Gridworx Ltd

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Team Leader:

• Operative 1:

• Operative 2:

• Operative 3:

• Date:

  Date

• Vehicle Registration:

• Contract:

• Location:
  Address

• Work In Progress:

• Contract Manager:

• FLM / Auditor:

1.0 Site Observations

• 1.1 Safe Access/Egress to work site?

  Yes

  No

  N/A

• 1.2 Appropriate warning signs posted?

  Yes

  No

  N/A

• 1.3 Vehicles clean and tidy?

  Yes

  No

  N/A

• 1.4 Is vehicle; Secure / ignition keys removed / parked safely?

  Yes

  No

  N/A

• 1.5 Signing and guarding correct? ( NRSWA)

  Yes

  No

  N/A

• 1.6 Pedestrian / Public safety satisfactory?

  Yes

  No

  N/A

• 1.7 Housekeeping - Safe and tidy site?

  Yes

  No

  N/A

• 1.8 Operatives working safely - wearing PPE?

  Yes

  No

  N/A

2.0 Documentation

• 2.1 Individual ID / Authorisation / DNO Rules Card on site and Available?

  Yes

  No

  N/A

• 2.2 Team Leader Pack Complete?

  Yes

  No

  N/A

• 2.3 Site specific risk Assessment for the location Sufficient and all team aware of requirements?

  Yes

  No

  N/A

• 2.4 Utility Plans available, legible and current?

  Yes

  No

  N/A

• 2.5 Are all Training Certificates i.e. MEWP, Plant, Chain saw, Strimach etc. Cards on site in date?

  Yes

  No

  N/A

• 2.6 Distribution Safety Rules, Operational Practice Manual Authorisations, NEDL / YEDL id card Available and in date?

  Yes

  No

  N/A

• 2.7 Relevant Safety Alerts, Tools Box Talks Received and Understood?

  Yes

  No

  N/A

• 2.8 Are safety docs PTW, LOAF work instructions adequate and understood?

  Yes

  No

  N/A

3.0 Plant & Equipment

• 3.1 CAT Present?

  Yes

  No

  N/A

• CAT Number:

• Next Calibration Due:

  Date

• 3.1.1 Genny Present?

  Yes

  No

  N/A

• Genny Number:

• Next Calibration Due:

  Date

• 3.2 Megger, Earth Loop, Volt Meter Test Lamps, Proving Unit, Rotoscope, KP Tester, Portable Earths HV, LV in test and stored safely in a dry bag. (HV test set if in use)

  Yes

  No

  N/A

• 3.3 Fire Extinguisher present and in date?

  Yes

  No

  N/A

• Calibration due date and Kg:

• 3.4 Lifting Equipment (chains, shackles, slings, winch) in good order and within calibration?

  Yes

  No

  N/A

• 3.5 Excavator in good working order and fit for purpose?

  Yes

  No

  N/A

• 3.6 Plant & Machinery in good working order (e.g. Strimach)?

  Yes

  No

  N/A

• 3.7 Trailer in good order - lights, number plate, break away cable etc?

  Yes

  No

  N/A

• 3.8 MEWP / Strimach (other) LOLER in date?

  Yes

  No

  N/A

• 3.9 Are general and insulated hand tools in good condition no significant damage?

  Yes

  No

  N/A

• 3.10 Ladders tested, tagged, in date? Rungs, stiles,hooks, guides in good condition?

  Yes

  No

  N/A

• 3.11 Have all staff been trained in all tools & working techniques?

  Yes

  No

  N/A

4.0 Electrical Safety

• 4.1 Permit to work completed and communicated?

  Yes

  No

  N/A

• 4.2 Earths applied as management instruction?

  Yes

  No

  N/A

• 4.3 Work taking place in clear site of applied Earth?

  Yes

  No

  N/A

• 4.4 Earths applied within 3 spans of point of work?

  Yes

  No

  N/A

• 4.5 LV arrangements-Earthing, phase rotation/polarity, test lamps & proving.

  Yes

  No

  N/A

• 4.6 Safe system of work as method statement?

  Yes

  No

  N/A

• 4.7 Has a Full CAT & Genny Survey been conducted & trial holes excavated? Services marked?

  Yes

  No

  N/A

5.0 Welfare

• 5.1 Provision for obtaining Hot Water?

  Yes

  No

  N/A

• 5.2 Suitable arrangements for toilets?

  Yes

  No

  N/A

• 5.3 Suitable facilities for washing available?

  Yes

  No

  N/A

• 5.4 Soap and towels / wipes available?

  Yes

  No

  N/A

• 5.5 First Aid Kit & Eye wash available and in date?

  Yes

  No

  N/A

• 5.6 Plant, equipment, materials and vehicles arranged safely to protect staff & public?

  Yes

  No

  N/A

6.0 Personal Protective Equipment

• 6.1 Flame retardant overalls in good order and being worn?

  Yes

  No

  N/A

• 6.2 Hearing/Eye/Head/Dust Masks/Hand/Safety Footwear. Full face visor available, worn if required?

  Yes

  No

  N/A

• 6.3 Hi-Viz and wet wear available, suitable and worn if required?

  Yes

  No

  N/A

• 6.4 Insulated work gloves Class 0, 1(delete as required) in test.

  Yes

  No

  N/A

• 6.5 Harness/Pole Choke/Climbing irons inspected adjusted & attached where required?

  Yes

  No

  N/A

• 6.6 Ariel rescue kit unopened and available at work site?

  Yes

  No

  N/A

• 6.7 Is all PPE being correctly stored?

  Yes

  No

  N/A

7.0 Environment

• 7.1 Are appropriate sized spill kits readily available?

  Yes

  No

  N/A

• 7.2 Is waste correctly separated for disposal?

  Yes

  No

  N/A

• 7.3 All containers correctly labelled?

  Yes

  No

  N/A

• 7.4 Hazardous materials stored correctly?

  Yes

  No

  N/A

• 7.5 Are all containers fit for purpose?

  Yes

  No

  N/A

• 7.6 Is COSHH information available, understood and complied with?

  Yes

  No

  N/A

8.0 Work Practice

• 8.1 MEWP. Stabilisers, Spreaders in use?

  Yes

  No

  N/A

• 8.2 Harness worn if working in platform? ( MEWP?)

  Yes

  No

  N/A

• 8.3 Shrouding applied live working procedures followed?

  Yes

  No

  N/A

• 8.4 Earth, Locks, Notices applied?

  Yes

  No

  N/A

• 8.5 No persons working below person working at height?

  Yes

  No

  N/A

• Comments and Actions required:

• Image of site.

  Media

• Sketch here, if required.

  Drawing

• FLM / Safety Auditor:

• Add signature

  Sign

• Team Leader:

• Add signature

  Sign

• Actions Completed / Closed Off?

  Yes

  No

  N/A