Information

  • Document No.

  • Audit Title

  • Position

  • Prepared by

  • Conducted on

  • Client / DNO

  • Location

1.0 Vehicles and Staff

  • Vehicles present on site

  • Staff present on site

1.0 Site Observations

  • 1.1 Safe Access/Egress to work site?

  • 1.2 Appropriate warning signs posted?

  • 1.3 Are vehicles parked safely, are they secure and locked, are keys removed from ignition?

  • 1.4 Vehicles clean and tidy?

  • 1.5 Signing, lighting and guarding for street works present and correct? ( NRSWA).

  • 1.6 Pedestrian / Public safety satisfactory?

  • 1.7 Is livestock protected?

  • 1.8 Housekeeping - Safe and tidy site?

  • 1.9 Do all site operatives hold an in date SSE ID card?

2.0 Documentation

  • 2.1 Do all authorised staff have a physical copy of their authorisation?

  • 2.2 Do all authorised staff have a Distribution Safety Rule book?

  • 2.3 Has a site specific risk assessment been completed? are all staff signed onto the risk assessment?

  • 2.4 HSG47 Paperwork present and complete including utility plans?

  • 2.5 Polarity sheet completed in full and signed by 2 operatives?

  • 2.6 Are all safety documents understood? Take photograph of PTW, LWC, LOA.

  • 2.7 Latest toolbox talks signed off by all staff?

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

3.0 Plant, Tools & Equipment

  • 3.1 CAT Present?

  • CAT Number and calibration date photo:

  • 3.1.1 Genny Present?

  • Genny Number and calibration date photo:

  • 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)

  • Test Equipment photo:

  • 3.3 Lifting equipment checked? LOLER colour tags all present? (Chains, shackles, strops, pull lifts, cum alongs etc)

  • 3.4 Are all tools in full working order? Check battery powered tools and chargers are fit for purpose.

  • 3.5 MEWP LOLER in date?

  • 3.6 MEWP vehicle check complete?

  • 3.7 Excavator LOLER in date?

  • 3.8 Excavator vehicle check complete?

  • 3.9 FASTRAC LOLER in date?

  • 3.10 FASTRAC vehicle check complete?

  • 3.11 HIAB/Lorry LOLER in date?

  • 3.12 HIAB/Lorry vehicle check complete?

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

  • 3.14 Wheel nut indicators on all vehicles?

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

  • 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

  • 4.1 PTW, LWC, or LOA instructions communicated and understood with everyone on site? (if applicable)

  • 4.2 Are earths installed correctly and in date? (if applicable)

  • 4.3 Is work taking place in clear site of applied Earth? (if applicable)

  • 4.4 Are additional earths in use? (if applicable)

  • 4.6 Is work taking place in accordance with method statements?

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

  • 4.8 If live working are live working procedures being followed?

  • 4.9 Appropriate warning, earths and notices applied

5.0 Welfare

  • 5.1 Are the site operatives working within 15 minutes of CDM yard?

  • 5.2 Provision for obtaining Hot Water?

  • 5.3 Suitable arrangements for toilets?

  • 5.4 Suitable facilities for washing available?

  • 5.5 Soap and towels / wipes available?

6.0 Personal Protective Equipment

  • 6.1 Are all site operatives compliant with the PPE policy? (Take photo of 5 points of PPE)

  • 6.2 Are all site operatives wearing issued eye protection only? (prescription eye protection accepted).

  • 6.3 Are all site operatives wearing issued ANSI 4 cut level gloves?

  • 6.4 Do all staff operatives have Hi-Vis waterproof clothing available?

  • 6.5 Are any staff live working?

  • 6.6 If staff are live working is the correct PPE being worn as required?

  • 6.7 Are insulated live working gloves within 12 months of issue? (replace if outside of 12 months)

  • 6.8 Are Live working gloves being stored in protective case? (check for a case)

  • 6.9 Is the live working helmet serviceable and in good condition (including face visor)

  • 6.10 Live working helmet stored in protective case? (Must not be used for general wear).

  • 6.11 Is hearing protection, eye protection and respiratory protective equipment available for use with Stihl saw?

  • 6.12 Have all site staff completed weekly climbing equipment check?

  • 6.13 Check climbing harnesses and associated equipment for defects. (take photos)

  • 6.14 Pole top rescue kit serviceable and placed at the base of the pole?

7.0 Environment

  • 7.1 Are appropriate sized spill kits readily available?

  • 7.2 Is waste correctly separated for disposal?

  • 7.4 COSHH containers marked and stored securely on vehicles/trailers?

  • 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

  • 8.1 Are exclusion zones set up as per working at height policy?

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

  • Photo of MEWP restraint lanyard attached.

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

  • 8.4 Helmet worn and chin strap engaged while working at height.

  • 8.5 No persons or plant machinery working below a person working at height?

  • 8.6 If using climbing gear are there 2 point soft attachment being used?

  • 8.7 No persons working under a suspended load?

9.0 Safety Equipment

  • 9.1 Is there a First aid kit present and is it complete?

  • 9.2 Is the an eye wash kit present and is it serviceable?

  • 9.3 Is there burns kit present and is it serviceable?

  • 9.4 Is there a serviceable fire extinguisher available? (check pressure and calibration)

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