Information
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Document No.
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Audit Title
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Date and time
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Client / Site
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Conducted on
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Prepared by
Site Information
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Area
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Work Description
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Job Address
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Address of work
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Order number
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Check type
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Vehicle registration
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Contract Number
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Works completion date
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Quality check date
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Quality check number
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Client reference
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Work items
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Gang ID
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Supervisor ID
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Operative ID 1
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Operative ID 2
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Operative ID 3
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Operative ID 4
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Operative ID 5
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Inspector ID
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Client Auditor ID
General
General
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P8002 - Operatives on site as per gang location
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ENTG038 - ID card carried by all operatives
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CCT001 - Has the team logged on site.
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CCT002 - Have the visitors been inducted by the team leader at the beginning of the check
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ENTG021 - Site specific risk assessment valid for the site conditions/operation/period (Assessment to be carried out on every job or daily on longer duration works or when conditions change)<br>Have all the generic RA been quoted and understood?
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ENTG041 - Site personnel have correct NRSWA accreditation/registration for the works being executed where required . As a minimum Unit 2 inc card
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WMC029 - Check jetting safety card/certification (HPWJ)
Safety / Stop work Notice
Safety
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ENTG019 - Personal Protective Equipment (PPE) worn - where a risk exists.<br>Mandatory- Safety Helmet, High Vis Jacket/Vest/Shirt, Safety Footware.<br>Risk assessed - dust mask, Ear,Eye, Hand protection <br>Items must be available
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AWW011 - Do all operatives carry a Leptospirosis card (RAT CARD)
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WCM117 - Is the team aware of the process for reporting accidents / hazards?
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WMC002 - Is the in date Team Leader Pack on site with Generic Risk Assessments and COSHH assessments
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ENTG22 - Suitable site access and egress provided where necessary
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WCM016 - Is there sufficient lighting on site
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WCM030 - Are any temporary opening ie shafts<br>Adequately protected
Stop Work Notice
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ENTG091 - Stop work notice issued for breach of safety requirements
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ENTG092 - Stop work notice issued for breach of contractual requirements
Street Works
Street Works
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ENTG009 - Stores / Materials / Spoil correctly stored
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ENTG010 - Lamps in place / available and in working order for sites in operation after dark
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ENTG011 - Clients information board displayed on site
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IMG14 - Are flashing beacons fitted, in good working order and used where appropriate.
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CCT005 - is specialist signing deployed where required? <br>Ie High Pressure Jetting
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CCT006 - are vehicles parked considerately
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ENTG002 - All plant and equipment placed within the barriers
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ENTG003 - Sandbags used where weighting is necessary
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ENTG004 - Handrail and tapping rail in place, is the correct height above the ground and meets the COP depth requirements
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ENTG005 - pedestrian walkway meets / exceeds COP. Where COP. Can't be achieved site specific risk assessment shows additional controls
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ENTG012 - Traffic control option meets criteria with the COP. Where COP cannot be achieved , Site specific risk assessment shows additional controls.
Plant and Equipment / Welfare and Hygine
Plant and Equipment
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ENTG026 - Plant and equipment stored in a safe location?
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ENTG027 - Is the plant and equipment in good working condition and suitable for the work?<br>eg hoses and cables etc.
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ENTG028 - Are operatives trained to operate the plant on site.
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ENTG031 - Correct manual handling techniques applied by the team?
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ENTG029 - Has the weekly lifting and calibrated record book been completed.
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WMC031 - Are current test, inspection and thorough examination certificates available for the site plant and equipment
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WMC009 - Are all pieces of equipment within service and calibration date? eg (generator, sthil saw)
Welfare / Hygine
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ENTG034 - Are washing facilities available on site
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ENTG035 - Are toilet facilities / details of the nearest toilet available.
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WMC035 - Are adequate supplies of drinking water available?<br>(Minimum 2lts per person per day)
Confined Space Entry
Confined Space Entry
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ENTG016 - Where required do the gang have a means for testing for explosive / asphyxiating / flammable gases on site
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AWW003 - Where required is the gas detector calibrated and charged and the means of charging the unit. At least one person on site can demonstrate its use
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ENTG018 - Where required has a gas test been carried out and the results recorded
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AWW005 - Do the operatives hold the correct training for the Confined Space Entry (C&G 6150)
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AWW006 - Is there sufficient lighting within the confined space.
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AWW007 - are all tools and equipment intrinsically safe.
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AWW008 - Is there suitable access and egress.
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AWW009 - Where required is suitable ventilation in place for the operation.
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AWW010 - Is all confined space safety equipment suitably maintained, tested and calibrated where required.<br>I.e. Emergency Breathing Apparatus and daily inspection recorded. Required where, gas detector tagged/expiry date displayed on use, escape set - needle in the green
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AMS001 - Access procedures to the network being followed.<br>Multi / single access certificate
Vehicle
Vehicle
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IMG21 - Are all vehicle/trailer tyres in good condition
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WCM022 - Does the operator have the necessary training and certification to drive the vehicle and tow
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IMG04 - Is a flashing roof beacon fitted and in good working order.
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WMC021 - Is drivers defect book being filled in.
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WMC022 - Is the hours log book being filled out (over 3.5t vehicle drivers)
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ACW012 - Are all keys removed from the vehicle and stored securely when not in use.
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WMC032 - Are loads secured and covered where necessary on vehicle.
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WMC033 - is the vehicle height indicator displayed.
Environmental
Environmental
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ENTG036 - Care taken to prevent damage / contamination to paving / Tarmac / grass etc from fuel, oil etc.
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ACW016 - Chemicals and fuel stored in bunds, in good condition on site and protected from accidental damage.
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ACW017 - adequate measures in place to protect nearby watercourses and drains when dewatering excavations.
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ACW019 - Is a spill kit available on site and the team are trained in its use.
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ACW020 - Where works are to take place in sensitive areas, are all the required consents and control measures in place.
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ACW021 - Are suitable arrangements in place for the storage of hazardous substances?
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ACW022 - Is the site acting considerately by keeping noise to a minimum?
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ACW023 - Is the site acting considerately to reduce potential dust dispersion
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ENV007 - Does the site hold a current WASTE CARRIERS LICENCE
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ENV008 - Are copies of current WASTE TRANSFER NOTES for the waste removed from site / the yard for each tip available
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ENV009 - Is the site using licensed approved tips for the disposal of waste - PROVIDE DETAILS
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ENV010 - Are "hazardous waste consignment notes" available for all hazardous waste disposed of by the contractor (resin tins, asbestos cement etc)
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ACW027 - Have waste transfer notes been completed for the transportation of waste from site.
Customer / Emergency Arrangements / Water Hygiene and Storage of Fittings.
Customer
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ACW036 - Are overshoes available and used where necessary
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ACW034 - Has customer impact been assessed
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ACW035 - Have customers been informed of the works (knock on door, card etc)
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ACW037 - Does the site project the right image.
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ACW038 - is the customer access and parking maintained where possible.
Emergency Arrangements
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ENTG351 - are there adequate numbers of First Aiders with a valid certificate.
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ENTG041 - Is a suitable First Aid Box on site (including eye wash)
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ENTG352 - Is there a fire extinguisher on the vehicle. Have the fire extinguishers been serviced yearly and inspected weekly.
Water Hygiene and Storage of Fittings.
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CCT007 - Is chlorus solution stored in a correct labelled container
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WMC037 - Spare Chlorus tablets available
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WMC038 - Standpipe sprayed and wiped with Chlorus before use.
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CCT008 - Standpipe correctly stored I.e. Bagged and free from contamination
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CCT004 - Is a designated hydrant list available on site and the correct hydrant being used.
Comments / Defects
Comments
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Add media
Defects
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Question code.
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Rectified on site.
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Comment.
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Root cause
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Cleared by
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Closure comments
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Add media
Defects
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Question code.
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Rectified on site.
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Comment.
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Root cause
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Cleared by
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Closure comments
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Add media
Defects
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Question code.
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Rectified on site.
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Comment.
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Root cause
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Cleared by
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Closure comments
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Add media
Defects
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Question code.
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Rectified on site.
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Comment.
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Root cause
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Cleared by
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Closure comments
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Add media
