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 EUSR 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 is there appropriate first aid provision 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 operatives competent to perform the tasks? <br>(Check CITB, CSCS Cards, 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) Have all services been identified, located and proven?<br>(C.A.T, Plans, Trial Holes) Include any overhead services.
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Comments:
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Attach any images relevant to question 8 here.
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9) Have all exposed services been adequately supported / protected?<br>(Not used as hand / footholds)
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Comments:
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Attach any images relevant to question 9 here.
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10) Has the excavation been planned?<br>(Consider access for vehicles, position of plant and spoil)
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Comments:
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Attach any images relevant to question 10 here.
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11) Is the excavation likely to affect any neighbouring structures?
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Comments:
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Attach any images relevant to question 11 here.
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12) Are banksmen used during the excavation?
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Comments:
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Attach any images relevant to question 12 here.
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13) Is the excavation adequately signed and guarded?
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Comments:
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Attach any images relevant to question 13 here.
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14) Is the excavation adequately supported / battered back?<br>a) Has is deteriorated due to the elements?
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Comments:
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Attach any images relevant to question 14 here.
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15) If a trench box is in use, has it been bedded in sufficiently and has a landing platform been created above it?
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Comments:
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Attach any images relevant to question 15 here.
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16) If supported, has an inspection been carried out satisfactorily for the excavation?<br>a) Is there a deep excavation register?
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Comments:
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Attach any images relevant to question 16 here.
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17) Is the excavated material positioned at a sufficient distance from the excavation?
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Comments:
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Attach any images relevant to question 17 here.
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18) Is there safe access / egress, are any ladders that are in use adequate?<br>(Length, Condition, Tied, Footed, Angle)
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Comments:
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Attach any images relevant to question 18 here.
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19) Are any items on the trench side likely to fall into the hole?
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Comments:
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Attach any images relevant to question 19 here.
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20) Is the excavation free from water?<br>a) Are pumps discharging a sufficient distance from the excavation, is a permit to pump in place?
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Comments:
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Attach any images relevant to question 20 here.
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21) Is atmospheric monitoring in place?<br>(Calibration, Risk Assessment, Competency of Users)
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Comments:
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Attach any images relevant to question 21 here.
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22) 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 22 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
