for the pending task? Recorded and site specific?

  • 3.7 Is the correct personal protective equipment and clothing available and is it used correctly? (e.g. Hard hat ,hearing protection, Hi Vis Vests/Jackets ,boots etc.)

  • 3.8 Hand equipment and tools in good condition.

  • 3.9 Is hired equipment checked on a regular basis? Check sheets available?

  • 3.10 Is any other equipment regularly serviced?

  • 3.11 Is the above equipment tagged?

  • 3.12 Position of plant and material. (i.e. is it safely and effectively positioned and in a way that reduces risks from any leakage or refuelling spillage).

  • 3.13 Material Storage (safe height, stable, secure).

  • 3.14 Is work area clear and hazard free?

  • 3.15 Are permits to work being issued and monitored for high risk operations ?

  • 3.16 HAV’s : Job rotation, dampers on equipment, hand protection (gloves)

  • 3.17 Are vibration exposure times being monitored and within limits Permit being issued?

  • 3.18 Other comments

Excavation work

  • 4.1 Is the stability of excavation good

  • 4.2 Appropriate use of shoring equipment where this is necessary.

  • 4.3 Temporary Works design available for inspection

  • 4.4 Safe means of access and egress from excavation: i.e. ladder.

  • 4.5 Is Stihl saw being used in accordance with manufacturers instructions . Check Blade?

  • 4.6 Is dust suppression kit fitted and functioning on cutting equipment?

  • 4.7 Have excavations been inspected & signed off?

  • 4.8 Rigid barriers / appropriate signage is around excavation perimeter.

  • 4.9 Permit to excavate is being utilised

  • 4.10 Other comments

Environmental management

  • 5.1 Noise issues are being addressed

  • 5.2 Are operatives wearing appropriate ear protection?

  • 5.3 Dust issues are being addressed

  • 5.4 Waste issues are being addressed

  • 5.5 Effluent discharge issues are being addressed

  • 5.6 Vibration issues are being addressed

  • 5.7 Other comments

Scaffolding/working at height

  • 6.1 Scaffolding has been erected by certificated persons & tower register is up to date

  • 6.2 Activities at height are controlled with risk of falls addressed

  • 6.3 Scafftags are displayed & up to date on all initial access points

  • 6.4 Internal ladder access is available

  • 6.5 General conditions of components – boards, tubes, fillings etc

  • 6.6 All platforms – regardless of height have double guardrails and toe boards if being used as a working platform.

  • 6.7 Other means of fall protection are being utilised where appropriate i.e. nets, bags, MEWP’s etc.

  • 6.8 Other comments

Plant safety checks (Internal)

  • 7.1 Cleanliness & tidiness of vehicle, Including General storage

  • 7.2 Pre-shift check sheet available and up to date

  • 7.3 CPCS card available for operative

  • 7.4 Certificate of conformity/thorough examination certificates inspected.

  • 7.5 Other comments

Vehicle safety checks (External)

  • 8.1 Cleanliness & General Condition of vehicle (Including condition of windscreen, mirrors and tyres)

  • 8.2 Vehicle lights working and lenses in good condition.

  • 8.3 Weekly inspection sheets completed & available for inspection

  • 8.4 Keys removed from all vehicles not in use

  • 8.5 ROPS all in place

  • 8.6 Tow bar secure, correct tow pin and locking clip fitted and Jockey wheel in good condition (dumpers )

  • 8.7 Other Comments

COSHH/Flammable

  • 9.1 Are COSHH assessments available for materials being used & control measures implemented (drip Trays etc)?

  • 9.2 Does the available PPE match the COSHH requirements carried? (e.g. are the gloves carried suitable for working with fuel)

  • 9.3 Are Hazard signs on containers and Containers clearly labelled?

  • 9.4 Storage of flammable materials (approved containers & quantity)

  • 9.5 Flammable warning sign.

  • 9.6 Other comments

Communication/Supervision

  • 10.1 Have all operatives reported to Site security Gate?

  • 10.2 Do operatives know who their health and safety rep. is ?

  • 10.3 Do operatives know where their H&S notice board is?

  • 10.4 Have all operatives signed RAMS applicable to their work

  • 10.5 Have sub-contractors been briefed on Toolbox talks fortnightly & are they able to demonstrate understanding of it?

  • 10.6 Other comments

Welfare facilities

  • 11.1 Adequate storage available for tools

  • 11.2 General condition of site cabins is good.

  • 11.3 First Aid box has sufficient supplies

  • 11.4 Other Comments

Emergency preparedness and equipment

  • 12.1 Fire extinguishers within service date and easily accessible?<br>(If Required/Where available).

  • 12.2 Is there a Trained First Aider available?

  • 12.3 Is there an accident book on site?

  • 12.4 Are spill kits present within a reasonable distance of any mobile or semi static kit in use?

  • 12.5 Other comments

Traffic Management/ Access/Egress arrangements

  • 13.1 Adequate safety signage is displayed

  • 13.2 All access points are secure?

  • 13.3 Perimeter fencing suitable, is in good condition & secure

  • 13.4 Procedure for inspection of fencing & recording findings

  • 13.5 Clear traffic management in place, separation of persons and vehicles

  • 13.6 Use of banksmen for movement of vehicles, control of delivery vehicles

  • 13.7 Other comments

Asbestos

  • Has the presence of asbestos been identified

  • If asbestos has been identified has the area been cordoned off and secured?

  • Has the problem been reported?

  • Are warning signs displayed?

  • Are all contaminated clothes, rags or PPE been removed and stored in a sealed bag?

  • Have Asbestos removal contractors/Clients/ Principal contractors/site staff been informed?

  • Add signature

Miscellaneous

  • Additional information required

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