Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Quality

  • Have all backfill materials been compacted to the HAUC specifications

  • Have excavated materials been separated to prevent contamination of backfill and for re-use

  • Marker tape/tile place over pipe/cable

  • Suitable blinding material being used

  • Are excavations the correct depth for the work being carried out

Environmental

  • Are vehicles parked away from drains

  • Is dust suppression available/in use

  • Are noise levels acceptable and not causing a nuisance

  • Is the site free of evidence from diesel/substance spills

  • Is plant in good condition with no leaks

  • Is there an unopened spill kit available

  • Is there a CoSHH assessment available for the chemicals on site

  • Are chemicals stored in correctly labelled containers

  • Is the vehicle kept in a clean and tidy condition

Site Management

  • Work instructions and all utility plans

  • Site specific risk assessment completed and signed

  • Does the site meet the highways permit conditions

  • NRSWA, Plant operator, First Aider etc. Check validity

  • Gang pack up to date

  • Do barriers confirm to NRSWA including safety zone

  • Does oncoming traffic know where to go

  • Correct pedestrian walkway around site

  • Sandbags or alternative on signs to prevent them falling

  • Welfare facilities available

  • Cable avoidance tools available and in good order. Check expiry dates and plant number

  • Gas Detection Unit available, in use and within calibration

Health and Safety

  • All correct PPE being worn, is there any signs of damage?

  • Evidence of safe digging being carried out

  • Are excavations safe to work in, is there a requirement for shoring or is shoring adequate

  • Is materials stored safely within barriers

  • Are trench edges clear of excavated spoil

  • Are all vehicles safely and suitably parked

  • Is there a fully stocked first aid kit available

  • Is there eye wash available with a valid date

  • Is there a fire extinguisher available and within service date

  • Are all tools and work equipment in a visually sound conditin

  • Have plant inspections been carried out

  • Have the operatives been trained to operate the plant being used

  • Are certificates and inspections available for lifting equipment

  • Has the last toolbox been issued, ask team for subject

  • Correct manual handling techniques being carried out

  • Are vibration trigger times being completed

  • Are site conditions and working practices free from hazards

  • Comments

  • Auditee

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.