FOR3026 Site Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Safe System of Work

• 1.1 Is a Safe System of work pack available and contain a part completed RT9909 form?

  Yes

  No

  N/A

• 1.2 Where relevant does the SSOW pack contain apart completed RT3181 form(s) (where a Blockage(s) of the Line form part of the SSOW) / copy of the PICOP pack (for a Possession)

  Yes

  No

  N/A

• 1.3 Does the SSOW pack contain extracts from sectional appendix for the entire mileage where the work group will be on or near the line.

  Yes

  No

  N/A

• 1.4 Does the SSOW pack contain the relevant extracts from the Hazard Directory?

  Yes

  No

  N/A

• Evidence of SSOW Compliance

SSOW

• Add media

  Media

2. Work Package Planning

• 2.1 Is a Work Package Plan Available and is it appropriate for the location and task?

  Yes

  No

  N/A

• 2.2 Is evidence available that the Work Package Plan has been briefed to those onsite?

  Yes

  No

  N/A

• 2.3 Does it identify all relevant section project risks?

  Yes

  No

  N/A

• Evidence of Work Package Compliance

Work Package Planning

• Add media

  Media

3. Task Briefing

• 3.1 Is a Task Briefing Sheet Available and is it appropriate for the location and task?

  Yes

  No

  N/A

• 3.2 Is there evidence that the task briefing has been briefed to those onsite?

  Yes

  No

  N/A

• 3.3 Does it identify all site risks and task risk controls?

  Yes

  No

  N/A

• Evidence of Task Briefing Compliance

Task Briefing

• Add media

  Media

4. Design

• 4.1 Is a Detailed Design Available where applicable?

  Yes

  No

  N/A

5. Personal Protective Equipment

• 5.1 Is high visibility clothing being worn with the sponsor’s logo?

  Yes

  No

  N/A

• 5.2 Is all PPE in good condition and in-date where required?

  Yes

  No

  N/A

• 5.3 Where there is a requirement for specialist PPE (eye protection, gloves, respiratory) is it being worn and in good order?

  Yes

  No

  N/A

• Evidence of PPE compliance

PPE

• Add media

  Media

6. Equipment

• 6.1 Are first aid kits available, complete and contents in-date?

  Yes

  No

  N/A

• 6.2 Are fire extinguishers available, in good condition and have an in-date sticker (Return to Transport Manager out of date and get a replacement)?

  Yes

  No

  N/A

• 6.3 Are hand tools in good condition? Is the worksite free from Stanley knives?

  Yes

  No

  N/A

• 6.4 Have all operatives got the correct competence for the tasks and plant they are using and are competence cards available?

  Yes

  No

  N/A

• Add competence evidence

Competence evidence

• Add media

  Media

• 6.5 Is any equipment that requires inspection or calibration in-date for test? Including but not limited to, lifting equipment / accessories, cable trailers, test equipment?

  Yes

  No

  N/A

• Add Equipment evidence

Equipment evidence log

• Add media

  Media

7. Ladders

• 7.1 Are ladders tagged and dated and if so are they in date for inspection?

  Yes

  No

  N/A

• Add evidence of tagging

Evidence of tagging

• Add media

  Media

• 7.2 Are ladders in good repair?

  Yes

  No

  N/A

• 7.3 Are ladders erected and secured correctly?

  Yes

  No

  N/A

• Evidence of Ladder Compliance

Ladder Compliance

• Add media

  Media

8. Buried Services

• 8.1 Is there evidence that buried service information is kept onsite?

  Yes

  No

  N/A

• 8.2 Have buried services been identified and marked out?

  Yes

  No

  N/A

• 8.3 Is there a permit to dig form in-place and evidence of use?

  Yes

  No

  N/A

• Evidence of permit to dig and marking out of service

Evidence of Permit to Dig / Buried Service

• Add media

  Media

• 8.4 Is the CAT Scan NWR approved and calibrated?

  Yes

  No

  N/A

• Evidence of CAT and Genny approved and Calibrated

CAT and Genny

• Add media

  Media

9. Manual Handling

• 9.1 Have Manual Handling Assessments been completed for the site? (where applicable)

  Yes

  No

  N/A

• 9.2 Have staff been briefed on the control measures i.e. safe lifting techniques, mechanical lifts?

  Yes

  No

  N/A

• Manual Handling Compliance Evidence

Manual Handling

• Add media

  Media

10. Housekeeping

• 10.1 Is the site tidy and free from waste and are walkways free from obstructions?

  Yes

  No

  N/A

• 10.2 Has all line-side waste been removed where applicable?

  Yes

  No

  N/A

• 10.3 Have all onsite material and equipment (cable drums / troughing etc) been stored adequately?

  Yes

  No

  N/A

• 10.4 Are vans clean and tidy?

  Yes

  No

  N/A

• 10.5 Have vans been park to prevent blocking access to other users?

  Yes

  No

  N/A

• 10.6 Is there evidence that previous worked in REB(s) have been cleared by Linbrooke teams?

  Yes

  No

  N/A

• Housekeeping Compliance Evidence

Housekeeping

• Add media

  Media

11. Sentinel Competence Compliance

• 11.1 Are Sentinel cards available and competencies in date?

  Yes

  No

  N/A

• Enter Sentinel card evidence.

Sentinel Card Evidence

• Add media

  Media

12. Security

• 12.1 If plant / vehicles are on-site have all keys been removed to remove temptation of theft?

  Yes

  No

  N/A

• 12.2 Have all tools been stored away safely that are not in use to prevent theft?

  Yes

  No

  N/A

• 12.3 Are all security systems in-place checked for suitability and maintained (where applicable)? Are the teams aware what to do in the event of a member of the public onsite? Are mobile phones and valuables hidden from sight?

  Yes

  No

  N/A

• 12.4 Have the site reported any issues with members of the public and or trespassers?

  No

  Yes

  N/A

• 12.5 Is the site secure when teams are not on-site?

  Yes

  No

  N/A

• Evidence of security compliance

Security

• Add media

  Media

13. Welfare

• 13.1 Are there welfare facilities on-site, if yes are the facilities compliant with the project welfare assessment and Network Rail Standard for the number of personnel working?

  Yes

  No

  N/A

• 13.2 Are the facilities clean, tidy and emptied on a regular basis?

  Yes

  No

  N/A

• 13.3 If the work is identified as transient do the team have access to facilities and is this documented?

  Yes

  No

  N/A

• Evidence of Welfare Compliance

Welfare

14. Environmental

• 14.1 Is there an environmental plan onsite and is this being complied with?

  Yes

  No

  N/A

• 14.2 As an aspects and impacts assessment been carried out?

  Yes

  No

  N/A

• 14.3 Does the task brief reference any environmental considerations and are the teams aware of their requirements?

  Yes

  No

  N/A

• 14.4 Are there adequate environmental resources onsite – Skips, Bins, Spill Kits and are they being used?

  Yes

  No

  N/A

• 14.5 As the team been briefed in environmental aspects and spill procedures?

  Yes

  No

  N/A

• 14.6 Is noise and vibration being adequately controlled?

  Yes

  No

  N/A

• 14.7 Are fumes and dust onsite an issue and if so are they being controlled adequately?

  Yes

  No

  N/A

• Evidence of Environmental Compliance

Environmental

• Add media

  Media

15. Other trending issues

• 15.1 Have all personnel been inducted ono the project and is there a method of tracking compliance i.e. helmet stickers on Linbrooke PC projects (check 20%)?

  Yes

  No

  N/A

• Evidence of compliance - inductions

Inductions

• Add media

  Media

• 15.2 Have the weekly safety briefs been conducted?

  Yes

  No

  N/A

• Evidence of last briefings undertaken

Briefings

• Add media

  Media

• 15.3 Are the team onsite aware of the Life Saving Rules?

  Yes

  No

  N/A

• Evidence of LSR understanding and / or information.

Evidence of LSR

• Add media

  Media

16. Are there any other notable issues to be recorded?

Issues or Good practice

• Add media

  Media

Feedback from team?

• Have the team had a de-briefing on findings?

• Has the supervisor had a de-briefing on issues and any immediate actions to be undertaken?

• Auditor Signature

  Sign

• Site Supervisor / Manager Signature

  Sign