Information
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Document No.
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Audit Title
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Position
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Prepared by
- Andrew Robinson
- Andy layton
- Chris Rosser
- Colin MacIntyre
- Connor Lavery
- Daniel Mitchell
- Dean Ryan
- Joe Moynihan
- Matthew O'Rourke
- Richard Edgar
- Ritchie Sutherland
- Roger Dean
- Ryan Williamson
- Sean Laverty
- Trevor Houghton
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Conducted on
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Client / DNO
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Location
1.0 Vehicles and Staff
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Vehicles present on site
- AY06 CVP
- BG24 WTZ
- BP73 XML
- BT22 LKX
- BT22 NVZ
- DV23 KGO
- CP17 NEU
- CN21 WXJ
- CU18 SXZ
- DL20EHE
- DL70 LBA
- DL73 LPZ
- DN24 VAY
- DN24 VDJ
- DP19 VFB
- DV20 NVP
- DV23 KGO
- DV70 DNF
- DV73 YGA
- DV73 XYR
- DY24 UPD
- FE24 UDG
- FE24 UDV
- FE24 UDP
- FE24 UDJ
- FE24 UDO
- FE24 UDU
- FE24 UDT
- FG73 EBN
- FG73 ZHL
- FG73ZHK
- FG73 ZRL
- FG73 ZRK
- FG23 ZRO
- FG73 ZSD
- FL23 TYY
- FL73 TYG
- FL73VUS
- FL73 ZZN
- FL73 VHY
- FL73 ZHO
- FP23 AHK
- FP23 ZCX
- FP23 ZFD
- FP23 ZFH
- FP23 ZFM
- FP23 ZFT
- FP23 ZKN
- FP23ZDC
- FP23 ZDL
- FP23 ZDV
- FP73 DWG
- HG18NPO
- KX23 BWE
- KX23 BWF
- KX23 BWG
- KX23 BWK
- KX23 BWU
- KX23 BWV
- KX23 BWW
- KX23 BXA
- KX23 BXP
- KX23 BXR
- LO73 ECJ
- MC73 NNJ
- MD23 LBV
- MD23 LAA
- MD23 UXH
- MH23ZMV
- MJ22 RBV
- MJ72 XKN
- MK20 NUM
- MK20 PMY
- MT23 BXO
- MT69 LVY
- MT72 BVM
- MT23 YPK
- MT23 YPP
- MT73 BBF
- MW24 GGK
- MW73 EZP
- MX22 UVZ
- NWX38 (Mini Digger)
- NWX43
- NWX44
- NWX45
- NWX46
- NWX47
- NWX48
- NWX49
- NWX50
- NWX51
- NWX52
- NWX53
- NWX54
- NWX55
- NWX56
- NWX57
- P2NWX
- P4NWX
- P5NWX
- P6NWX
- P7 NWX
- P9 NWX
- PG53 OGZ
- PN66 EZZ
- R1NWX
- R2NWX
- R4NWX
- R5NWX
- R6NWX
- R7NWX
- R8NWX
- R9NWX
- R10NWX
- R11NWX
- RF16 XVH
- RXZ 3743
- RXZ 4230
- RXZ 4238
- RXZ 4892
- S1NWX
- S3NWX
- S4NWX
- S6NWX
- S7NWX
- S8NWX
- S9NWX
- SN64 TGV
- T1NWX
- T2NWX
- T3NWX
- T4NWX
- T5NWX
- T6NWX
- T7NWX
- T8 NWX
- T9 NWX
- T10NWX
- T11NWX
- WELFARE 1
- WELFARE 2
- WELFARE 3
- WELFARE 4
- WK23 KSN
- WGZ 4171
- WGZ 4172
- WGZ 4290
- WG 7908
- WGZ 8634
- WU12 MGO
- YD71 SXR
- YE18 JVZ
- YHZ 4938
- YHZ 7555
- YHZ 9493
- YK21 WGW
- YR20 RWF
- YUI 4120
- YU 4753
- Other (ADD IN NOTE BELOW)
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Staff present on site
- Aaron Morrell
- Adam Sinclaie
- Adam Wood
- Alan Nichol
- Alex Maleki
- Alex Powell
- Allan Mackay
- Andrew Robinson
- Andy Layton
- Angelo Tubiano
- Ashley Lewis
- Billy Ridgwell
- Brendan Kelly
- Brownwyn Molenschot
- Brynley Jones
- Byron Callow
- Callum Murray
- Carl Langdown
- Carlos Botelho
- Caroline Harman
- Charlie Knight
- Ciaran Beagon
- Claire Mcdonald
- Clarence Winnie
- Colin Campbell
- Colin Macintyre
- Connor Nichols
- Conor Lavery
- Craig Macintyre
- Dale Farmer
- Dale Hannah
- Damien Sloan
- Daniel Mitchell
- Daniel Smith
- Daniel Tuddenham
- Danny Talondong
- Danny Talondong Jr
- Darwin Dy
- David Ellis
- David Hewitt
- David Rees
- Dean Ryan
- Dearbhla Browne
- Declan Hamill
- Dexter Talondong
- Ervine Abad
- Fiona Teale
- Gareth Ferguson
- Garizalde Amparado
- Gary Davies
- Geoff Williams
- Glenn Buenaflor
- Harrisson Bowring
- Hefin Jones
- Jac Davenport
- James Bamford
- Jamie Watson
- Jason Collins
- Jayson Caca
- Jazon Olivera
- Jimmy Caca
- Joe Moynihan
- John Dunn
- John Jones
- John Sinclair
- Johnny Haywood
- Jonathan Phillips
- Jordan Winters
- Jose Padilla
- Josh Keddie
- Junior
- Katherine Wilson
- Kevin Chan
- Kev Silvers
- Liam Jones
- Lisa Vasey
- Luis Balsa
- Marcus Munelly
- Marek Ustrzycki
- Mark Davies
- Martin Houlihan
- Martin Jones
- Martin Mclean
- Matthew Barnes
- Matthew Kidger
- Matthew O'Rourke
- McJoey Reserva
- Michael Walker
- Morgan Harris
- Nathan Scott
- Neil Anderson
- Neil Cadden
- Neil Hannah
- Nial Mcaleer
- Nick Petley
- Nigel Morrell
- Nilo Fabros
- Noel Fabros
- Oliver Macintyre
- Paddy Broderick
- Pedro Santos
- Phil Davies
- Reece Ridgwell
- Rhiannon Chisolm
- Richard Edgar
- Richard Roberts
- Richard Sutherland
- Rino Caca
- Roger Dean
- Rolando Ramos
- Rory Chisolm
- Russelle Ty
- Rusty Delacruz
- Ryan Mcgrath
- Ryan Williamson
- Sam Knight
- Sam Woolford
- Samantha Cunliffe
- Santos Taladua
- Scott Calow
- Sean Laverty
- Sean Ritchie
- Sebastian Tobiczyk
- ShonaMcWilliam
- Simon Fletcher
- Steve Barella
- Steven Lithgow
- Steven Moir
- Tarek Hijazeen
- Thomas Craig
- Tom White
- Tommy Hodson
- Trevor Houghton
- Troy Pugh
- William Edgar
1.0 Site Observations
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1.1 Safe Access/Egress to work site?
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1.2 Appropriate warning signs posted?
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1.3 Are vehicles parked safely, are they secure and locked, are keys removed from ignition?
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1.4 Vehicles clean and tidy?
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1.5 Signing, lighting and guarding for street works present and correct? ( NRSWA).
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1.6 Pedestrian / Public safety satisfactory?
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1.7 Is livestock protected?
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1.8 Housekeeping - Safe and tidy site?
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1.9 Do all site operatives hold an in date SSE ID card?
2.0 Documentation
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2.1 Do all authorised staff have a physical copy of their authorisation?
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2.2 Do all authorised staff have a Distribution Safety Rule book?
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2.3 Has a site specific risk assessment been completed? are all staff signed onto the risk assessment?
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2.4 HSG47 Paperwork present and complete including utility plans?
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2.5 Polarity sheet completed in full and signed by 2 operatives?
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2.6 Are all safety documents understood? Take photograph of PTW, LWC, LOA.
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2.7 Latest toolbox talks signed off by all staff?
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2.8 Are safety docs PTW, LWC, LOA work instructions adequate and understood?
3.0 Plant, Tools & Equipment
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3.1 CAT Present?
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CAT Number and calibration date photo:
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3.1.1 Genny Present?
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Genny Number and calibration date photo:
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3.2 Are all other testing devices in full working order? Are they stored correctly in protective cases as issued? (Megger, Earth Loop, Volt Meter Test Lamps, Proving Unit, Rotoscope, KP Tester)
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Test Equipment photo:
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3.3 Lifting equipment checked? LOLER colour tags all present? (Chains, shackles, strops, pull lifts, cum alongs etc)
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3.4 Are all tools in full working order? Check battery powered tools and chargers are fit for purpose.
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3.5 MEWP LOLER in date?
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3.6 MEWP vehicle check complete?
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3.7 Excavator LOLER in date?
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3.8 Excavator vehicle check complete?
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3.9 FASTRAC LOLER in date?
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3.10 FASTRAC vehicle check complete?
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3.11 HIAB/Lorry LOLER in date?
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3.12 HIAB/Lorry vehicle check complete?
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3.13 Trailer in good order - lights, number plate, break away cable etc?
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3.14 Wheel nut indicators on all vehicles?
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3.15 Are insulated rods in good condition and in date?
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3.16 Have you tested Ladders? They should be tagged and in date? Check that rungs, stiles, hooks, guides in good condition.
4.0 Electrical Safety
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4.1 PTW, LWC, or LOA instructions communicated and understood with everyone on site? (if applicable)
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4.2 Are earths installed correctly and in date? (if applicable)
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4.3 Is work taking place in clear site of applied Earth? (if applicable)
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4.4 Are additional earths in use? (if applicable)
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4.6 Is work taking place in accordance with method statements?
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4.7 Has a Full CAT & Genny Survey been conducted & trial holes excavated? Services marked? (if applicable)
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4.8 If live working are live working procedures being followed?
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4.9 Appropriate warning, earths and notices applied
5.0 Welfare
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5.1 Are the site operatives working within 15 minutes of CDM yard?
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5.2 Provision for obtaining Hot Water?
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5.3 Suitable arrangements for toilets?
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5.4 Suitable facilities for washing available?
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5.5 Soap and towels / wipes available?
6.0 Personal Protective Equipment
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6.1 Are all site operatives compliant with the PPE policy? (Take photo of 5 points of PPE)
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6.2 Are all site operatives wearing issued eye protection only? (prescription eye protection accepted).
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6.3 Are all site operatives wearing issued ANSI 4 cut level gloves?
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6.4 Do all staff operatives have Hi-Vis waterproof clothing available?
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6.5 Are any staff live working?
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6.6 If staff are live working is the correct PPE being worn as required?
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6.7 Are insulated live working gloves within 12 months of issue? (replace if outside of 12 months)
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6.8 Are Live working gloves being stored in protective case? (check for a case)
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6.9 Is the live working helmet serviceable and in good condition (including face visor)
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6.10 Live working helmet stored in protective case? (Must not be used for general wear).
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6.11 Is hearing protection, eye protection and respiratory protective equipment available for use with Stihl saw?
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6.12 Have all site staff completed weekly climbing equipment check?
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6.13 Check climbing harnesses and associated equipment for defects. (take photos)
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6.14 Pole top rescue kit serviceable and placed at the base of the pole?
7.0 Environment
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7.1 Are appropriate sized spill kits readily available?
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7.2 Is waste correctly separated for disposal?
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7.4 COSHH containers marked and stored securely on vehicles/trailers?
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7.6 Confirm with site operatives that they can access COSHH register and safety data sheets on the Network app?
8.0 Safe Systems of Work
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8.1 Are exclusion zones set up as per working at height policy?
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8.2 Harness and fall restraint worn if working in MEWP?
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Photo of MEWP restraint lanyard attached.
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8.3 MEWP / Lorry Loader stabilisers and spreaders pads in use?
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8.4 Helmet worn and chin strap engaged while working at height.
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8.5 No persons or plant machinery working below a person working at height?
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8.6 If using climbing gear are there 2 point soft attachment being used?
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8.7 No persons working under a suspended load?
9.0 Safety Equipment
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9.1 Is there a First aid kit present and is it complete?
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9.2 Is the an eye wash kit present and is it serviceable?
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9.3 Is there burns kit present and is it serviceable?
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9.4 Is there a serviceable fire extinguisher available? (check pressure and calibration)
Footer
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Comments and Actions required:
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Image of site.
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FML / Auditor
- Andrew Robinson
- Andy layton
- Chris Rosser
- Colin MacIntyre
- Connor Lavery
- Daniel Mitchell
- Dean Ryan
- Joe Moynihan
- Matthew O'Rourke
- Richard Edgar
- Ritchie Sutherland
- Roger Dean
- Ryan Williamson
- Sean Laverty
- Trevor Houghton
-
Add signature
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Team Leader
- Aaron Morrell
- Adam Sinclaie
- Adam Wood
- Alan Nichol
- Alex Maleki
- Alex Powell
- Allan Mackay
- Andrew Robinson
- Andy Layton
- Angelo Tubiano
- Ashley Lewis
- Billy Ridgwell
- Brendan Kelly
- Brownwyn Molenschot
- Brynley Jones
- Byron Callow
- Callum Murray
- Carl Langdown
- Carlos Botelho
- Caroline Harman
- Charlie Knight
- Ciaran Beagon
- Claire Mcdonald
- Clarence Winnie
- Colin Campbell
- Colin Macintyre
- Connor Nichols
- Conor Lavery
- Craig Macintyre
- Dale Farmer
- Dale Hannah
- Damien Sloan
- Daniel Mitchell
- Daniel Smith
- Daniel Tuddenham
- Danny Talondong
- Danny Talondong Jr
- Darwin Dy
- David Ellis
- David Hewitt
- David Rees
- Dean Ryan
- Dearbhla Browne
- Declan Hamill
- Dexter Talondong
- Ervine Abad
- Fiona Teale
- Gareth Ferguson
- Garizalde Amparado
- Gary Davies
- Geoff Williams
- Glenn Buenaflor
- Harrisson Bowring
- Hefin Jones
- Jac Davenport
- James Bamford
- Jamie Watson
- Jason Collins
- Jayson Caca
- Jazon Olivera
- Jimmy Caca
- Joe Moynihan
- John Dunn
- John Jones
- John Sinclair
- Johnny Haywood
- Jonathan Phillips
- Jordan Winters
- Jose Padilla
- Josh Keddie
- Junior
- Katherine Wilson
- Kevin Chan
- Kev Silvers
- Liam Jones
- Lisa Vasey
- Luis Balsa
- Marcus Munelly
- Marek Ustrzycki
- Mark Davies
- Martin Houlihan
- Martin Jones
- Martin Mclean
- Matthew Barnes
- Matthew Kidger
- Matthew O'Rourke
- McJoey Reserva
- Michael Walker
- Morgan Harris
- Nathan Scott
- Neil Anderson
- Neil Cadden
- Neil Hannah
- Nial Mcaleer
- Nick Petley
- Nigel Morrell
- Nilo Fabros
- Noel Fabros
- Oliver Macintyre
- Paddy Broderick
- Pedro Santos
- Phil Davies
- Reece Ridgwell
- Rhiannon Chisolm
- Richard Edgar
- Richard Roberts
- Richard Sutherland
- Rino Caca
- Roger Dean
- Rolando Ramos
- Rory Chisolm
- Russelle Ty
- Rusty Delacruz
- Ryan Mcgrath
- Ryan Williamson
- Sam Knight
- Sam Woolford
- Samantha Cunliffe
- Santos Taladua
- Scott Calow
- Sean Laverty
- Sean Ritchie
- Sebastian Tobiczyk
- ShonaMcWilliam
- Simon Fletcher
- Steve Barella
- Steven Lithgow
- Steven Moir
- Tarek Hijazeen
- Thomas Craig
- Tom White
- Tommy Hodson
- Trevor Houghton
- Troy Pugh
- William Edgar
-
Add signature