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