Hen - SF02 - Site Compliance Audit

• Civil Contract audit been carried out on.

  City Fibre

  Virgin Media

• Company Name

  Select Heneghans LDH Perfecta Group Hardwick AMG Cusack Axel SAUK

  • Heneghans
  • LDH
  • Perfecta Group
  • Hardwick
  • AMG
  • Cusack
  • Axel
  • SAUK

• Team Name

• Person carrying out compliance audit

  Select Daniel Laycock Leah Jones Steven Hewkin Andrew Siddons Jacob Leeming Chris Lockham Steve Kemp 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

  • Daniel Laycock
  • Leah Jones
  • Steven Hewkin
  • Andrew Siddons
  • Jacob Leeming
  • Chris Lockham
  • Steve Kemp
  • 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

• Conducted on

  Date
• Location
  Address

• Build Area

  Select

Compliance Audit

• Civil Contract audit been carried out on.

  City Fibre

  Virgin Media

Pre-Start & Risk assessment Completion

• As a On-Site Risk Assessment been Completed

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Do the Team have a copy of the Permit Condition On-site.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• SLG / Site Setup asper the Permit Condition.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• As a the Team completed the Pre-Start Check Form.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Do the team have a Gang & COSHH Pack

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Utility Drawings on Site and in Date (UTILITY DRAWING VALID PERIOD DAYS - GAS-28 / ELECTRIC-30 / B.T-90 / WATER-90 / VIRGIN-90 ).

  Yes

  No

  N/A

• Please take photo of proof

  Media

• 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)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Street works card on site and valid.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Mini digger qualification card on site and valid.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• 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.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Cat & Genny in date

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Cat & Genny - Are Batteries charged and fit for use (Test both equipment for power & noise indicators)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• GDU (Gas Detector) on-site & In Calibration

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Roll Bar on-site (removing chamber lids)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Pit Lifter Available & On-Site

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are ALL lifting Slings, Chains in Date and fit for Use and a copy of the CERT on-site.

  Yes

  No

  N/A

• Please take photo of proof

  Media

Van & PPE Check

• Vehicle Reg (Check trailer reg matches Vehicle Reg and plate is fit for purpose)

  Yes

  No

  N/A

• Please take a photo of Proof.

  Media

• 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

  Yes

  No

  N/A

• Please take a photo of Proof.

  Media

• Is Van parked safely i.e within work area, not park on bend and have the correct SLG.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are Chevrons and Flashing beacon on Vehicle

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are ALL team member wearing fire retardant clothing.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Drinking Water Available On-Site

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Fire Extinguisher in date & fit for use<br>

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is there a Fully stock spill kit / Drip tray or Fuelling Matt on-site / in van

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Fully stock first aid box & in Date & First Aid Certification on-site

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Correct PPE Available and been used for relevant task i.e Hard hat's, Goggles, Ear defender, Dust mask.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are all Team members waring Hi- Viz vest / clothing. (city fibre contract long sleeve + Logo vest must be worn)

  Yes

  No

  N/A

• Please take photo of proof

  Media

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

  Yes

  No

  N/A

• Please take photo of proof - ALL PERMIT BOARDS AND PERMIT NUMBERS

  Media

• Are Men @ work, Road Narrow and Blue arrows Signs out and Correct. (Require cones if on the road).

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are Signs damaged or defaced

  Select Yes - (Edge Damage but fit for use) Yes - (Not Fit for Use) No N/A

  • Yes - (Edge Damage but fit for use)
  • Yes - (Not Fit for Use)
  • No
  • N/A

• Please take photo of proof

  Media

• Sideway Safety Zone In place and Correct distance from Barriers

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are ALL cone fit for purpose i.e reflective sleeve on and in good condition & cones not damaged.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are all Barriers set up correctly as per the red Book, including all gate entrances (Clipped Together)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is there a walkway in place and set up correctly - (MINIMUM 1M WIDE WALKWAY - MEASURED FROM BARRIER FOOT TO OPP FOOT)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are Walk Boards / T-Mats on site ready available or being used over driveways / gate entrances & all Secured.

  Yes

  No

  N/A

• Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)

  Media

• Are Kerb ramps or Drop Kerbs been used & fit for purpose & Secured

  Yes

  No

  N/A

• Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)

  Media

• Are Access signs for residents @ each end of works (city fibre only)<br>

  Yes

  No

  N/A

• Please take photo of proof

  Media

Traffic Management

• T.M - set up correctly signs / lights.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are All T.M Sign & Cones Fit fit for use and in Good Condition

  Yes

  No

  N/A

• Please take photo of proof

  Media

House Keeping

• Is all spoils been stored correctly on site? (Not spilling under the Barrier's

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is the appropriate plant readily available and stored correctly within the work area

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is adequate water suppression been used to minimise dust.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• All water way (Drains) are kept clear of spoil, sand & stone

  Yes

  No

  N/A

• Please take photo of proof

  Media

Other Site Failures

• Is there any other site failings.

  YES

  NO

• Please take photo of proof

  Media

Pre-Start & Risk assessment Completion

• As a On-Site Risk Assessment been Completed

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Do the Team have a copy of the Permit Condition On-site.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• SLG / Site Setup asper the Permit Condition.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• As a the Team completed the Pre-Start Check Form.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Do the team have a Gang & COSHH Pack

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Utility Drawings on Site and in Date (UTILITY DRAWING VALID PERIOD DAYS - GAS-28 / ELECTRIC-30 / B.T-90 / WATER-90 / VIRGIN-90 ).

  Yes

  No

  N/A

• Please take photo of proof

  Media

• 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)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Street works card on site and valid.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Mini digger qualification card on site and valid.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• 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.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Cat & Genny in date

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Cat & Genny - Are Batteries charged and fit for use (Test both equipment for power & noise indicators)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• GDU (Gas Detector) on-site & In Calibration

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Roll Bar on-site (removing chamber lids)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Pit Lifter Available & On-site

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are ALL lifting Slings, Chains in Date and fit for Use and a copy of the CERT on-site.

  Yes

  No

  N/A

• Please take photo of proof

  Media

Van & PPE Check

• Vehicle Reg (Check trailer reg matches Vehicle Reg and plate is fit for purpose)

  Yes

  No

  N/A

• Please take a photo of Proof.

  Media

• 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

  Yes

  No

  N/A

• Please take a photo of Proof.

  Media

• Is Van parked safely i.e within work area, not park on bend and have the correct SLG.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are Chevrons and Flashing beacon on Vehicle

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are ALL team member wearing fire retardant clothing.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Drinking Water Available On-site

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Fire Extinguisher in date & fit for use<br>

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is there a Fully stock spill kit / Drip tray or Fuelling Matt on-site / in van

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Fully stock first aid box & in Date & First Aid Certification on-site.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Correct PPE Available and been used for relevant task i.e Hard hat's, Goggles, Ear defender, Dust mask.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are all Team members waring Hi- Viz vest / clothing. (city fibre contract long sleeve + Logo vest must be worn)

  Yes

  No

  N/A

• Please take photo of proof

  Media

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

  Yes

  No

  N/A

• Please take photo of proof - ALL PERMIT BOARDS AND PERMIT NUMBERS

  Media

• Are Men @ work, Road Narrow and Blue arrows Signs out and Correct. (Require cones if on the road).

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are Signs damaged or defaced

  Select Yes - (Edge Damage but fit for use) Yes - (Not Fit for Use) No N/A

  • Yes - (Edge Damage but fit for use)
  • Yes - (Not Fit for Use)
  • No
  • N/A

• Please take photo of proof

  Media

• Sideway Safety Zone In place and Correct distance from Barriers

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are ALL cone fit for purpose i.e reflective sleeve on and in good condition & cones not damaged.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are all Barriers set up correctly as per the red Book, including all gate entrances (Clipped Together)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is there a walkway in place and set up correctly - (MINIMUM 1M WIDE WALKWAY - MEASURED FROM BARRIER FOOT TO OPP FOOT)

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are Walk Boards / T-Mats on site ready available or being used over driveways / gate entrances & all Secured.

  Yes

  No

  N/A

• Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)

  Media

• Are Kerb ramps or Drop Kerbs been used & fit for purpose & Secured

  Yes

  No

  N/A

• Please take photo of proof - (MORE THAN ONE CAN BE TAKEN)

  Media

• Are Access signs for residents @ each end of works (city fibre only)<br>

  Yes

  No

  N/A

• Please take photo of proof

  Media

Traffic Management

• T.M - set up correctly signs / lights.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Are All T.M Sign & Cones Fit fit for use and in Good Condition

  Yes

  No

  N/A

• Please take photo of proof

  Media

House Keeping

• Is all spoils been stored correctly on site? (Not spilling under the Barrier's

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is the appropriate plant readily available and stored correctly within the work area

  Yes

  No

  N/A

• Please take photo of proof

  Media

• Is adequate water suppression been used to minimise dust.

  Yes

  No

  N/A

• Please take photo of proof

  Media

• All water way (Drains) are kept clear of spoil, sand & stone

  Yes

  No

  N/A

• Please take photo of proof

  Media

Other Site Failures

• Is there any other site failings.

  YES

  NO

• Please take photo of proof

  Media

Conclusion

• Please supply a quick description of any findings of the workplace inspection.

• Ganger or Supervisor Signature

  Sign

• Is the Audit Complete

  YES

• Date and Time

  Date