Information
-
LCL Number
-
Job / Project Number
-
Client Job/Project Title
-
Location
-
Conducted on
-
Team Names
Vehicle
-
Is Vehicle; Secure / ignition keys removed / parked safely?
-
Is the front of the vehicle clean and tidy?<br>
-
Are NRSWA permit conditions on site?<br>
-
Is the Site specific risk Assessment for the location sufficient and all team members aware of requirements?<br>
-
Are all Training Certificates for the team available and appropriate. <br>
-
Do all team members have DNO identification?<br>
-
Is COSHH information on site?<br>
-
Is the fire extinguisher suitable and in date? Record Date.
-
Record Date.
-
Is the first aid kit suitable and in date? Record Date.
-
Record Date.
-
Is the eye wash suitable and in date? Record Date.
-
Record Date
-
Is there a suitable spill kit?
-
Are all plant certificates on site?
-
Is Fuel stored correctly and labelled?
-
Take Photograph
-
Is water stored and labelled correctly?
-
Take Photograph.
Trailer
-
Is trailer gate up and secure?<br>
-
Is trailer in good order and are the lights functioning<br>
-
Is number plate correct and appropriate?
-
Is there a break away cable and is it in good condition?
-
Take Photograph of Trailer
-
Take Photograph of Trailer
Work Area
-
Is signing and guarding correct? (NRSWA)
-
Take photograph
-
Are plant, equipment, materials and vehicles arranged safely?<br>
-
Take photograph
-
Are operatives working safely - and wearing PPE?<br>
-
Is the general housekeeping of the site satisfactory?
-
Are appropriate information and courtesy signs posted?<br>
-
Take photograph
-
Is there Safe Access/Egress for site staff?<br>
-
Is there Safe Access/Egress for the public?<br>
-
Are walk boards fit for purpose?<br>
-
Are walk boards secured?
-
Is water suppression on cutting tools working correctly?
-
Is the back fill material being compressed correctly?
-
Will the correct tarmac / concrete depth be achieved on the final reinstatement?
-
Please record depths:
Signature
-
Please sign.