NGE - SHE Telecoms Audit

• Date

  Date

• Auditor Name & Employer

• Location
  Address

INSPECTION DETAILS

• Job Title of Auditor

• Company Inspected

• Sub-contractor Team Name/REF

• Sub-contractor Management/Supervision

• Gang Lead Operative

• No. of Operatives On-Site

• Sub-contractor Vehicle Registration

• Permit No. (Confirmation Check via Street Manager)

• Job REF

1 Civils

• Are the Works Able to Continue Under Initial Conditions?

  Yes

  No

  N/A

1.0 Site Safety

• Is PPE Being Worn & Appropriate to Works Undertaken?

  Yes

  No

  N/A

• Is Eye Wash & First Aid Provision Present, In Date & Replenished?

  Yes

  No

  N/A

• Are All Operatives Clear on the Welfare Arrangements? (Confirm Location)

  Yes

  No

  N/A

• Are All Operatives Clear on the NGE CPP & Emergency Preparedness Plan, and Where to Locate?

  Yes

  No

  N/A

• Are Gas Cylinders Secure & Stored Correctly? (If Appl)

  Yes

  No

  N/A

• Are Hand Tools in Good Condition?

  Yes

  No

  N/A

• Are Power Tools in Good Condition? (Incl Certification of Condition/Maintenance Evidence)

  Yes

  No

  N/A

• Are Vibrating Tools in Good Condition, Assessed & Tagged?

  Yes

  No

  N/A

• Is All CAT & Genny Equipment Calibrated & in Good Condition? (Operatives to Demonstrate Use)

  Yes

  No

  N/A

• Are All GDU's Calibrated, In Use & In Good Condition?

  Yes

  No

  N/A

• Are the Correct Chamber Keys, Pit Lifters & Chamber Related Equipment On-Site & in Good Condition?

  Yes

  No

  N/A

2 Vehicles

• Do All Vehicles On-Site have Appropriate Beacons & Chevrons?

  Yes

  No

  N/A

• Are All Vehicles Clean & Tidy Internally? (Storage Areas w/Equipment Must Be Checked & Clear)

  Yes

  No

  N/A

• Are All Vehicles Parked Appropriately?

  Yes

  No

  N/A

3 Work Pack & Site Documentation

• Are All Safe Digging/Stats Available & In Date?

  Yes

  No

  N/A

• Is the Job Pack Available (Digital OR Hard Copy) & Operatives Can Demonstrate Use?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are All Relevant RAMS In Place & Signed by the Operatives? (Digital OR Hard Copy) (Sample Operatives Knowledge)

  Yes

  No

  N/A

• Is the Daily Risk Assessment In Place & Signed by the Operatives? (Digital OR Hard Copy) (Samply Operatives Knowledge)

  Yes

  No

  N/A

4 SSOW

• Are All HSG47 Guidelines Being Adhered to? (Safe Digging Practices Live)

  Yes

  No

  N/A

• Have All CAT & Genny Processes Been Carried Out Prior to Works? (Images of Marked Services)

  Yes

  No

  N/A

• Are All Excavations Free from Excess Water?

  Yes

  No

  N/A

• Is All Excavated Material/Spoil Away from the Excavation?

  Yes

  No

  N/A

• Is the Site Clean & Tidy? (Free from Slip/Trip Hazards)

  Yes

  No

  N/A

5 Street Works

• Permit Boards In Place at Either End of the Site?

  Yes

  No

  N/A

• Permit Boards Show All Relevant Detail? (Point of Contact, Telephone Numbers)

  Yes

  No

  N/A

• Is There an NRSWA Accredited Operative On-Site?

  Yes

  No

  N/A

• Is the SLG in Accordance with the ACOP?

  Yes

  No

  N/A

• Is the Relevant Barrier/Cones Available & In Place in Accordance with the SLG Set-up?

  Yes

  No

  N/A

• Is All Equipment Used for the SLG In Good Condition?

  Yes

  No

  N/A

• Is the Relevant Pedestrian Provision In Place? (If Appl) (Kerb Ramps Incl)

  Yes

  No

  N/A

6 People Plant Interface

• Are All Accreditations of Operatives On-Site Relevant to the Plant In Use?

  Yes

  No

  N/A

• Are Maintenance Records Readily Available for all Plant On-Site?

  Yes

  No

  N/A

• Plant Pre-Use Checks Completed?

  Yes

  No

  N/A

• Is All Plant On-Site Fit for Purpose?

  Yes

  No

  N/A

• Are Spill Kits Readily Available for all Plant?

  Yes

  No

  N/A

7 Vital Safety Rules

• Are All Operatives Aware of the NGE Vital Safety Rules? Are They Being Adhered to?

  Yes

  No

  N/A

Close Out

Signature

• Name of Auditor

  Sign