Fletcher EQR Domestic Sewer Drain Repair

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SITE ASSESSMENT

• Was Site Induction correctly Delivered

  YES

  NO

• Is the T/A on Site

  YES

  NO

• Is the SSSP on Site

  YES

  NO

• Is Safe 6 Board clearly displayed

  YES

  NO

• Is Safe 6 Board information up to date

  YES

  NO

• Are Hazards and Controls clearly entered.

  YES

  NO

• Does Safe 6 Board display Site Foreman's Name and Contact Number

  YES

  NO

SITE WORKS

• Is Berm adequate distance from edge of Trench

  YES

  NO

• Is depth of Trench less than 1.5m. [Measure depth]

  YES

  NO

• If Trench is deeper than 1.5m, Has MBIE been notified - receipt notice on site.

  Yes

  No

  N/A

• Is an Escape ladder located in the Trench

  YES

  NO

• Does Excavation require Shoring or Bracing

  YES

  NO

• Are ALL Electrical Tools and Equipment Tested and Tagged

  YES

  NO

• Is an RCD being used

  YES

  NO

TOOLS and EQUIPMENT

• Is the combustion engine on motorised equipment turned off when not in use

  Yes

  No

  N/A

• Are ALL Tools and Equipment maintained in good working order.

  YES

  NO

• Do All Vehicles have a current WOF, COF, REGO, CERTIFICATES.

  YES

  NO

SITE HYGIENE

• Is soap and water available for Hand Washing and Cleansing

  YES

  NO

• Is Alcohol Gel available on site

  YES

  NO

• Do Workers have access to Toilet Facilities on site or close by

  YES

  NO

PERSONELL

• Do ALL employees on site hold current Fletcher EQR Indiction / ID Cards

  YES

  NO

• Are ALL employees wearing HiViz and Safety Footwear

  YES

  NO

• Are ALL Workers on site listed in SSSP

  YES

  NO