Title Page

  • To be completed by Project Supervisor or Nominated person weekly from the start of construction work on site. Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall form pat of the CDM Health & Safety file.

  • Sensible Monitoring Audit Completed By:

  • Site Manager:

  • Contract Number:

  • Project Title:

  • Conducted on

General

  • Any H&S actions identified shall be entered onto Audit / Inspection Action Log and brought to the urgent attention of the appropriate personnel as soon as possible. Contractor / Project Manager to be notified of actions required / taken.

  • 1) Has a suitable and sufficient Impressed Voltage management plan been completed for the project?

  • Comments:

  • Attach any images relevant to question 1 here.

  • 2) Have all relevant stakeholders reviewed Impressed Voltage Management Plan and approved document for the project?

  • Comments:

  • Attach any images relevant to question 2 here.

  • 3) Has impressed Voltage Training undertaken by site based staff suitable to project requirements?

  • Comments:

  • Attach any images relevant to question 3 here.

  • 4) Has planning and implementation of Impressed Voltage Earthing Schedule and procedures at a route, tower and task specific level been put in place?

  • Comments:

  • Attach any images relevant to question 4 here.

  • 5) Are all required earth applied as per management plan?

  • Comments:

  • Attach any images relevant to question 5 here.

  • 6) Is all plant and movable equipment suitably field earthed?

  • Comments:

  • Attach any images relevant to question 6 here.

  • 7) How often are field earths checked / inspected?

  • Comments:

  • Attach any images relevant to question 7 here.

Sign Off Audit

  • Print Name:

  • Signature:

  • Project Manager Name:

  • Signature:

  • Designation:

  • Select date

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