Title Page
-
Tippers and Plant
-
Conducted on:
-
Prepared by:
-
Location:
-
Operative:
-
Audit for:
Key Information
-
Description of Work
Site Access
-
Have you seen the STW induction dvd?
-
What is the stw induction card number?
-
Do you have your anglian ID card?
-
Do you have a valid copy of the authorisation?
-
Are you able to demonstrate the location of the authorisation in the pack?
-
Do you have a copy of the STW/anglian handbook?
-
Are you aware of the closed gate policy?
-
Have you signed/fobbed in?
Risk Assesments/Method Statements
-
Does the risk assessment cover all the hazards where you are working?
-
Is the method statement being followed?
-
Do you have an SR3 (field map) available?
-
Do you know who has the SR5 (field pass sheet)?
-
Are you happy with the maps that you have been provided with?
PPE
-
Do you know the PPE mandatory requirements?
-
Are you aware of your responsibility under the PPE regs 1992?
-
Wearing class 3 hi vis vest in good condition?
-
Wearing hard hat/bump cap in good condition?
-
Wearing appropriate safety footwear in good condition?
-
Wearing appropriate gloves in good condition?
-
Wet weather coat available and in good condition?
-
Is hearing protection immediately available?
-
Is eye protection immediately available?
-
Is respiratory protection Available? (Where required)
-
Wearing company uniform? (Polo shirt and trousers)
Hygiene
-
Have you got the leptospirosis card?
-
Have you got hand wipes/hand gel available?
First Aid
-
Is a first aid kit available?
-
Is the first aid kit in date/complete?
-
What is the first aid kit number?
-
Is the first aid kit stowed in the allocated area?
-
Are you aware that first aid training is available?
Vehicle and Plant
-
Do you have your CPC card available?
-
Do you have the appropriate licences/plant training certificates?
-
Is the vehicle in good condition?
-
Is the CB in working order?
-
Do you have a defect book?
-
Has the defect book been completed?
-
State any defects logged by driver. Include pictures where necessary
-
Pictures:
-
Has the working area been considered for the vehicle/plant?
-
Is the forward facing camera in a working condition?
-
Is the camera correctly used? (Plugged in and recording)
-
Has the memory card been formatted?
-
Is a shovel present on the vehicle?
-
Is a brush present on the vehicle?
-
Is a D link available on the vehicle?
-
Is a tow strap available on the vehicle?
-
Is the towing pin present and in good condition?
Overhead Power Lines
-
Are there overhead power lines present on site?
-
Are you aware of your vehicle height when working near OHPL?
-
Are signs/cones available and in use?
-
Are goalposts being used?
-
Are you aware of the 15 metre exclusion zone around the OHPLs?
-
Does the map clearly indicate any overhead powerlines?
Signage - Working on the Highways
-
Does TMA apply?
-
Have you completed streetworks training?
-
Are suitable and sufficient signs available and being used?
Working at Height
-
Are you aware that you are working at height?
-
Are 3 points of contact maintained when entering/exiting the vehicle?
COSHH
-
Are COSHH assessments available and in date?
-
Are containers correctly marked?
-
Are substances stored correctly?
Reporting
-
Are you aware of what to do in an emergency?
-
Do you know how to report hazards/safe acts/accidents /near misses?
-
Are you following the lone working procedure?
-
Are you working to the working time directive? (Tachograph)
Manual Handling
-
Have you undertaken manual handling training?
Work Environment
-
Is the standard of housekeeping in the vehicle acceptable?
-
Is the standard of housekeeping in the work area acceptable?
-
Is lighting/ventilation adequate?
Comments
-
Comments
-
Operative:
-
Auditor: