No Gang On Site

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Auditor

  Select Cristian Serban Reece Martinez Dan Bagalo Mat Nice Leon Clarke Mantas Siciunas Greg Siciunas Tyrone Davis

  • Cristian Serban
  • Reece Martinez
  • Dan Bagalo
  • Mat Nice
  • Leon Clarke
  • Mantas Siciunas
  • Greg Siciunas
  • Tyrone Davis

• Which Contract

  Select Morrison ts Telent Hyperoptic Trooli National Electrical Registration Scheme

  • Morrison ts
  • Telent
  • Hyperoptic
  • Trooli
  • National Electrical Registration Scheme

• Permit board if one on site?

  Safe

  At Risk

  N/A

• Has the site been left safe by the gang if not on site?

  Yes

  No

  N/A

• Are any items left on site of SLG?

  Good

  Fair

  Poor

  N/A

• Is the footway been left with no trip hazards?

  Yes

  No

  N/A

• If we have SLG on site is this in good and safe order?

  Yes

  No

  N/A

• Have we left any hazards on site, like the trench is not fully covered with either footway/carriageway boards or ramps?

  Yes

  No

  N/A

• Are all barriers interlocked to prevent others from accessing the site while not in attendance?

  Yes

  No

  N/A

• Barriers on site in good safe order?

  Yes

  No

  N/A

• Trench protection in good and safe order?

  Yes

  No

  N/A

• Are cones in good order?

  Yes

  No

  N/A

• Has sand bags been used on signs and barriers?

  Yes

  No

  N/A

• Do we require lights on TM if we have TM staying out over night?

  Good

  Fair

  Poor

  N/A

TM Lights

• Do we have stop and go boards at light heads of live TM?

  Yes

  No

  N/A

• Do we have traffic lights on site while site is not manned?

  Yes

  No

  N/A

• Do we have or require marker lights on Barriers?

  Yes

  No

  N/A

• Is there a pedestrian access route within the TM lane closure?

  Yes

  No

  N/A

• Have you observed any hazards been left or trip hazards from team if they had cleared the site from the street?

  Yes

  No

  N/A

• What remedial works are required to remove the hazard?

  Good

  Fair

  Poor

  N/A

• Are all materials and SLG been cleared?

  Yes

  No

  N/A

• In verge are there any items over 20mm been left on site which would be overrun or FPN?

  Yes

  No

  N/A

• Any staining on ground from our works?

  Safe

  At Risk

  N/A

• Auditors signature Name

  Sign