Information

  • Document No.

  • Control Number

  • Audit Title

  • Client

  • Conducted on

  • Prepared by

  • Site address
  • Adopting utility

Competency

  • Staff on site.

  • Operative
  • Name

  • Job Role

  • Is the operative registered with EUSR for SHEA Gas?

  • EUSR Registration No.

  • Are appropriate competencies held for the role undertaken?<br>NCO (G) etc.

  • Is the operative registered for SCO

  • SCO Registrations held?

  • Is the operative registered for SWQR

  • SWQR categories held?

  • Does the operative hold other relevant qualifications

  • Add below

Signing Lighting and guarding

  • What signing lighting and guarding arrangements are in place?

  • Signing lighting and guarding
  • Is the signing lighting and guarding to Chapter 8?<br>(Warn Inform Direct End)

  • If on site only, are guarding arrangements sufficient?

  • Are suitable areas identified for test ends and are these adequately identified?

  • Has pedestrian access been maintained?

  • Have the needs for all users of the highway been considered, disabled, cycle routes etc.

  • Are traffic management arrangements satisfactory?

  • Are suitable warning signs in place ( no smoking, pressure testing etc.)?

Site Safety & work instructions

  • What site safety arrangements are in place

  • Site safety
  • Has the team signed in on site?

  • Is there a site specific Risk Assessment in place that is adequate?

  • Is the appropriate PPE being worn?

  • What PPE is being worn?

  • Has the LR representative received an induction?

  • What arrangements are in place for Work instructions

  • Work instruction details
  • Is there a proposal drawing on site?

  • Does the work instruction adequately describe the work to be completed?

  • Risk Assessments & Method Statements

  • RAMS witnessed
  • Are the appropriate Risk Assessments and method statements available on site?<br>

  • Please select the Method Statements available

  • Is the team working to the method statements?

  • Other documentation required and available on site

  • Other documentation available .

  • Are other utility plans Available on site?

  • Other utility plans available

  • Have any changes to the design been identified on site?

  • Design changes identified.
  • Has the change been categorised as Major / Minor in accordance with procedures

  • Has the variation been approved by the appropriate authority? (Designer or in accordance with the procedure?

  • Has the variation been agreed by the appropriate authority?

  • What permitry arrangements are in place?

  • SCO, PTW , etc
  • Is the necessary permitry in place, RO, NRO, Permit to work, or similar?

  • Is there a valid road opening licence in place?

  • Is there a valid abstraction / discharge consent in place?

Tools and equipment

    Equipment check
  • Are two fire extinguishers available and in calibration?

  • Are two sets of Breathing Apparatus available and in calibration?

  • Is there a suitable first aid box available and are key items in date?

  • Is there suitable cable locating equipment available, serviceable and in calibration?

  • Is the Gasco seeker or similar available and in calibration?

  • Are the pressure testing gauges, serviceable, in calibration and of the correct scale for the pressure test being applied?

  • Are the pressure test stand pipes suitable, serviceable and in calibration?

  • Is the portable generator suitable, serviceable and serviced?

  • Is the Electrofusion box suitable, serviceable and in calibration?

  • Are the Top Tee clamps, suitable, serviceable and in calibration?

  • Are joint clamps suitable and serviceable and regularly used?

  • Are cables PAT tested?

Excavation

    Excavation and Backfill
  • Is the excavation equipment suitable and serviceable?

  • Are the hand operated power tools suitable and serviceable?

  • Is the excavation / trench acceptable?

  • Excavation issues identified?

  • Trench depth (mm)

  • Trench width (mm)

  • Backfill and reinstatement
  • Is the backfill and reinstatement acceptable

  • Backfill and reinstatement issues identified

Non Open Cut Techniques

  • Are non open cut techniques being used?

  • Techniques used
  • Are rollers being used as required?

  • Have launch receive pits been adequately sited and prepared?

  • Has the depth of the main been agreed with the adopting Gas Transporter?

  • Are measures in place to prevent over straining the pipe?

  • Have the depths of other apparatus been identified and catered for?

  • Is the apparatus being laid to the agreed depth?

  • Is there evidence of pipe damage? Stretching etc.

  • Has the pulled section of pipe been allowed to stabilise before joints are made?

  • Are the appropriate water abstraction and discharge consents been obtained?

PE Mainlaying

    PE main laying
  • Are the pipe and fittings to specification?

  • Is a coil trailer being used as required?

  • Are the mains been laid to the correct proximity from dwellings?

  • Are the mains being laid to the correct depth

  • Is the pipe storage facilities secure? Are pipes and coils stacked to prevent ovality?

  • Is the pipe protected from contamination?

  • Are open ends capped?

  • Is the main laid a suitable distance from other utilities?

  • Are minimum bend radii adhered to?

  • Are the correct ducts being used

  • Is there evidence of damage to the pipe wall (evidence of dragging, 10% rule etc)

PE Butt Fusion

    PE Butt Fusion
  • Is the butt fusion machine suitable, serviceable and in calibration?

  • Is the hot plate clean and smooth?

  • Has a trimmer been used for pipe end preparation?

  • Are rollers used?

  • Has the first joint of the day been discarded? (First two on larger diameters)?

  • Is suitable weather protection used?

  • Are joints left in the fusion machine until the fusion cycle is complete?

  • Has a suitable bead gauge check been carried out?

  • Has an approved bead removal tool been used?

  • Has a suitable bend back test been applied

  • Are completed joints numbered?

  • Are the beads stored and logged correctly?

  • If the specification is for internal de-beading has this been Carried out?

  • Are joint records available?

PE Electrofusion

    Electrofusion
  • On peelable pipe has a suitable tool been used to remove the skin?

  • Are suitable separation distances maintained between joints squeeze offs etc.?

  • Has the area to be scraped been cleaned with a cloth ( not wet wipes)?

  • Is the are to be scraped identified using a marker?

  • Are joints adequately scraped?

  • Is a mirror available and being used as necessary?

  • Are fittings left in the bag until the last possible moment?

  • Are fittings clean and dry before insertion of pipe?

  • Are contaminated fittings permanently discarded?

  • Are the heating and cooling times recorded on the fitting / pipe and adhered to?

  • Are the fittings and pipes aligned correctly and are suitable clamps used during Electrofusion? (Including top loading clamps)

  • Has the pipe been marked to assist lining the socket and to show if the fitting has moved during fusion?

  • Are the fusion indicators visible?

Steel Main Laying

    Steel main laying
  • Are adequate slinging techniques being used

  • Has the pipe been wrapped / primed etc. Has holiday detection been completed

  • Are pipes stacked correctly

  • Corrosion protection is being installed as per the design?

Connections

  • Routine operation / Non routine / fm144

  • A Connection
  • Type of connection carried out.

  • Is a copy of the authorised procedure on site?

  • Has consideration been given to the effect on gas supplies?

  • If a PTW is required, is it on site, up to date and referenced on the RO?

  • Has the AE and CP signed off the RO/ NRO

  • Is the named competent person on site?

  • Has a site induction been completed by the CP and have all site personnel been briefed?

  • Does the site layout reflect the RO details?

  • Is there a detailed Method Statement of the operation to be carried out? And is the equipment set out in accordance with the procedure

  • Are the enclosures sketches drawings etc. Adequate?

  • Is there a comprehensive list of plant, equipment and materials and are these available on site?

  • Is there a valid test certificate on site for the new section of main / service to be connected?

  • Has the AE been informed of commencement?

  • Has clearance to proceed been given? And are details correct?

  • Are the correct number of pressure points in place?

  • Is the bypass the correct material, installed in accordance with the procedure and correctly sized?

  • Are the correct number of vent points in place? Are they the correct size and type? (Purge vents no flame trap, stopping off vents to include a flame trap) Are they 2.5m from ground level?

  • Pressure at start of operation

  • Are the correct number of squeeze offs / bag tubes in place? ( Are there sufficient spare bags)?

  • Has the skin from peelable pipe been removed prior to squeeze off?

  • Has the surface of the pipe been checked for longitudinal scoring that could result in a rupture during the squeeze off?

  • Are minimum distances between squeeze off points and fittings maintained?

  • Are continuity bonds in place?

  • Is the stopping off sequence correct and carried out in accordance with the procedure?

  • Has a back feed / decay test been carried out in accordance with the procedure?

  • Has the equipment installed as part of the operation undergone an adequate test? (Under pressure tees, drilling machines etc?( Check test durations and stabilisation periods. Is pressure released in a controlled manner etc) ?

  • Before the main is cut, is there suitable support?

  • Is ancillary equipment placed in a gas fee environment?

  • Is adequate anchorage maintained?

  • Has the pressure been recorded during the operation?

  • Pressures at end of operation?

  • Has a final test been carried out on all plugs capped and joints not tested?

  • Are squeeze offs re-rounded to remove stress from pipe and is squeeze off applied tape used?

Mechanical Jointing

    Mechanical jointing
  • Bolts and gaskets are in accordance with the design/ manufacturers instructions?

  • Bolts are tight end in the correct sequence?

  • The correct torque settings are used?

  • Mechanical joints are suitably wrapped after pressure testing?

  • Where transition fittings are used these have been installed as per he manufacturers instructions?

Welding

    Welding
  • Has a method statement and NRO been issued for construction?

  • The proposed weld procedure is approved by the adopting GT and is a copy available at the work location?

  • Is the welder qualified and approved for the specified weld procedure?

  • Is the welding inspector approved to the appropriate grade?

  • Has the pipeline material grade been determined?

  • Has the pipeline been checked for ovality?

  • Has the minimum wall thickness been determined?

  • Has any wall damage been identified during excavation and removal of coatings?

  • The welding rods are as specified in the procedure?

  • The welding rods are being stored correctly?

  • Weather protection used?

  • Welding inspection is being carried out in accordance with the procedure?

  • Have the appropriate welding and inspection records been compiled and retained?

Service Laying

  • Service laying

  • Plot number
  • Service details

  • Plot number / name
  • Plot number or name if different from above

  • Type of meter installation.

  • Does the service follow a predictable route?

  • If the service does not follow a predictable route as a suitable as laid record been prepared?

  • Are adequate separation distances maintained between other apparatus?

  • The service is laid to the correct depth?

  • The service entry has been made correctly?

  • The black bend and GRP have been installed correctly?

  • The service pipe if laid by others is adequately capped?

  • The ECV is fitted correctly?

  • Is the meter box / housing is adequate? Ventilated, identified as Gas, undamaged and the door is fitted?

  • Is the meter box adequately sealed

  • A service isolation valve is fitted as required?

  • A service excess flow valve is fitted as required?

  • Has the service test pressure been applied correctly?

  • Is the meter accessible?

  • Is there adequate equipotential bonding in place?

Service Alterations & Disconnections

  • Service alterations & disconnections

  • Service number
  • Has it been confirmed the service is not part of a dual service?

  • If a dual service has been identified, has the service been laid as two individual services?

  • Is the existing service cut off at least 2m from the building line?

  • If the new section of service installed increases the length of the service, has the pressure drop been calculated and is it still acceptable

  • Have all the below ground sections of steel service pipe been relaid?

  • If the service alteration is down stream of the house entry tee, has a let by test been carried out by using a pressure gauge connected to the ECV?

  • Have the correct squeeze of distances between fittings and joints?

  • Prior to leaving site, has there been a check of adjacent properties to confirm that supplies have not been affected by the work undertaken?

  • Where service isolation is under "Uncontrolled conditions " or within a confined space, is BA available and being worn?

  • If the service is medium pressure, and controlled isolation is not possible, has the pressure been reduced as far as reasonably possible and has due consideration been given to additional PPE ( fire suites etc.)

  • Has a suitable continuity bond been used? Is it constructed from 10mm2 cable and are the clamps to BS 951 or equivalent?

  • For service disconnections, has the service been disconnected at the mains connection.

  • Are any sealing plugs used to T/SP/F2 (i.e taper plugs and reducers are not permitted)?

  • Has an approved volt stick been used to check for current in any exposed metallic pipe?

  • Have all exposed ends been capped to provide a physical break of any gas path from the main to the property?

  • If the meter has been removed, has the integral installation been capped? And has the meter been placed in a well ventilated area?

  • Has the meter details been adequately recorded?

  • If an internal standpipe is left inside a building has it been capped and labelled?

Pressure Testing (mains)

    Pressure testing
  • Is there a site specific method statement in place?

  • Is a suitable pressure test stand pipe available and in use?

  • Is the test equipment of the correct scale?

  • Has the test section been set up that the test can be carried out without the need to enter the test area.

  • Have suitable whip arresters been used on the hoses?

  • Are the joints of hoses and stand pipes fit for purpose?

  • Has the correct stabilisation period and test duration been applied?

  • Is the test section physically isolated?

  • Is the test section adequately backfilled and anchored?

  • Have the exposed areas of the test section been guarded?

  • If hydrostatic testing, are abstraction and discharge consents in place?

  • If hydrostatic testIng, is the height differential of the test section confirmed as being less than 60 m?

Multi Occupancy Dwellings

  • Multi occupancy dwellings

  • Risers and laterals
  • Has the correct jointing system been used?

  • Is a PIV and or IIV fitted correctly?

  • Are any TCOs or EFVs as necessary?

  • Is an insulation joint fitted correctly

  • Are there sufficient isolation for laterals etc?

  • Is there suitable access for inspection and isolation?

  • Is there adequate ventilation of the ducts one meter banks

  • Has thermal expansion been allowed, I.e. suitable unrestrained lateral lengths expansion bellows, flexible couplings etc?

  • Is the installation adequately supported along its length?

  • Does the system ensure protected shaft status is maintained?

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.