Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Audit Information
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Transmission Services Gas
UK MDG Transmission Services Gas
Project Health and Safety Inspection Checklist -
To be completed by Project Supervisor or Nominated person weekly from the start of construction work on site. Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall form part of the CDM Health & Safety file.
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Contract No:
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Project Title:
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Week No.
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Date
Location of Foreign Services
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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.
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S = Satisfactory, U = Unsatisfactory, O = Observation, NA = Not Applicable
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Has a Risk Assessment been carried out
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Has a Method Statement been issued for construction?
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What reference documents are used (BGC/PS/SSW2)?
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Have roles and responsibilities been defined?
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How is information of services gathered?
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What liaison with third parties has taken place?
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How are services that cross the pipeline marked and protected?
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How are services within the ROW marked and protected?
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What information is displayed on pegs (service, diameter, size, depth of cover, position, section, crossing method)?
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Are services outside the ROW affected (drainage outfalls)?
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What methods and equipment are used to detect services?
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How is equipment controlled/calibrated?
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How are exposed services supported and protected?
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Have overhead warning signs and poles been erected near electric cables?
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How is service information transmitted to Construction?
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What records are maintained of services?
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What training records are maintained (Tool Box talks)?
Signature
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Auditor's Signature
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Project Manager's Signature
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Date