Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Documentation
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Are the health, safety and environmental risks on this work covered by the documentation you have received, and are control measures in the operational instructions/Routine Schedules.
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Have you read and understood the documentation to ensure you are aware of the risk control measures?
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Is there a completed Emergency Plan in place?
People
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Do you know who is in charge on site?
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Is there safe access / egress to the working site?
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Are all the people on site capable of undertaking the work they have been asked to do?
Plant / Equipment
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Do you have the right plant / equipment for the task o be carried out?
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Has the relevant GN0 been completed and have you applied control measures ?
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If lifting or winching is required, have you got a lifting and/or winching plan?
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If you are working in the vicinity of underground / overhead services, are necessary control measures in place?
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Are appropriate control in place to manage the risk of plant and equipment travelling/working along haul roads or the top of flood banks?
Environmental Conciderations
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Do you know how to manage waste materials and hazardous substances applicable to this work? i.e. COSHH, Waste Transfer
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If relevant, are control measures in place in place to manage the risks of low oxygen levels and silt disturbance?
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If the work to be carried out is in, or could effect, a designated conservation area, do you have the necessary permission to proceed? i.e. FnB / NEAS approval
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Are weather an ground conditions increasing any risk on site?
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Do you have any other health, safety or environmental concerns about the work you have being asked to carry out
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Are all the answers green?
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"DO IT"
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What are the additional risks you have identified?
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What measures are you planning on taking to control these risks?
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How are you planning to do the work?
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Have you resolved the issue identified from the Dynamic Risk Assessment (DRA)<br>Have you got everything you need, ( the right people,work equipment, materials) to do the job?
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Brief all the team (who, what, when and how) List all the people below and continue working safely and effectively.
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Add Person
Person
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Add signature
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DO NOT CONTINUE WITHOUT GETTING FURTHER ADVICE FROM YOUR LEAD TEAM MEMBER OR FIELD TEAM LEADER