Title Page
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Site conducted
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Date of Inspection
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Name of Person Completing the Inspection?
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Location of works
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Activity/Type of Works
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Project Name
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Crew Leader
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Other Operatives Onsite
Documentation
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Were you prompted on arrival, to sign onto the teams Daily POWRA?
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Have all Operatives & Supervisors been briefed & signed onto the POWRA?
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Where required do all Supervisors & Operatives have an ID Card?
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Is the Vehicle Pack available & complete, including suitable & relevant RAMS & a copy of the NRSWA Red Book?
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Are all Operatives aware of the latest toolbox talk brief issued by Giganet?
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Is the safety QR Code displayed to report any incidents or good catches?
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Additional comments:
Training
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Do all Supervisors & Operatives hold an in date Smart Award NOPS Card?
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Are operatives aware of their nearest first aider is and is there sufficient trained first aiders on site?
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Additional comments:
Traffic Management/ Street Works
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Is the Traffic Management type appropriate & safe for the works?
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Are all relevant permit boards on display (displaying Giganet's name, with the correct Permit Number)?
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Are all other signs in accordance with chapter 8? *
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Is there suitable provision for resident/public access including suitable passing for pushchairs and wheelchairs?
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Is the whole area guarded correctly, preventing 3rd party access?
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Additional comments:
Work at Height
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Is the work planned and recorded on a Site-Specific RA?
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Are all certifications in place for WAH equipment (e.g., harness, MEWP's)?
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Are all leading edges secured by barriers or handrails?
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Additional comments:
Plant & Equipment
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Is all plant, machinery, tools & equipment appropriate for the task & free from defects?
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Do all Operatives know how to report any defects? *
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Are insulated shovels in good condition with no white showing through protective coating? *
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Is the bucket in use a toothless type? *
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Are number plates correct & visible on both vehicles & trailers? *
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Does the vehicle have 3 slings available?
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Is the vehicle fit to work with the road (working beacons, chevrons etc.)? *
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Is the vehicle loaded safely & without exceeding maximum gross weight? *
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Is electric powered equipment/tools 110v & PAT Tested? *
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Additional comments:
Personal Protective Equipment
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Are all Supervisors & Operatives meeting minimum PPE/RPE requirements (flame retardant where applicable)? *
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Is all task related PPE/RPE available & appropriate for the task (Safety Glasses, Goggles, Ear Defenders etc.)? *
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Is all PPE/RPE in good, working condition? *
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Additional comments:
PIA Compliance
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Are all relevant permits/authorisations in place & signed by the lead operative? *
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Is the site setup in accordance with permit conditions? *
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Are all safety guards fitted & free from defects? *
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Are all utility drawings available (Legible, Full Area, In Colour & In Date)?
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GDU available onsite? *
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Date of next GDU calibration *
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Is PIA accreditation training available on-site for review?
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Additional comments:
OH/UG Services
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Evidence of CAT scanning, Services marked/Utility drawings/Permit to Dig available? Area rescanned every 100mm excavated down? *
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Safe Digging Practices followed. Trial hole every 50metres/Dial before you Dig? *
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CAT and Genny next Calibration date? *
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Have all known services been marked up with the correct spray paint? *
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Are all Operatives aware of Asbestos risks and the correct procedures to follow if suspected or found? *
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Are all Operatives aware of HAVS/WBVS risks & the control measures required to reduce these risks? *
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Are noise levels adequately controlled? *
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Additional comments:
Fire and Emergency
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Is there a fully stocked & in date First Aid Kit, with a list of contents &a suitable stock of eye wash pods? *
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Is there an in date fire extinguisher available (gauge needle in the green) & have the operatives been trained to use it? *
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Do all operatives know nearest hospital is & how to get there? *
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Are all supervisors & operatives aware of all emergency & reporting procedures (Inc. Incidents, Accidents, Utility Strikes & Terrorist Attacks)? *
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Are sharps bins available & do operatives know how to safely use them? *
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Do all engineers know what to do in the event of an environmental spillage? *
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Is there a spill kit, funnel & drip tray available on site? *
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Additional comments:
Welfare
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Are there suitable welfare facilities available (This includes knowledge of nearby public toilets and permission from local businesses/shops or customers)? *
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As a minimum requirement on vehicles are there: hand wipes and blue roll, soap/sanitiser and drinking water? *
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Additional Comments. Location etc. *
Housekeeping
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Site Housekeeping — work site tidy and free from hazards? Storage of materials in good order? *
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Additional comments:
COSHH
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Are all relevant COSHH assessments/data sheets available on site? *
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Are all COSHH clearly & correctly labelled? *
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Are all COSHH stored safely & correctly? *
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Additional comments:
Electrical
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Power Tools Pat Tested — 6 mths? *
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Additional comments:
Sign Off
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Name and Signature