Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Site audit report
Site/Situation
-
1) Have operatives signed into the site register?
-
2) Have all Operatives received briefing of Work Instruction or RAMS? Has at least one person checked all site requirements (staff and equipments) are accounted for before leaving for site?
-
3) Is TM set up to site requirements of Chapter 8?
-
4) NRSWA, will any person on footpath/road from any direction understand what is happening and what is expected of them?
-
5) Are all vehicles parked safely without causing unnecessary obstruction?
-
6) Is the work area protected by a physical barrier (cones, roping, boards, plastic barriers)?
Equipment
Equipment
-
7) Lifting keys present, correct size and in good order?
-
8) First aid kit and eyewash - present, complete and in date
-
9) Is safety equipment relevant for this site/in calibration/ dated correctly
-
10) Condition of jetting hose and fittings / wash down hose / auxiliary hose
-
11) Condition of suction hose and couplings
-
12) Electrical equipment all PATested?
-
13) Are ladders serviceable plus stable, properly secured and tagged?
-
14) If fire extinguisher is present, is it inspected and in date?
-
15) If trailer is being used to transport equipment, has a light board been fitted? Has a safety chain been used? Are items on the trailer securely placed?
-
Add media
-
16) Expanding manhole grid/barrier
-
17) Gas monitors, in date? Used correctly/appropriately?
-
18) Tripod or Davit Arm, and winch, in date and set up correctly?
-
19) Harness and lanyard, in date, used appropriately?
-
20) Stoppers (pipe bungs) correct size/use, inflation kit, being monitored?
-
21) Communication equipment available ( phones or radios)? State which, have Operatives checked signal as per our MS
H&S - E&Q
H&S E&Q
-
22) Does crew have positive attitude to safety and compliant with company procedures?
-
23) Is the working area clean and tidy?
-
24) Is the correct PPE for all staff on the site (hard hat, visor, goggles, overalls, hi viz, safety boots, gloves)?
-
25) Is PPE in good condition and being worn at time of audit?
-
26) Have crew received IWJS induction and if required, induction by client?
-
27) Do crew have correct training for works being carried out?
-
28) Has dynamic risk assessment been completed and is it relevant and adequate for the work being carried out?
-
29) Have operatives agreed on the method used for the works being undertaken and signed on to the DRA?
-
30) Is the gang pack available and up to date, are contents understood and the contents page signed
-
31) Are operatives acting responsibly by not putting themselves or others at risk?
-
32) Welfare facilities ( access to sink and running water, local or on vehicle)? Are the facilities clean and in good order? Are local facilities being used? State which
-
33) Are lone working procedures in operation? If so are they working correctly?
Compliance - vehicle
Vehicle
-
1) Daily checks sheet/defect sheet completed?
-
2) Defects recorded - new, should vehicle have left the yard
-
3) Defects recorded - ongoing? Is the issue being dealt with, and is the vehicle safe to use?
-
4) Cleanliness - is the cab clean and tidy, nothing able to roll under pedals etc?
-
5) Cleanliness - trays and lockers
-
6) Cleanliness - bodywork
-
7) Condition of electrical cables and controls?
-
8) Competence in operation of equipment
-
9) Vehicle suited to the job in hand?
-
10) Awareness of vehicle weight and height (Height warning in place)
-
11) Warning signage in place and legible (Vulnerable Road Users/Cyclists, Bypass Valve, Operational Instructions)
-
12) O license disc in place
Compliance - documents
Documents
-
13) Transfer note
-
14) Work pack / work instruction
-
15) Permit to work / permit to enter CS
-
16) Drivers hours book / tachographs/previous 28 days
-
17) Identity cards (UU, Thames Water, AW, etc)
-
18) Authorisation letter (RAA, TWOSA etc)
-
19) NRSWA red book (October 2013 version)
-
20) Leptospirosis card, is it legible?
-
21) Driver CPC card?
Vehicle stock list
Stock list
-
1) Are an appropriate number of the correct cones available?
-
2) Stand pipe and storage bag (Is the Standpipe in the bag, if not in use?)
-
3) Are correct jetting nozzles available, stored correctly and in good order?
-
4) Are appropriate hand tools available and in good order?
-
5) Is spillage kit available?
-
6) Carrying chapter 8 signage etc?
-
7) Spare gloves and clothing?
-
8) Digital camera or camera phone?
Remedial action
-
Details of remedial action required.
-
Person assigned to remedial action.
-
Date required by
-
Select date
-
Signature upon completion of stated requirements
-
Comment.
Photos
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
-
Add media
Signatures
-
Auditors signature
-
Employees signature
-
Employees signature
-
Employees signature
-
Employees signature
-
Employees signature