Title Page
-
Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall from part 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) Is there a Method Statement / Risk Assessment / Permit to Work available on site for the activity?<br>a) Has it been briefed out and signed for?
-
Comments:
-
Attach any images relevant to question 1 here.
-
2) Are the Emergency Procedures available on site?<br>a) Are all operatives aware of them?
-
Comments:
-
Attach any images relevant to question 2 here.
-
3) Have all operatives been inducted to the Project and received E & US training?
-
Comments:
-
Attach any images relevant to question 3 here.
-
4) Are the welfare facilities adequate and is there appropriate first aid provision on site? <br>(Numbers of Appointed Persons / First Aiders, Locations / Contents of Kit)
-
Comments:
-
Attach any images relevant to question 4 here.
-
5) Is the correct PPE for the task being worn?<br>(Check condition, age, storage, training)
-
Comments:
-
Attach any images relevant to question 5 here.
-
6) Is the site tidy and free from trip hazards and is there safe access and egress available for all?
-
Comments:
-
Attach any images relevant to question 6 here.
-
7) Are all operatives competent to perform the task?<br>(Check CITB, CSCS Card, Training Records etc.)
-
Comments:
-
Attach any images relevant to question 7 here.
-
8) What liaison with third parties have taken place?
-
Comments:
-
Attach any images relevant to question 8 here.
-
9) Have all services been identified, located and proven?<br>(C.A.T., Plans, trial holes, ground penetrating radar)
-
Comments:
-
Attach any images relevant to question 9 here.
-
10) Have foreign services been identified, located and marked up?<br>(Plans available including depth)
-
Comments:
-
Attach any images relevant to question 10 here.
-
11) Is there more than one marker post used so that the direction of the service is obvious?
-
Comments:
-
Attach any images relevant to question 11 here.
-
12) Was a C.A.T used before and during the excavation?
-
Comments:
-
Attach any images relevant to question 12 here.
-
13) Have overhead warning signs and poles been erected near electrical cables?
-
Comments:
-
Attach any images relevant to question 13 here.
-
14) Has any topsoil been placed below overheads?
-
Comments:
-
Attach any images relevant to question 14 here.
-
15) Have all exposed services been adequately supported / protected?<br>(Not used as hand / footholds)
-
Comments:
-
Attach any images relevant to question 15 here.
-
16) Is it clear to all involved when hand-digging must be undertaken and mechanical means must not be used?
-
Comments:
-
Attach any images relevant to question 16 here.
-
17) Have the excavation been designed ?<br>(Consider hole, access for vehicles, position of plant and spoil)
-
Comments:
-
Attach any images relevant to question 17 here.
-
18) Is the excavation likely to affect any neighbouring structures?
-
Comments:
-
Attach any images relevant to question 18 here.
-
19) Are / were banksmen used for the excavators?
-
Comments:
-
Attach any images relevant to question 19 here.
-
20) Is the excavation adequately signed and guarded?
-
Comments:
-
Attach any images relevant to question 20 here.
-
21) Is the excavation adequately supported / battered back in a safe condition?
-
Comments:
-
Attach any images relevant to question 21 here.
-
22) If supported, has an F91 inspection been carried out satisfactorily for the excavation?
-
Comments:
-
Attach any images relevant to question 22 here.
-
23) Is the excavated material positioned at a sufficient distance from the excavation?
-
Comments:
-
Attach any images relevant to question 23 here.
-
24) Are any ladders that are in use adequate?<br>(Length, Condition, Tied, Footed, Angle)
-
Comments:
-
Attach any images relevant to question 24 here.
-
25) Are any items on the trench side likely to fall in the hole?
-
Comments:
-
Attach any images relevant to question 25 here.
-
26) Is the excavation free from water?<br>a) Are the pumps discharging a sufficient distance from the excavation, is a permit in place?
-
Comments:
-
Attach any images relevant to question 26 here.
-
27) Is atmospheric monitoring in place?<br>(Calibration, Risk Assessment, Competency of Users)
-
Comments:
-
Attach any images relevant to question 27 here.
-
28) Do all items of plant on site have the appropriate supporting documentation?<br>(Certificates, Inspections)
-
Comments:
-
Attach any images relevant to question 28 here.
-
29) Is there safe access to the site?<br>e.g. To and from road, across farm land etc.
-
Comments:
-
Attach any images relevant to question 29 here.
Sign Off Audit
-
Print Name:
-
Signature:
-
Project Manager Name:
-
Signature:
-
Designation:
-
Select date