Live Gang Audit

• Document No.

• Auditor:

• Position/Title

• Conducted on

  Date

• Client / Site

• Add location
  Address

Section: 3. Team Details & Qualifications.

• Team Leader:

• Mate 1:

• Mate 2:

• Qualification - Team Leader:

• 3.1 ID Cards

  Yes

  No

  N/A

• 3.2 Safety Passport

  Yes

  No

  N/A

• 3.3 NRSWA Valid Card

  Yes

  No

  N/A

• 3.4 CSCS or EUSR (Energy & Utility Skills Register) Water, Gas, Power & Waste

  Yes

  No

  N/A

• 3.5 CPCS or Plant & Equipment Card

  Yes

  No

  N/A

• Qualification - Mate 1:

• 3.1 ID Cards

  Yes

  No

  N/A

• 3.2 Safety Passport

  Yes

  No

  N/A

• 3.3 NRSWA Valid Card

  Yes

  No

  N/A

• 3.4 CSCS or EUSR (Energy & Utility Skills Register) Water, Gas, Power & Waste

  Yes

  No

  N/A

• 3.5 CPCS or Plant & Equipment Card

  Yes

  No

  N/A

• Qualification - Mate 2:

• 3.1 ID Cards

  Yes

  No

  N/A

• 3.2 Safety Passport

  Yes

  No

  N/A

• 3.3 NRSWA Valid Card

  Yes

  No

  N/A

• 3.4 CSCS or EUSR (Energy & Utility Skills Register) Water, Gas, Power & Waste

  Yes

  No

  N/A

• 3.5 CPCS or Plant & Equipment Card

  Yes

  No

  N/A

First Aid, Health & Welfare Facilities

• 4.1 First Aid (Trained Person)

  Yes

  No

  N/A

• 4.2 First Aid Kit Carried (Correct Size)

  Yes

  No

  N/A

• 4.3 Eye Wash Carried (In Date)

  Yes

  No

  N/A

• 4.4 Clean Water Carried

  Yes

  No

  N/A

• 4.5 Liquid Soap/Hand Wipes Available

  Yes

  No

  N/A

• 4.6 Fire Extinguisher Available (In date)

  Yes

  No

  N/A

• 4.7 Spill Kit Available and Adequate Stock Contained

  Yes

  No

  N/A

• 4.8 Absorbent Granules Available

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• 5.1 Hard Hat

  Yes

  No

  N/A

• 5.1 Is item suitable for use?

  Yes

  No

  N/A

• 5.2 Ear Defenders

  Yes

  No

  N/A

• 5.2 Is item suitable for use?

  Yes

  No

  N/A

• 5.3 Safety Specs & Goggles

  Yes

  No

  N/A

• 5.3 Is item suitable for use?

  Yes

  No

  N/A

• 5.4 Boots (Steel toe capped foot wear, suitable ankle support)

  Yes

  No

  N/A

• 5.4 Is item suitable for use?

  Yes

  No

  N/A

• 5.5 Hi-Visibility Clothing (Long Sleeve Vest/Jerkin)

  Yes

  No

  N/A

• 5.5 Is item suitable for use?

  Yes

  No

  N/A

• 5.6 Gloves (Anti-puncture)

  Yes

  No

  N/A

• 5.6 Is item suitable for use?

  Yes

  No

  N/A

• 5.7 Dust Mask

  Yes

  No

  N/A

• 5.7 Is item suitable for use?

  Yes

  No

  N/A

• 5.8 Uniform (Company Corporate Issue)

  Yes

  No

  N/A

• 5.8 Is item suitable for use?

  Yes

  No

  N/A

• 5.9 Fire Retardant or Probane Overalls/Clothing

  Yes

  No

  N/A

• 5.9 Is item suitable for use?

  Yes

  No

  N/A

Section: 6. Documentation & Compliance.

• 6.1 Gang Pack Present & Complete

  Yes

  No

  N/A

• 6.2. NRSWA - Red Book - Safety At Street Works and Road Works a Code of Practice

  Yes

  No

  N/A

• 6.3 Method Statements Appropriate to Work Undertake (Generic/Specific)

  Yes

  No

  N/A

• 6.3.1 Method Statement Type

  Generic

  Specific

• 6.4 Risk Assessments Appropriate for Tasks being Undertaken

  Yes

  No

  N/A

• 6.4.1 Risk Assessment Type

  Generic

  Specific

• 6.5 Site Specific Risk Assessment reviewed and signed

  Yes

  No

  N/A

• 6.5.1 Risk Assessment updated to reflect changes in tasks/conditions

  Yes

  No

  N/A

• 6.6 Site/Work Instruction Available

  Yes

  No

  N/A

• 6.6.1 Is the work instruction clear and understandable

  Yes

  No

  N/A

• 6.6.2 Does the Team/Operative understand the work instruction

  Yes

  No

  N/A

• 6.7 COSHH Assessment Available

  Yes

  No

  N/A

• 6.7.1 COSHH Assessment relevant for tasks/activities being undertaken

  Yes

  No

  N/A

• 6.8 Containers labelled with contents

  Yes

  No

  N/A

• 6.9 Operatives Understanding of above documentation

  Excellent

  Good

  Poor

• 6.10 Daily driver records completed correctly (Where applicable)

  Yes

  No

  N/A

• 6.11 Daily driver check & defect book completed (Where applicable)

  Yes

  No

  N/A

Section: 7. Site Set up & Safety

• NRSWA & Housekeeping

• 7.1 Sign Lighting & Guarding in accordance with NRSWA

  Yes

  No

  N/A

• 7.1.1 NRSWA Set Out in Correct Sequence

  Yes

  No

  N/A

• 7.2 Excavation Guarded

  Yes

  No

  N/A

• 7.3 Courtesy Sign Displayed

  Yes

  No

  N/A

• 7.3.1 The Courtesy Sign Displayed is

  Clients

  Own

• 7.3.2 Where required is a Permit Board clearly Displayed

  Yes

  No

  N/A

• 7.3.2.1 Is the correct permit number and notice end date clearly displayed

  Yes

  No

  N/A

• 7.4 Clear defined Pedestrian Access

  Yes

  No

  N/A

• 7.5 Footpath Boards & Barriers Secure

  Yes

  No

  N/A

• 7.6 Has the trench been excavated to the correct dimension (size & depth)

  Yes

  No

  N/A

• 7.6.1 Does the trench have adequate clearance (does it conform to the correct dimension)

  Yes

  No

  N/A

• 7.7 is the safe

  Safe

  At Risk

  N/A

• 7.7.1 Is the site clean & tidy

  Yes

  No

  N/A

• 7.8 Is Safe Access to Properties Maintained

  Yes

  No

  N/A

• 7.9 Is Spoil & Materials within Barriers

  Yes

  No

  N/A

• 7.10 Trailing Hoses within Barriers

  Yes

  No

  N/A

• 7.11 Are Storage Areas Guarded

  Yes

  No

  N/A

• 7.11.1 Are Welfare Areas Guarded

  Yes

  No

  N/A

• 7.12 Is the condition of all Hand Tools acceptable

  Yes

  No

  N/A

Section: 8. Vehicle & Plant

• 8.1 Vehicle Tidiness, Outside (Cab & Body)

  Above Average

  Average

  Below Average

  Unacceptable

• 8.1 Vehicle Tidiness, Inside (Cab)

  Above Average

  Average

  Below Average

  Unacceptable

• 8.2 Flashing Beacons Operation

  Yes

  No

  N/A

• 8.3 Plant Operator(s) Trained

  Yes

  No

  N/A

• 8.3.1 Excavator

  Yes

  No

  N/A

• 8.3.2 Dumper

  Yes

  No

  N/A

• 8.3.3 Winch

  Yes

  No

  N/A

• 8.3.4 Lorry Loader

  Yes

  No

  N/A

• 8.4 Plant condition acceptable

• 8.4.1 Excavator

  Yes

  No

  N/A

• 8.4.1.1 Excavator trailer

  Yes

  No

  N/A

• 8.4.2 Breaker & Buckets

  Yes

  No

  N/A

• 8.4.3 Roller Breaker

  Yes

  No

  N/A

• 8.4.4 Roller trailer

  Yes

  No

  N/A

• 8.4.5 Compressor

  Yes

  No

  N/A

• 8.4.6 Breaker

  Yes

  No

  N/A

• 8.4.6.1 Cutter / Blade

  Sharp

  Blunt

• 8.4.6.2 Hose condition

  Good

  Poor

• 8.4.7 Trench Rammer / Wacker

  Yes

  No

  N/A

• 8.4.8 Vibrating Plate (Wacker)

  Yes

  No

  N/A

• 8.4.9 Disc Cutter (Stihl Saw)

  Yes

  No

  N/A

• 8.4.9.1 Diamond Blade

  Sharp

  Blunt

• 8.4.10 Cobra Breaker / Breaker Pack

  Yes

  No

  N/A

• 8.4.11 Cable Avoidance Tool (CAT) & Genny (calibration in date)

  Yes

  No

  N/A

• 8.4.12 Clegg (calibration in date)

  Yes

  No

  N/A

Section: 9. Signature

• Auditee

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• Auditor

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