Information

  • Document No.

  • Audit Title

  • Client / DNO

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date:

  • Vehicle Registration:

  • Other Registration

  • Contract:

  • Location:
  • Work in progress:

  • Contract Manager:

  • Auditor

Nettworx staff

  • undefined

1.0 Site Observations

  • 1.1 Safe Access/Egress to work site?

  • 1.2 Appropriate warning signs posted?

  • 1.3 Vehicles clean and tidy?

  • 1.4 Is vehicle secure / ignition keys removed / parked safely?

  • 1.5 Signing and guarding correct? ( NRSWA)

  • 1.6 Pedestrian / Public safety satisfactory?

  • 1.7 Is livestock protected?

  • 1.8 Housekeeping - Safe and tidy site?

  • 1.9 Are all site operatives Nettworx induction and have a valid Nettworx ID card?

2.0 Documentation

  • 2.1 Individual ID / Authorisation / DNO Rules Card on site and Available?

  • 2.2 Team Leader Pack Complete?

  • 2.3 Site specific Risk Assessment sufficient and all team briefed, aware of controls and signed onto the Risk Assessment?

  • 2.4 Utility Plans available, legible and current?

  • 2.5 Are all Training Certificates i.e. MEWP, Plant, Chain saw, Strimach etc. Cards on site in date?

  • 2.6 Distribution Safety Rules, Operational Practice Manual Authorisations, ID cards Available and in date?

  • 2.7 Relevant Safety Alerts, Tools Box Talks Received and Understood?

  • 2.8 Are safety docs PTW, LWC, LOA work instructions adequate and understood?

  • 2.9 Is the HSG47 Check Sheet completed?

3.0 Plant, Tools & Equipment

  • 3.1 CAT Present?

  • CAT Number:

  • Next Calibration Due:

  • 3.1.1 Genny Present?

  • Genny Number:

  • Next Calibration Due:

  • 3.2 Megger, Earth Loop, Volt Meter Test Lamps, Proving Unit, Rotoscope, KP Tester, Portable Earths HV, LV in date and stored safely in a dry bag. (HV test set if in use)

  • 3.3 Lifting Equipment (chains, shackles, slings, winch) in good order and within calibration? Loler colour tag fitted?

  • 3.4 Excavator in good working order and fit for purpose? Weekly defect sheet filled out?

  • 3.5 Vehicles, plant & machinery in good working order, with daily inspections completed?

  • 3.6 Trailer in good order - lights, number plate, break away cable etc?

  • 3.7 Wheel nut indicators on all vehicles?

  • 3.8 MEWP / Strimach (other) / LOLER in date?

  • 3.9 Are general and insulated hand tools in good condition no significant damage?

  • 3.10 Are insulated rods in good condition and in date?

  • 3.11 Ladders tested, tagged, in date? Rungs, stiles,hooks, guides in good condition?

  • 3.12 Have all staff been trained in all tools & working techniques?

4.0 Electrical Safety

  • 4.1 Permit, Lwc, Oral instructions understood and communicated with everyone on site?

  • 4.2 Earths installed correctly?

  • 4.3 Work taking place in clear site of applied Earth?

  • 4.4 Earths in date?

  • 4.5 LV arrangements-Earthing, phase rotation/polarity test, voltage, earth loop all recorded for reference?

  • 4.6 Safe system of work as method statement?

  • 4.7 Has a Full CAT & Genny Survey been conducted & trial holes excavated? Services marked?

5.0 Welfare

  • 5.1 Provision for obtaining Hot Water?

  • 5.2 Suitable arrangements for toilets?

  • 5.3 Suitable facilities for washing available?

  • 5.4 Soap and towels / wipes available?

6.0 Personal Protective Equipment

  • 6.1 5 points of Nettworx PPE being worn and kept in good condition?

  • 6.2 Hi-Viz wet gear available, stored correctly and worn as required?

  • 6.3 LV / HV PPE being worn as required?

  • 6.4 Insulated work gloves (Class 0 / 1) in date?

  • 6.5 Insulated work gloves tested (blow up test)?

  • 6.6 Insulated gloves stored correctly?

  • 6.7 Full face visor available and worn when required?

  • 6.8 Hearing/Eye/Head/Dust Masks/Hand/Safety Footwear available and worn if required?

  • 6.9 Climbing equipment in good condition and worn as required?

  • 6.10 Ariel rescue kit unopened and available at work site?

  • 6.11 Is all PPE being correctly stored?

7.0 Environment

  • 7.1 Are appropriate sized spill kits readily available?

  • 7.2 Is waste correctly separated for disposal?

  • 7.3 All containers correctly labelled?

  • 7.4 Hazardous materials stored correctly?

  • 7.5 Are all containers fit for purpose?

  • 7.6 Is COSHH information available on iPad or Hard copy, understood and complied with?

8.0 Work Practice

  • 8.1 MEWP / Lorry Loader stabilisers and spreaders pads in use?

  • 8.2 Harness and fall restraint worn if working in MEWP?

  • 8.3 Shrouding applied and live working procedures followed?

  • 8.4 Earth, Locks, Notices applied?

  • 8.5 No persons working below person working at height?

  • 8.6 No persons working under a suspended load?

  • 8.7 No persons climbing above an excavator working below?

  • 8.8 Plant, equipment, materials and vehicles arranged safely to protect staff & public?

  • 8.9 Are exclusion zones set up and being maintained where practical?

  • 8.10 Are first aid kits and eye wash available and in date?

  • 8.11 Are burns kits available and in date?

  • 8.12 Fire Extinguisher present and in date?

  • Calibration due date:

Footer

  • Comments and Actions required:

  • Image of site.

  • FML / Auditor

  • Add signature

  • Team Leader

  • Add signature

  • Actions Completed / Closed Off?

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