Information

  • Site:

  • Audit Scope:

  • Auditor:

  • Date & Time:

  • Audit Number:

  • DPM Project Number:

  • Water Authority:

  • Water Authority Reference Number:

  • Principal Contractor:

  • Sewer Contractor:

Administration

  • Does the construction crew have a copy of the latest version of the "construction issue" plan on site? <br> (Photo Required)

  • Are the Company's SWMS relevant to the task and with the crew on site? (Can be in Electronic Format) <br> (Photo Required)

  • Is the Crew the same personal as previous Audit

  • Are the Key personnel nominated on the precommencement form on site? <br> (i.e. Pipe layer, Maintenance hole builder, Operator)

  • Can Operators produce their licence when asked? <br> (Can be in Electronic Format)

  • Is the licence valid and current? <br> (Photo Required)

  • Is the prestart check list kept with the machine? <br> (Can be in Electronic Format)

  • Has the prestart check list been completed? <br> (Photo Required)

  • Are the machines flashing light and reverse beepers operating correctly? <br> (If not has it been recorded in the prestart check list)

  • Are personnel wearing their PPE where required and according to their SWMS / JSA? <br> (Photo Required)

Safety - Excavations

  • Type of work being carried out

  • What is the Type of shoring being used? (Photo Required)

  • Is ground support suitable for the ground conditions and depth of excavation?

  • Is the ground support set up correctly? <br> (Photo Required)

  • Are crew members provided with a ladder or other means of access and egress where required? <br> (Photo Required)

  • If a Ladder is provided, Is the Ladder set up and supported correctly?

  • Is a fall arrest system in place?

  • Is a Davit arm, Winch and Harness being used?

  • Is the David arm, Winch and Harness rated correctly for use as a fall arrest system? <br> (Photo Required)

  • Are the personal wearing the Harness correctly? (no twists in the straps, buckles correctly fastened) <br> (Photo Required)

  • Is the Harness fit for purpose, and is compliant with regulations? <br> (Photo of Harness tag Required)

  • Does the Harness connect to the Winch line via shock absorbing lanyard?

  • Are personnel using the equipment in a safe manner according to their SWMS / JSA?

  • Is the spoil heap far enough away from the edge of the trench to prevent sliding back into the excavation? <br> (Photo Required)

  • Are trenches barricaded and made safe to prevent access to the excavation site when left open? <br> (Photo Required)

  • Is Dewatering of Excavation taking place?

  • Are Environmental measures being used? i.e. does discharge pass through a silt control measure. <br> (Photo Required)

  • Are works generating excessive Dust?

  • Have dust suppression measures been taken? <br> (Photo Required)

Safety-Lifting

  • Is lifting equipment rated and tagged and is suitable for the works being carried out? <br> (Photo Required)

  • Are the shields marked with their weight? <br> (Photo Required)

  • What type of lifting hooks are being used to raise or lower the shields <br> (Photo Required)

  • Does the Sewer Contractor have authorization to use Open hooks?

Materials and Storage

  • Are any Materials stored on site?

  • Are the on site Materials correct for the works being carried out as specified on the plans and specifications? <br> (Photo Required of Delivery Dockets for Bedding, Backfill, Concrete, Pipes and fittings)

  • Are the stockpiles of Bedding material and Backfill material kept separate to prevent cross contamination? <br> (Photo Required)

Site Works - Pipelaying

  • Is there any pipe works taking place?

  • Have only approved products been used in the construction of pipelaying as per plans and specifications? <br> (Photo Required)

  • Are trench widths in accordance with the Design requirements and suitable for the pipe size / type? <br> (Photo Required)

  • Is the bedding material the correct type according to the Design and specifications?

  • Is the bedding material being placed correctly according to the design and specifications?

  • Are pipes being installed in accordance with design specification and manufacturers recommendations?

  • Are clearances to other services being maintained as per specification and design?

Site Works - Backfilling

  • Is Back Filling taking place?

  • Does the backfill material conform to the design and specifications?

  • If the backfill material is Clay, has the material been sifted to remove rocks?

  • Does the Clay backfill have the correct Clay / Rock ratio as per specifications? <br> (Photo Required)

Site Works - Structures

  • Are Maintenance Holes or other Structures been constructed?

  • Structure:

  • Have only approved products been used in the construction of all structures as per plans and specifications? <br> (Photo Required)

  • Are the Maintenance Holes being constructed as per plans and specifications? <br> (Photo Required)

  • Are any other type of Sewer structures being constructed? <br> (Photo Required)

  • Are the structures the correct size according to the design and specifications?

  • Have all Structures been protected from damage?

Site Works - Property Connections

  • Have Property Connections been Constructed?

  • Have the Property Connections been constructed according to the Design and Specifications? <br> (Photo Required)

  • Has a peg and tape been left at surface as per specifications indicating the connection point? <br> (Photo Required)

General Comments

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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.