Information
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LCL Number
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Job / Project Number
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Client Job/Project Title
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Location
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Conducted on
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Team Names
Vehicle
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Is Vehicle; Secure / ignition keys removed / parked safely?
- YES
- NO
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Is the front of the vehicle clean and tidy?
- YES
- NO
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Are NRSWA permit conditions on site?
- YES
- NO
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Is the Site specific risk Assessment for the location sufficient and all team members aware of requirements?
- YES
- NO
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Are all Training Certificates for the team available and appropriate.
- YES
- NO
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Do all team members have DNO identification?
- YES
- NO
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Is COSHH information on site?
- YES
- NO
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Is the fire extinguisher suitable and in date? Record Date.
- YES
- NO
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Record Date.
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Is the first aid kit suitable and in date? Record Date.
- YES
- NO
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Record Date.
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Is the eye wash suitable and in date? Record Date.
- YES
- NO
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Record Date
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Is there a suitable spill kit?
- YES
- NO
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Are all plant certificates on site?
- YES
- NO
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Is Fuel stored correctly and labelled?
- YES
- NO
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Take Photograph
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Is water stored and labelled correctly?
- YES
- NO
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Take Photograph.
Trailer
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Is trailer gate up and secure?
- YES
- NO
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Is trailer in good order and are the lights functioning
- YES
- NO
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Is number plate correct and appropriate?
- YES
- NO
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Is there a break away cable and is it in good condition?
- YES
- NO
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Take Photograph of Trailer
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Take Photograph of Trailer
Work Area
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Is signing and guarding correct? (NRSWA)
- YES
- NO
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Take photograph
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Are plant, equipment, materials and vehicles arranged safely?
- YES
- NO
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Take photograph
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Are operatives working safely - and wearing PPE?
- YES
- NO
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Is the general housekeeping of the site satisfactory?
- YES
- NO
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Are appropriate information and courtesy signs posted?
- YES
- NO
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Take photograph
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Is there Safe Access/Egress for site staff?
- YES
- NO
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Is there Safe Access/Egress for the public?
- YES
- NO
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Are walk boards fit for purpose?
- YES
- NO
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Are walk boards secured?
- YES
- NO
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Is water suppression on cutting tools working correctly?
- YES
- NO
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Will the correct tarmac / concrete depth be achieved on the final reinstatement?
- YES
- NO
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Is the back fill material being compressed correctly?
- YES
- NO
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Please record depths:
Signature
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Please sign.
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Any Comments: