Information
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Document No.
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Contractor Name
- Welch Civils
- T1
- MS3
- AUS
- EDEN
- BOYANT-C
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Date and Time
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Name of person completing this report
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Location
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Project / Site Name (i.e HUL117)
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Supervisor / Foreman at time of this inspection
GENERAL
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Has the vehicle been parked / positioned in an approate location for the works?
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Has a pre works check been completed and submitted?
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Does the operatave have correct PPE for the task ahead?
SITE SETUP
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Has the chapter 8 signage been placed out in the correct order and in approiate locations?
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Has the opertive have enough gate guards for the task ahead (including the working area)?
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Please add photos of the site set up.
ENTRY INTO CHAMBERS
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Has the correct method of lifting and opening the chamber been followed?
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Has a roller bar and pit lifter No 5 been used?
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Has the chamber been fully gas tested at all duct entry points and the 3 diffferent levels?
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Has the GDU been left in the correct location in the chamber while working?
WORKING IN CHAMBERS
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Has the chamber been checked for hazards prior to works?
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Has a water test been completed (if required)?
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Have all new cables been secured as per BTOR / MS3 specs?
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Have all cables been correctly labeled with all relevent information?
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Has the chamber been left in a safe and hazard free condition?
EQUIPMENT CHECKS
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Is the PPE been used is good condition, free from defects and correct for the work ahead?
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Is the GDU been used in good condition, free from defect, fit for purpose and within test date?
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What is the test date on the ladder?
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Is the signing and guarding that is been used in good working order and fit for purpose?
Sign Off
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Has a final chack of site been completed prior to leaving?
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Have the MS3 / BTOR safety, spec and quality documents been adhered too throughout the works?
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Do you wish to add in any notes or observations from this live audit?
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Has qualification of the gangs been seen and is it in date?
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Name of MS3 Supervisor
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Name of Site Supervisor / Foreman
