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
Pipe Crossings
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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 (TD/1, P10, PEI/E20)?
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Have roles and responsibilities been defined?
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What PPE must personnel wear who are involved in work?
Auger Bore Crossing
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S = Satisfactory, U = Unsatisfactory, O = Observation, NA = Not Applicable
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Have thrust and reception pits been excavated and made safe for personnel?
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How is boring machine cutting head secured?
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What protection is put around pipes to prevent damage?
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What inspection is carried out on pipe sections prior to boring?
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What distance does proximity pipe extend into the reception pit?
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What protection is put on pipe open ends?
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What consents are required for continuous boring operations (24 hours)?
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Who checks the depth, gradient and direction of the crossing?
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What equipment is used to check this and how is it controlled?
Pipe Jack Crossing
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S = Satisfactory, U = Unsatisfactory, O = Observation, NA = Not Applicable
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How is pipe jack machine secured and what cutting head is used?
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Has additional coating been applied to pipes to prevent damage?
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What inspection is carried out on pipe sections prior to pipe jack operation?
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What distance does proximity pipe extend into the reception pit?
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What protection is put on pipe open ends?
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What consents are required for continuous pipe jacking operations (24 hours)?
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Who checks the depth, gradient and direction of the crossing?
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What equipment is used to check this and how is it controlled?
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How is muck removed from pipe and lifted out of excavation?
Crossing NTS Feeders
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S = Satisfactory, U = Unsatisfactory, O = Observation, NA = Not Applicable
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What authority and notice must be obtained prior to work commencing (PTW)?
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How will the existing pipeline route be marked?
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How will excavation in the vicinity of the feeder be undertaken?
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How will the new pipe work be installed (Auger Bore Crossing)?
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What wall thickness pipe will be used and how far will this extend from the existing pipeline?
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Will concrete slabs be used to separate pipelines and to what spec?
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How will thrust and reception pits be backfilled?
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How will damage to the existing pipe coating be reported and repaired?
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What measures will be taken if the existing pipeline is damaged?
General
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S = Satisfactory, U = Unsatisfactory, O = Observation, NA = Not Applicable
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How are excavations kept free of water?
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How is water/waste disposed of (Environment Waste Management Plan)?
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What inspection and testing is carried out on pipe after operation is undertaken?
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What records are raised during this operation?
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How is weld splatter removed?
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What weather conditions will prevent painting (Steel temp. < 3°C above DP, RH > 85%)?
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What painting inspections and tests are carried out and at what frequency?
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How is paint thickness checked, are gauges included in the calibration system?
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What records are maintained?
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Are Testex samples attached to painting records?
Signature
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Auditor's Signature
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Project Manager's Signature
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Date
