Information
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Civil Contract audit been carried out on.
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Company Name
- Heneghans
- Perfecta Group
- Hardwick
- AMG
- Cusack
- Axel
- SAUK
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Team Name
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Person carrying out compliance audit
- Gareth Lindsay
- Jacob Leeming
- Nick Hoyle
- Chris Lockham
- Jonathan kelly
- Jamie Ayrton
- Kevin Murphy
- Des Rogan
- Sean Delaney
- Diogo Santos
- John Walsh
- Phil Edgell
- Mick Mcelhinney
- Rob Austin
- John Whitehead
- Gary Handley
- Bob Morris
- Ben Moody
- Chris Gunn
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Conducted on
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Location
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Build Area
Compliance Audit
Compliance Audit
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Civil Contract audit been carried out on.
Pre-Start & Risk assessment Completion
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As a On-Site Risk Assessment been Completed
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Please take photo of proof
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As a the Team completed the Pre-Start Check Form.
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Please take photo of proof
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Do the team have a Gang & COSHH Pack
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Please take photo of proof
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Utility Drawings on Site and in Date (UTILITY DRAWING VALID PERIOD DAYS - GAS-28 / ELECTRIC-30 / B.T-90 / WATER-90 / VIRGIN-90 ).
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Please take photo of proof
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Have all known service been identified and Marked up & Trial Hole been completed Prior to any works commencing (if not WORK MUST STOP until this has been completed)
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Please take photo of proof
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Street works card on site and valid.
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Please take photo of proof
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Mini digger qualification card on site and valid.
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Please take photo of proof
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Are adequate welfare facilities readily available to personnel? Drinking water, somewhere to go to toilet, somewhere to wash their hands and change if required? The use of private facilities like McDonalds, public houses, shops and cafes is ok IF a written agreement is in place. and relevant information within the Gang Pack.
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Please take photo of proof
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Cat & Genny in date
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Please take photo of proof
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Cat & Genny - Are Batteries charged and fit for use (Test both equipment for power & noise indicators)
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Please take photo of proof
Van & PPE Check
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Vehicle Reg (Check trailer reg matches Vehicle Reg and plate is fit for purpose)
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Please take a photo of Proof.
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Is the van tidy inside and out i.e No rubbish on dash & all equipment stored Correctly in the rear. (PLEASE STATE WHICH IN COMMENTS
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Please take a photo of Proof.
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Is Van parked safely i.e within work area, not park on bend and have the correct SLG.
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Please take photo of proof
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Are Chevrons and Flashing beacon on Vehicle
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Please take photo of proof
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Fire Extinguisher in date & fit for use<br>
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Please take photo of proof
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Is there a Fully stock spill kit / Drip tray or Fuelling Matt on-site / in van
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Please take photo of proof
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Fully stock first aid box & in Date & First Aid Certification
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Please take photo of proof
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Correct PPE Available and been used for relevant task i.e Hard hat's, Goggles, Ear defender, Dust mask.
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Please take photo of proof
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Are all Team members waring Hi- Viz vest / clothing. (city fibre contract long sleeve + Logo vest must be worn)
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Please take photo of proof
SLG on Site.
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Are ALL permit boards been displayed at both ends of the work site and have the correct Permit Numbers for the street they are working on
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Please take photo of proof - ALL PERMIT BOARDS AND PERMIT NUMBERS
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Are Men @ work, Road Narrow and Blue arrows Signs out and Correct. (Require cones if on the road).
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Please take photo of proof
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Are Signs damaged or defaced
- Yes - (Edge Damage but fit for use)
- Yes - (Not Fit for Use)
- No
- N/A
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Please take photo of proof
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Sideway Safety Zone In place and Correct distance from Barriers
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Please take photo of proof
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Are ALL cone fit for purpose i.e reflective sleeve on and in good condition & cones not damaged.
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Please take photo of proof
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Are all Barriers set up correctly as per the red Book, including all gate entrances (Clipped Together)
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Please take photo of proof
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Is there a walkway in place and set up correctly - (MINIMUM 1M WIDE WALKWAY - MEASURED FROM BARRIER FOOT TO OPP FOOT)
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Please take photo of proof
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Are Walk Boards / T-Mats on site ready available or being used over driveways / gate entrances & all Secured.
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Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)
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Are Kerb ramps or Drop Kerbs been used & fit for purpose & Secured
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Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)
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Are Access signs for residents @ each end of works (city fibre only)<br>
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Please take photo of proof
Traffic Management
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T.M - set up correctly signs / lights.
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Please take photo of proof
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Are All T.M Sign & Cones Fit fit for use and in Good Condition
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Please take photo of proof
House Keeping
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Is all spoils been stored correctly on site? (Not spilling under the Barrier's
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Please take photo of proof
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Is the appropriate plant readily available and stored correctly within the work area
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Please take photo of proof
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Is adequate water suppression been used to minimise dust.
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Please take photo of proof
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All water way (Drains) are kept clear of spoil, sand & stone
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Please take photo of proof
Other Site Failures
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Is there any other site failings.
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Please take photo of proof
Pre-Start & Risk assessment Completion
-
As a On-Site Risk Assessment been Completed
-
Please take photo of proof
-
As a the Team completed the Pre-Start Check Form.
-
Please take photo of proof
-
Do the team have a Gang & COSHH Pack
-
Please take photo of proof
-
Utility Drawings on Site and in Date (UTILITY DRAWING VALID PERIOD DAYS - GAS-28 / ELECTRIC-30 / B.T-90 / WATER-90 / VIRGIN-90 ).
-
Please take photo of proof
-
Have all known service been identified and Marked up & Trial Hole been completed Prior to any works commencing (if not WORK MUST STOP until this has been completed)
-
Please take photo of proof
-
Street works card on site and valid.
-
Please take photo of proof
-
Mini digger qualification card on site and valid.
-
Please take photo of proof
-
Are adequate welfare facilities readily available to personnel? Drinking water, somewhere to go to toilet, somewhere to wash their hands and change if required? The use of private facilities like McDonalds, public houses, shops and cafes is ok IF a written agreement is in place. and relevant information within the Gang Pack.
-
Please take photo of proof
-
Cat & Genny in date
-
Please take photo of proof
-
Cat & Genny - Are Batteries charged and fit for use (Test both equipment for power & noise indicators)
-
Please take photo of proof
Van & PPE Check
-
Vehicle Reg (Check trailer reg matches Vehicle Reg and plate is fit for purpose)
-
Please take a photo of Proof.
-
Is the van tidy inside and out i.e No rubbish on dash & all equipment stored Correctly in the rear. (PLEASE STATE WHICH IN COMMENTS
-
Please take a photo of Proof.
-
Is Van parked safely i.e within work area, not park on bend and have the correct SLG.
-
Please take photo of proof
-
Are Chevrons and Flashing beacon on Vehicle
-
Please take photo of proof
-
Fire Extinguisher in date & fit for use<br>
-
Please take photo of proof
-
Is there a Fully stock spill kit / Drip tray or Fuelling Matt on-site / in van
-
Please take photo of proof
-
Fully stock first aid box & in Date & First Aid Certification
-
Please take photo of proof
-
Correct PPE Available and been used for relevant task i.e Hard hat's, Goggles, Ear defender, Dust mask.
-
Please take photo of proof
-
Are all Team members waring Hi- Viz vest / clothing. (city fibre contract long sleeve + Logo vest must be worn)
-
Please take photo of proof
SLG on Site.
-
Are ALL permit boards been displayed at both ends of the work site and have the correct Permit Numbers for the street they are working on
-
Please take photo of proof - ALL PERMIT BOARDS AND PERMIT NUMBERS
-
Are Men @ work, Road Narrow and Blue arrows Signs out and Correct. (Require cones if on the road).
-
Please take photo of proof
-
Are Signs damaged or defaced
- Yes - (Edge Damage but fit for use)
- Yes - (Not Fit for Use)
- No
- N/A
-
Please take photo of proof
-
Sideway Safety Zone In place and Correct distance from Barriers
-
Please take photo of proof
-
Are ALL cone fit for purpose i.e reflective sleeve on and in good condition & cones not damaged.
-
Please take photo of proof
-
Are all Barriers set up correctly as per the red Book, including all gate entrances (Clipped Together)
-
Please take photo of proof
-
Is there a walkway in place and set up correctly - (MINIMUM 1M WIDE WALKWAY - MEASURED FROM BARRIER FOOT TO OPP FOOT)
-
Please take photo of proof
-
Are Walk Boards / T-Mats on site ready available or being used over driveways / gate entrances & all Secured.
-
Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)
-
Are Kerb ramps or Drop Kerbs been used & fit for purpose & Secured
-
Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)
-
Are Access signs for residents @ each end of works (city fibre only)<br>
-
Please take photo of proof
Traffic Management
-
T.M - set up correctly signs / lights.
-
Please take photo of proof
-
Are All T.M Sign & Cones Fit fit for use and in Good Condition
-
Please take photo of proof
House Keeping
-
Is all spoils been stored correctly on site? (Not spilling under the Barrier's
-
Please take photo of proof
-
Is the appropriate plant readily available and stored correctly within the work area
-
Please take photo of proof
-
Is adequate water suppression been used to minimise dust.
-
Please take photo of proof
-
All water way (Drains) are kept clear of spoil, sand & stone
-
Please take photo of proof
Other Site Failures
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Is there any other site failings.
-
Please take photo of proof
Conclusion
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Please supply a quick description of any findings of the workplace inspection.
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Ganger or Supervisor Signature
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Is the Audit Complete
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Date and Time
