Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date

  • Digs/SO #

  • Crew

  • Auditor

PAPERWORK

  • Risk Assessment

  • Traffic Plan

  • Field Guidelines

  • MSDS

  • Maps

  • ID Cards

  • Excavator Tickets

  • Add media

RUNNING SHEET

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

  • Add media

APPEARANCE

  • Proper Dress

  • Customer Contact

  • Signage on Vehicles

  • Add media

VEHICLES

  • Clean

  • Oil Leaks

  • Tyres

  • Lights

  • Parked Correctly

  • House Keeping

  • Add media

EQUIPMENT

  • Excavator

  • Compressor

  • Wacker

  • Grundomat

  • Hoses

  • Hand Tools

  • Electrofusion Machine

  • Gas Surveyor

  • Electrical Tagging

  • Add media

SAFETY EQUIPMENT

  • First Aid Kit (& in Date)

  • Gas Mask

  • Fire Extinguishers

  • Add media

SAFETY CLOTHING

  • Ear Muffs

  • Hard Hats

  • Footwear

  • Fluoro Vests

  • Safety Glasses

  • Add media

JOB/ SITE SETUP

  • Signage

  • Traffic/ Pedestrian Control

  • Barricades

  • Driveways

  • Add media

QUALITY WORKMANSHIP

  • Pipe Jointing

  • Backfilling

  • Pressure Test

  • Meter Bar Assembly

  • Venting

  • Trace Wire

  • Depth

  • Add media

ENVIRONMENTAL

  • Filter Rolls

  • Noise Pollution

  • Spoil Stock Piles

  • Trees

  • Saw Cutting

  • Silt Fences

  • Add media

POST AUDIT

  • Customer Compliants

  • Finished Product

  • Restoration

  • Levels

  • Brackets

  • Communication With Customer

  • Add media

CORRECTIVE ACTIONS

  • Rectify Immediately

  • Rectify within 24hrs

  • Rectified by mutually agreed time

  • Rectified By?

  • Comments

  • Add media

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.