Information
-
Site conducted
-
Location
-
PN Number
-
Issued on
-
Issued to
-
Issued by
General site observations
-
Is there enough chapter 8 on site for work to start safely ?
-
Has the POWRA and F91 been completed for site ?
-
Does the site protect the public and provide safe passage/ alternative route (PROVIDE 2 PHOTOS)
-
Does the site allow for safe flow of traffic as per 'Red Book'
-
Is correct PPE being worn on site (PROVIDE PHOTO)
-
Please select sevices identified from service drawings
-
Please select services identified from visual inspection
-
Please select services identified from CAT GENNY sweep in all phases
-
Please select services identified from TRIAL HOLE
-
If all questions have been answered “satisfactorily “please proceed to sign /authorise “permit to dig”
Additional comments / feedback
-
Please provide any further relevant details not included , yours / gang feedback
-
Please indicate any further action as a result of your audit
Signature
-
Agent Please sign.
-
Foreman please sign