Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Contract

  • Company (Subcontractor or FNIL)

  • FNIL Supervisor

  • Team Names

Documentaton

  • Were you prompted on arrival, to sign onto the teams Daily Point-Of-Work-Risk-Assessment & have all personnel on site signed into the POWRA? Does POWRA include the team's supervisor & contact details?

  • Have the Crew Received an FNIL Induction?

  • Do all Gang Leads & Operatives hold an in date Smart Award NOPS Card showing all their mandatory accreditations?

  • Is the Vehicle Pack available & complete, including suitable & relevant RAMS, a copy of the NRSWA Red Book and all Tool-Box-Talks?

  • Is there a clear work instruction available on site including safe digs and High-Risk Services?

  • Is all relevant LOLER & PUWER documentation available?

  • Are all relevant COSHH assessments/data sheets available on site?

Site Set Up

  • Does the site look tidy, managed & safe (check for slips, trips & falls)?

  • Are all signs in accordance with chapter 8?

  • Are correct Advanced Warning signs visible when<br>approaching from all sides of the works (clean and<br>undamaged)?

  • Is there an Information Board & Permit Reference<br>Number (Courtesy Board) on every street?

  • Signing Lighting and Guarding secured with Sandbags (or<br>other weighted method where necessary)?

  • Do all areas of Carriageway Incursion have Keep<br>Right/Left arrows, Safety Zones and cone Tapers?

  • Is the Traffic Management type appropriate and safe for<br>the works?

  • Are minimum widths for traffic remaining in the<br>carriageway? (when correct TM in use)

  • Pedestrian Management correct and safe? (1m<br>walkway/Footway other side of street/Ped Arrows/Footway<br>Closed Ahead of Footway Closed or visa versa)

  • Are Pedestrian Ramps appropriately situated and are<br>they undamaged, ridgely fixed or rubber edged? (if required)

Vehicles & Trailers

  • Are all vehicles/plant parked both safely & correctly?

  • As a minimum requirement on vehicles are there: hand wipes and blue roll and soap/sanitiser?

  • Is there an in-date fire extinguisher available (gauge needle in the green)?

  • Are the operating manuals & load charts available?

  • Is the vehicle fit to work with the road (working beacons, chevrons ect.)?

  • Is the trailer fit for purpose & within service date (Does it have a Jockey Wheel, lights, electrical connectors, stabiliser legs)?

  • Does the trailer have 3 slings available?

  • Are number plates correct & visible on both vehicles & trailers?

Equipment & PPE

  • Are all Gang Leads & Operatives meeting minimum PPE/RPE requirements (flame retardant where applicable)?

  • Is all task related PPE/RPE available & appropriate for the task (Safety Glasses, Goggles, Ear Defenders ect.)?

  • Are all operatives wearing Clean, long-sleeved Hi-Vises, Boots (with no steel showing), Gloves, Protective Glasses/Goggles?

  • Is all PPE such as Hard-hats in date?

  • Are all Plant, tools, equipment & materials stored securely when not in use?

  • Is there a spill kit, funnel & drip tray available on site?

  • Is there a sufficient amount of Gas Detection Units on site (One per open chamber), are they being used correctly, and have they been calibrated within the last six months?

Hygiene & Welfare

  • Do all operatives know what to do in the event of an environmental spillage?

  • Are operatives aware of procedures to safely deal with any sharps found within the work area (where required, is a sharps box available)?

  • Are noise levels adequately controlled?

  • Are all COSHH stored safely & correctly?

  • Are there suitable welfare facilities available (This includes knowledge of nearby public toilets and permission from local businesses/shops or customers)?

  • Are all Gang Leads & operatives aware of all emergency & reporting procedures (Inc. Incidents, Accidents & Utility Strikes)?

  • Are operatives aware of their nearest first aider & are there sufficient trained first aiders on site including First Aid Kit?

Works

Civils

  • Are Civils works being carried out?

  • Does the plant operator hold a CPCS card

  • Have all Operatives (where required) undergone Face Fit training & is evidence available?

  • Are FFP3 Dust Masks available & in use where required?

  • Is dust adequately controlled using water suppression?

  • Do all relevant Operatives hold the required CAT & Genny training (LA001)?

  • Are both CAT & Genny within calibration dates?

  • Have all known services been marked up with the correct spray paint?

  • Is all plant, machinery, tools & equipment appropriate for the task & free from defects?

  • Are all operatives aware of HAVS/WBVS risks & the control measures required to reduce these risks?

  • Are all operatives aware of Asbestos risks and the correct procedures to follow if suspected or found?

  • Are plant safety zones (plant/people interface) in place?

  • Are hand tools insulated where required?

  • Are all safety guards fitted & free from defects?

  • Have sufficient trial holes been dig, to expose all know services?

  • Is hand digging being carried out around known utilities?

  • Is spoil being stored appropriately, in a safe & convenient location?

  • Are all gulleys & drains free from spoil & silt covers used on drain covers?

  • Previously excavated areas that are now open clean an<br>tidy?

UG Cabling/R&R/Subducting

  • Are UG Works Being Carried Out?

  • Has the Underground Network Been Gas Tested and Chamber Opened Correctly?

  • If the depth or other hazards associated with the chamber are such that it is confined space has a suitable Permit to work been completed & do the operatives have confined space training?

  • Are the team using an agreed safe working method, Ventilation (genny & blower) and has a suitable rescue plan been provided?

  • Is operative trained to use blowing machines and is operative correctly using the blowing equipment as stated in training?

  • Operatives have 2-way radios and are using them effectively to communicate?

  • Are the team using the using the cobra equipment safely and correctly?

OH Works

  • Are OH Works Being Carried Out?

  • Is the LOWLA Certification on the van?

  • Is there a MEWP Pre-Inspection Sheet on the Van?

  • Can the Second man Demonstrate the Rescue Plan for the man Working OH?

  • Is the Harness In-Date?

  • Can the Crew Identify a D-Pole?

  • Are all Operatives Working at Height wearing S3 Boots?

  • Is the Ladder in Use in Good Order and Inspected Regularly?

  • Location of Electrical Hazards Have Been Identified (LV or HV) and Correct Controls in Place?

Splicing

  • Are Splicing Activities Taking Place?

  • Has Splicing equipment been checked to ensure it is in good working order, PAT tested and safe to use?

  • Has the crew got a suitable sharps box available and being used for cut-fibre.

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