Title Page
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To be completed by Project Supervisor or Nominated person weekly from the start of construction work on site. Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall form part of the CDM Health & Safety file.
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Sensible Monitoring Audit Completed By:
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Site Manager:
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Contract Number:
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Project Title:
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Conducted on
General
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Any H&S actions identified shall be entered onto Audit / Inspection Action Log and brought to the urgent attention of the appropriate personnel as soon as possible. Contractor / Project Manager to be notified of actions required / taken.
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1) Is there a Method Statement / Risk Assessment / Permit to Work available on site for the activity?<br>a) Has it been briefed out and signed for?
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Comments:
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Attach any images relevant to question 1 here.
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2) Are the Emergency Procedures available on site?<br>a) Are all operatives aware of them?
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Comments:
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Attach any images relevant to question 2 here.
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3) Have all operatives been inducted to the project and received E & US training?
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Comments:
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Attach any images relevant to question 3 here.
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4) Are the welfare facilities adequate and are appropriate first aid provisions on site?<br>(Numbers of Appointed Persons / First Aiders, Location / Contents of Kit)
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Comments:
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Attach any images relevant to question 4 here.
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5) Is the correct PPE for the task being worn?<br>(Check Condition, Age, Storage, Training)
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Comments:
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Attach any images relevant to question 5 here.
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6) Is the site tidy and free from trip hazards and is there safe access and egress available for all?
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Comments:
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Attach any images relevant to question 6 here.
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7) Are all operative competent to perform the task?<br>(Check CITB, CSCS Card, Training Records etc.)
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Comments:
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Attach any images relevant to question 7 here.
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8) Are the locations of all buried services known?<br>(Identified and service drawings available, cable locator on site)
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Comments:
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Attach any images relevant to question 8 here.
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9) Are there any overhead hazards that will affect the activity?
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Comments:
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Attach any images relevant to question 9 here.
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10) Are excavations for connections safe to enter?<br>(battered back, safe access / egress)
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Comments:
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Attach any images relevant to question 10 here.
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11) Is any off-easement working taking place?<br>a) Have suitable arrangements been made for this activity?
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Comments:
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Attach any images relevant to question 11 here.
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12) have areas / tasks where hearing protection must be worn been identified?
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Comments:
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Attach any images relevant to question 12 here.
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13) Are all items of plant on site fit for purpose with appropriate certification and secondary braking available?
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Comments:
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Attach any images relevant to question 13 here.
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14) Are ground conditions suitable for the activity?<br>(Wet, Muddy, Dusty, Steep Slope, Side Slope etc.)
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Comments:
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Attach any images relevant to question 14 here.
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15) Who is acting as Banksman to any excavators on site?<br>a) Are they competent and has communication with the driver been agreed?
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Comments:
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Attach any images relevant to question 15 here.
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16) Are deliveries of stone and other materials in accordance with the Traffic Management Plan?
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Comments:
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Attach any images relevant to question 16 here.
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17) Is there a process in place in the event of unforeseen / change in ground condition?<br>i.e. Contaminated ground, running sand, high water table, mass concrete etc.
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Comments:
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Attach any images relevant to question 17 here.
Sign Off Audit
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Print Name:
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Signature:
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Project Manager Name:
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Signature:
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Designation:
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Select date
