Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date

  • Digs/SO #

  • Address
  • Crew

  • Auditor

PAPERWORK

  • Risk Assessment

  • Traffic Plan

  • Field Guidelines

  • MSDS

  • Maps

  • ID Cards

  • Excavator Tickets

RUNNING SHEET

  • Are all crew members listed on running sheet the only crew members on site?

APPEARANCE

  • Proper Dress

  • Customer Contact

  • Signage on Vehicles

VEHICLES

  • Clean

  • Oil Leaks

  • Tyres

  • Lights

  • Parked Correctly

  • House Keeping

EQUIPMENT

  • Excavator

  • Compressor

  • Wacker

  • Grundomat

  • Hoses

  • Hand Tools

  • Electrofusion Machine

  • Gas Surveyor

  • Electrical Tagging

SAFETY EQUIPMENT

  • First Aid Kit (& in Date)

  • Gas Mask

  • Fire Extinguishers

SAFETY CLOTHING

  • Ear Muffs

  • Hard Hats

  • Footwear

  • Fluoro Vests

  • Safety Glasses

JOB/ SITE SETUP

  • Signage

  • Traffic/ Pedestrian Control

  • Barricades

  • Driveways

QUALITY WORKMANSHIP

  • Pipe Jointing

  • Backfilling

  • Pressure Test

  • Meter Bar Assembly

  • Venting

  • Trace Wire

  • Depth

ENVIRONMENTAL

  • Filter Rolls

  • Noise Pollution

  • Spoil Stock Piles

  • Trees

  • Saw Cutting

  • Silt Fences

POST AUDIT

  • Customer Compliants

  • Finished Product

  • Restoration

  • Levels

  • Brackets

  • Communication With Customer

CORRECTIVE ACTIONS

  • Rectify Immediately

  • Rectify within 24hrs

  • Rectified by mutually agreed time

  • Rectified By?

  • Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.