Nottingham CF Civils Compliance Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Gang

• Person in Charge of Works (PiCW)

• Is it safe to conduct inspection?

• What type of audit/ Inspection are you conducting today?

  Select Job Pack Permit to Dig Start of Work Daily Gate Check End of Work Daily Gate Check Chamber Install Cabinet Install Underground Cabling Civils Trench Reinstatement PPE Equipment Welfare

  • Job Pack
  • Permit to Dig
  • Start of Work Daily Gate Check
  • End of Work Daily Gate Check
  • Chamber Install
  • Cabinet Install
  • Underground Cabling
  • Civils Trench
  • Reinstatement
  • PPE
  • Equipment
  • Welfare

Job Pack

• Gang should have a working tablet. If the tablet is not working, no works can take place until it is fixed or replaced.

Tablet

• Do the gang have a working tablet?

  Yes

  No

  N/A

• Do the gang have a charger for the tablet?

  Yes

  No

  N/A

• Can they demonstrate they have sufficient knowledge on how to use DepotNet?

  Yes

  No

  N/A

Paperwork

• Do the gang have sufficient blank copies of the Daily on Site Risk Assessment

  Yes

  No

  N/A

• Has Daily on Site Risk Assessment been completed and suitable for the current<br>operations?<br>

  Yes

  No

  N/A

• Has Daily on Site Risk Assessment been signed by all personnel on site?

  Yes

  No

  N/A

• Are Method Statements in use and applicable?

  Yes

  No

  N/A

• Do the gang have a Permit to Dig Rev B?

  Yes

  No

  N/A

• Has evidence of permit to dig been uploaded to DepotNet

  Yes

  No

  N/A

• Have trial holes been completed and photo evidence uploaded to DepotNet?

  Yes

  No

  N/A

Gang Pack

• Do team have a Gang Pack?

  Yes

  No

  N/A

• Has the Gang Pack been signed by all team members?

  Yes

  No

  N/A

• Do the names match the people on site?

  Yes

  No

  N/A

• Do team have appropriate PPE for tasks undertaken?

  Yes

  No

  N/A

• Do teams have de-burring tool and suitable tube cutters?

  Yes

  No

  N/A

• Are COSHH assessments available for all hazardous substances held on site?

  Yes

  No

  N/A

Permit to Dig

• The Permit to Dig should be completed correctly, with all boxes filled. The Site location box, will normally be the road name, and the location relevant to the current excavation which has been surveyed. Permit number can be obtained from office once confirmation that area has been sufficiently CAT scanned. The duration should only be for the excavation of the works being undertaken

Permit to Dig and HA Permit Conditions

• Has Permit to Dig been completed correctly?

  Yes

  No

  N/A

• Is the duration of the permit relevant for the location and type of works

  Yes

  No

  N/A

• Have all specific areas of note (ie schools) been indicated

  Yes

  No

  N/A

• Has the permit been uploaded to Depotnet?

  Yes

  No

  N/A

• Does the permit location match the CAT/Genny download data?

  Yes

  No

  N/A

• Please confirm services have been identified and sprayed up

  Select BTOR Virgin Media LV Electric HV Electric Gas Water

  • BTOR
  • Virgin Media
  • LV Electric
  • HV Electric
  • Gas
  • Water

• Is there a copy of the HA Permit on Depotnet

  Yes

  No

  N/A

• Does the gang understand what conditions have been issued?

  Yes

  No

  N/A

• Does the site match the permit conditions?

  Yes

  No

  N/A

Start of Work Daily Gate Check

Signing, Lighting and Guarding (SLG)

• Are all barriers linked together with no gaps and suitably fixed to prevent<br>being blown down or out of position? (including all gate entrances)

  Yes

  No

  N/A

• Are street signs sufficient and correctly placed?

  Yes

  No

  N/A

• Is permit board correct and clearly displayed to public?

  Yes

  No

  N/A

• Are barrier feet in correct orientation?

  Yes

  No

  N/A

• Is 1.2m desirable or 1.0m minimum footpath maintained?

  Yes

  No

  N/A

• Is pedestrian access / egress maintained?

  Yes

  No

  N/A

• Are materials stored safely?

  Yes

  No

  N/A

• Do teams have sufficient walk boards and T-Matting for amount of track to be opened?

  Yes

  No

  N/A

• Is SLG sufficient to protect public from works?

  Yes

  No

  N/A

• Is all SLG clean and defect free

  Yes

  No

  N/A

• Are cones placed correct?

  Yes

  No

  N/A

• Are open excavations fully covered?

  Yes

  No

  N/A

• Where required are cover plates correctly placed?

  Yes

  No

  N/A

• Are cover plates placed over road gullies?

  Yes

  No

  N/A

Chapter 8 Safety Checks

• Is SLG Chapter 8 as per Safety at Road Works and Street Works Code of Practice (Red Book)

  Pass

  Fail

  N/A

• Road Works Ahead x 2

  Yes

  No

  N/A

• Road Narrows x 2 (one in either direction)

  Yes

  No

  N/A

• Blue Arrows x 3

  Yes

  No

  N/A

• Road Works End

  Yes

  No

  N/A

• Sand Bags in use

  Yes

  No

  N/A

• Pedestrian Direction Arrows (if required)

  Yes

  No

  N/A

• Lead in Taper

  Yes

  No

  N/A

• Safety zone if operatives working on site

  Yes

  No

  N/A

• Safety zone around pedestrian walkway

  Yes

  No

  N/A

• Pedestrian barriers with tapping rail for visually impaired

  Yes

  No

  N/A

• Are pedestrian barriers interlocked?

  Yes

  No

  N/A

• Exit Taper

  Yes

  No

  N/A

• Sufficient cones for size of site

  Yes

  No

  N/A

• Footway ramps if required

  Yes

  No

  N/A

• Minimum 1m Footway available for pedestrians

  Yes

  No

  N/A

• Footway Boards

  Yes

  No

  N/A

• Carriageway Plates

  Yes

  No

  N/A

End of Work Daily Gate Check

• Are all barriers linked together with no gaps and suitably fixed to prevent<br>being blown down or out of position? (including all gate entrances)

  Yes

  No

  N/A

• Are street signs sufficient and correctly placed?

  Yes

  No

  N/A

• Is permit board correct and clearly displayed to public?

  Yes

  No

  N/A

• Are barrier feet in correct orientation?

  Yes

  No

  N/A

• Is 1.2m desirable or 1.0m minimum footpath maintained?

  Yes

  No

  N/A

• Is pedestrian access / egress maintained?

  Yes

  No

  N/A

• Are materials stored safely?

  Yes

  No

  N/A

• Do teams have sufficient walk boards and T-Matting for amount of track open?

  Yes

  No

  N/A

• Is SLG sufficient to protect public from works?

  Yes

  No

  N/A

• Are cones placed correct?

  Yes

  No

  N/A

• Are open excavations fully covered?

  Yes

  No

  N/A

• Where required are cover plates correctly placed?

  Yes

  No

  N/A

• Are cover plates placed over road gullies?

  Yes

  No

  N/A

Chamber Install

Chambers

• FW4 chamber X4 rings

• FW6 chamber X5 rings (NB.. sump required )

• All chambers must be checked using gas detector before and whilst entering chamber .

• Excavation should be 150mm larger than the outside of the chamber segment

  Yes

  No

  N/A

• Is the Chamber deep enough to accommodate the correct depth of cover for duct entry

  Yes

  No

  N/A

• Floor construction to be 100mm thick of lean mix C30

  Yes

  No

  N/A

• Have brackets and bearers been installed?

  Yes

  No

  N/A

Sumps

• Has a sump been installed? Application to FW6 or larger

  Yes

  No

  N/A

Duct Entries

• Are all ducts cut flush and burrs removed?

  Yes

  No

  N/A

• Are ducts from opposing ends in line?

  Yes

  No

  N/A

• Have duct entries been sealed?

  Yes

  No

  N/A

• Is Chamber clear of debris?

  Yes

  No

  N/A

Duct Position

• Ducts should not be installed less than 100mm from the base & 75mm from the sidewall.

  Yes

  No

  N/A

• Separation between ducts be it vertical or horizonal to be 25mm

  Yes

  No

  N/A

• Chamber sidewalls to be backfilled in even lifts/layers not exceeding 150mm each with type 1 material

  Yes

  No

  N/A

• Has duct been positioned in middle of ring?

  Yes

  No

  N/A

Frame & Cover

• F/C bedded on cement mortar bed in 10mm-50mm

  Yes

  No

  N/A

• Is the cement mortar over the exterior flanges/grout bar? this should be at a 45degree angle.

  Yes

  No

  N/A

• In grass verge, frame and cover to be 25mm lower than the surrounding surface

  Yes

  No

  N/A

Reinstatement

• Is the finish surface around the chamber reinstated to comply with SROH?

  Yes

  No

  N/A

Cabinet Install

Location

• Cabinet to be sited with 100mm clearance to any surrounding fixed structure to allow for maintenance.

  Yes

  No

  N/A

• Front of Cabinet to be minimum of 1200mm from the roadside edge of the kerb?

  Yes

  No

  N/A

Installation of Cabinet

• Does the excavation allow for 100mm minimum on all sides around the cabinet base?

  Yes

  No

  N/A

• Minimum excavation depth must be at least 350mm deep?

  Yes

  No

  N/A

Duct Installation

• Is there 3 x 110mm diameter 90 degree bends into the root base with a separation distance of 40mm, and a depth of cover of 250mm

  Yes

  No

  N/A

• Are ducts installed centrally within the cabinet root base?

  Yes

  No

  N/A

• Is the root installed level/squarely and aligned to the ductwork?

  Yes

  No

  N/A

Root Installation

• Is the top of the root base a minimum of 50mm clearance from the existing surface level?

  Yes

  No

  N/A

• Is the surround and root filled with concrete (or in soft or grassed area float finished with a slight chamfer to allow water dispersion)?

  Yes

  No

  N/A

• Are the ducts cut flush with the concrete surface and all burrs removed with de-burring tool?

  Yes

  No

  N/A

Underground Cabling

• Is there a copy of the Green Book available on site

  Yes

  No

• Which Audit/Inspection are you completing today?

  CityFibre Cabling

  PIA Underground

PIA Underground

• Have gel wraps been installed in accordance with City Fibre specification and construction drawing?

  Yes

  No

  N/A

• Photo required.

  Media

• Have tube distribution closures been installed in accordance with City Fibre specification and construction drawing?

  Yes

  No

  N/A

• Photo Required.

  Media

• All excessive cabling/tubing removed within underground structure

  Yes

  No

  Not Witnessed

• Please comment

• Photo required.

  Media

• Is the internal duct to building sealed correctly to prevent ingress of water and gas following cabling?

  Yes

  No

  N/A

• Please comment

• Photo Required.

  Media

• High security equipment/covers/locks replaced following cable/jointing work

  Yes

  No

  N/A

• Please comment

• Cable ties (Strap Cable Fixing) Cut flush with no sharp edges

  Yes

  No

  N/A

• Please comment

• Photo Required.

  Media

• Sub-duct/cable/joint correctly marked CFNPIA123456

  Yes

  No

• Please comment

• Type of label used (Black font on yellow background)

  Critchley K type

  Printed

  Hand written

  Other

• Please provide a photograph

  Media

• Please provide a photo

  Media

• Sub-duct safely routed through underground structure including slack of 0.5 metres

  Yes

  No

• Please comment

• Sub-duct routed through underground structure in a manner which will not obstruct access to existing line plant

  Yes

  No

• Please comment

• Photo Required.

  Media

• Are approved end caps fitted on BFTs/sub-ducts?

  Yes

  No

  N/A

• Please comment

• Photo Required.

  Media

• Hazardous fibre waste (sharps/shards) cleared from chamber/site

  Yes

  No

• Please comment

• Duct entry drilled by approved method (core drill) and reinstated in accordance with BTOR specification?

  Yes

  No

  N/A

• Please comment

• Duct entry in specified location

  Yes

  No

• Please comment

• Photo Required.

  Media

• Duct entry finished flush

  Yes

  No

  N/A

• Please comment

• Duct entry outer grouted/sealed

  Yes

  No

  N/A

• Please comment

• Duct entry at correct depth 250mm footway

  Yes

  No

  N/A

• Please comment

• Duct entry at correct depth 450mm carriageway type 3/4 roads

  Yes

  No

  N/A

• Please comment

• Duct entry at correct depth 600mm carriageway type 1/2 roads

  Yes

  No

  N/A

• Please comment

• Gifted chamber constucted correctly

  Yes

  No

  N/A

• Please comment

• Are there any cables/equipment damaged and attriubuted to our works

  Yes

  No

• Please comment

• Photo Required.

  Media

• Correct support and restraint of cables/joints in accordance with BTOR/CF specification?

  Yes

  No

  N/A

• Please comment

• Work site left tidy, all rubbish removed.

  Yes

  No

• Please comment

CityFibre Cabling

• Have gel wraps been installed in accordance with City Fibre specification and construction drawing?

  Yes

  No

  N/A

• Photo required.

  Media

• Have tube distribution closures been installed in accordance with City Fibre specification and construction drawing?

  Yes

  No

  N/A

• Photo Required.

  Media

• Have all cables/subducts/BFTs been installed at suitable lengths and dressed correctly within the chamber?

  Yes

  No

  Not Witnessed

• Please comment

• Photo required.

  Media

• Are approved end caps fitted on BFTs/sub-ducts.

  Yes

  No

  N/A

• Please comment

• Photo Required.

  Media

• High security equipment/covers/locks replaced following cable/jointing work

  Yes

  No

  N/A

• Please comment

• Cable ties (Strap Cable Fixing) Cut flush with no sharp edges

  Yes

  No

  N/A

• Please comment

• Photo Required.

  Media

• Are all sub-ducts/cables/BFTs labelled as per the job pack (e.g: SE-1-PN1/SE-1-PN1-ASN1) ?

  Yes

  No

• Please comment

• Type of label used (Black font on yellow background)

  Critchley K type

  Printed

  Hand written

  Other

• Please provide a photograph

  Media

• Please provide a photo

  Media

• Sub-duct safely routed through underground structure including slack of 0.5 metres

  Yes

  No

• Please comment

• Sub-duct routed through underground structure in a manner which will not obstruct access to existing line plant

  Yes

  No

• Please comment

• Photo Required.

  Media

• Hazardous fibre waste (sharps/shards) cleared from chamber/site

  Yes

  No

• Please comment

• Duct entry drilled by approved method and reinstated in accordance with CF specification?

  Yes

  No

  N/A

• Please comment

• Duct entry in specified location

  Yes

  No

• Please comment

• Photo Required.

  Media

• Duct entry finished flush

  Yes

  No

  N/A

• Please comment

• Duct entry outer grouted/sealed

  Yes

  No

  N/A

• Please comment

• Duct entry at correct depth 250mm footway

  Yes

  No

  N/A

• Please comment

• Duct entry at correct depth 450mm carriageway type 3/4 roads

  Yes

  No

  N/A

• Please comment

• Duct entry at correct depth 600mm carriageway type 1/2 roads

  Yes

  No

  N/A

• Please comment

• Gifted chamber constucted correctly

  Yes

  No

  N/A

• Please comment

• Are there any cables/equipment damaged and attriubuted to our works

  Yes

  No

• Please comment

• Photo Required.

  Media

• Correct support and restraint of cables/joints in accordance with CF specification?

  Yes

  No

  N/A

• Please comment

• Work site left tidy, all rubbish removed.

  Yes

  No

• Please comment

Civils Trench

Tools and Equipment

• CAT & Genny

  Yes

  No

  N/A

• PVC Tape

  Yes

  No

  N/A

• Approved Tube Cutters

  Yes

  No

  N/A

• Approved De-Burring tool

  Yes

  No

  N/A

• Tape Measure

  Yes

  No

  N/A

• Is the appropriate type of upright whacker on site?

  Yes

  No

  N/A

Process

• Is the surface clear of excavated material?

  Yes

  No

  N/A

• Is the depth of cover @ 250mm minimum

  Yes

  No

  N/A

• Is there 20mm Sand Bedding present?

  Yes

  No

  N/A

• Is there 50mm Sand Cover present?

  Yes

  No

  N/A

• Is there Marker Tape placed in the trench?

  Yes

  No

  N/A

• Is the toby box set in and flush with the surrounding surface?

  Yes

  No

  N/A

• Is there 300mm of subscribers tube within the toby box and fitted with an approved end cap?

  Yes

  No

  N/A

Material Used for Backfill/Compaction

• What material is being used for backfill/compaction?

• Is material to specified standard?

  Yes

  No

  N/A

• Have you witnessed compaction?

  Yes

  No

  N/A

• How many passes did you witness?

• What type of upright whacker are they using?

  Wide Foot Plate

  Narrow Foot Plate

• Clegg Reading after 4th drop?

• Are all kerbs replaced including bedding and backing? If no, please specify reason (Please do not answer no if the gang have yet to replace them)

  Yes

  No

  N/A

Cavity Depth for Reinstatement

• What is the Surface Type?

• What is the cavity depth?

• Has site been swept clean?

Reinstatement

SLG / SAFETY / CERTIFICATION

• SLG & site layout as per Codes Of Practice

  Yes

  No

  N/A

• Permit board displayed / completed / appropriate

  Yes

  No

  N/A

• Vehicle, plant, tools & materials fit for purpose / stored safely

  Yes

  No

  N/A

• Site condition / Environmental considerations acceptable

  Yes

  No

  N/A

• Cable locator carried / in use / appropriate

  Yes

  No

  N/A

• PPE Appropriate & in use

  Yes

  No

  N/A

• ID / EUSR / Plant / NRSWA / Drivers Licence Carried & in date

  Yes

  No

  N/A

• Operatives competent for task in hand

  Yes

  No

  N/A

• SSRA completed / signed / appropriate

  Yes

  No

  N/A

• Trees / roots / cables / hazards considered and protected

  Yes

  No

  N/A

• First Aid Kit carried / in date / appropriate

  Yes

  No

  N/A

• Eye wash carried / in date / appropriate

  Yes

  No

  N/A

• Fire extinguisher(s) carried / in date / appropriate

  Yes

  No

  N/A

• Drip tray carried / appropriate

  Yes

  No

  N/A

• Spill Kit carried / appropriate

  Yes

  No

  N/A

REINSTATEMENT METHODS / MATERIALS

• Method statement carried / followed

  Yes

  No

  N/A

• Road type / construction known & applied

  Yes

  No

  N/A

• Backfill materials certificated / suitable

  Yes

  No

  N/A

• Surround to apparatus suitable

  Yes

  No

  N/A

• Compaction of backfill correct / appropriate

  Yes

  No

  N/A

• Bituminous materials within correct temperature range / suitable

  Yes

  No

  N/A

• Edge sealant used / appropriate

  Yes

  No

  N/A

• Compaction of bituminous correct / appropriate

  Yes

  No

  N/A

• Materials stored correctly & segregated

  Yes

  No

  N/A

QUALITY & PERFORMANCE

• Correct surface material to SROH

  Yes

  No

  N/A

• Coated chippings used where appropriate

  Yes

  No

  N/A

• Cut back / proximity to SROH

  Yes

  No

  N/A

• Overbanding max 3mm thick, 40mm wide to SROH

  Yes

  No

  N/A

• Pointing to SROH

  Yes

  No

  N/A

• Profile / trips / edge depression within tolerance to SROH

  Yes

  No

  N/A

• Damaged modules / slabs replaced

  Yes

  No

  N/A

• Road markings replaced permanent or temporary with appropriate material

  Yes

  No

  N/A

• Road markings over 2.5m long laid using hot pour paint or equivalent

  Yes

  No

  N/A

• Special surfaces replaced permanently to SROH

  Yes

  No

  N/A

• Special surfaces not replaced, slippery surface sign on site

  Yes

  No

  N/A

• Reinstatement fully compliant with SROH (give detail if not)

  Yes

  No

  N/A

MEASUREMENT AUDIT

• Linear measurements correct

  Yes

  No

  N/A

• Re-excavated materials and depths correct / appropriate

  Yes

  No

  N/A

PPE

• Reflective Jacket/Waistcoat

  Yes

  No

  N/A

• High Visibility Trousers

  Yes

  No

  N/A

• Head Protection

  Yes

  No

  N/A

• Eye/Face Protection

  Yes

  No

  N/A

• Ear Defenders

  Yes

  No

  N/A

• Dust/Fume Proteection

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Safety Footwear

  Yes

  No

  N/A

Equipment

• Do team have a working gCAT4+?

  Yes

  No

  N/A

• When is next inspection date?

  Yes

  No

  N/A

• Is a suitable fire extinguisher available?

  Yes

  No

  N/A

• When is next inspection date?

  Yes

  No

  N/A

• Is all fuelled plant and equipment stored in a manner that prevents any<br>chemical spillage to watercourses or the environment? (for example Stihl<br>saw stored on plant nappy or other containment method)?

  Yes

  No

  N/A

• Spill kit available?

  Yes

  No

  N/A

• Excavator

  Yes

  No

  N/A

• Is there an in date inspection record for excavator?

  Yes

  No

  N/A

• Yes

  No

  N/A

Welfare

• Is drinking water available?

  Yes

  No

  N/A

• Are toilet facilities available and within 10 walking minutes?

  Yes

  No

  N/A

• Do team have contact number for mobile welfare unit?

  Yes

  No

  N/A

• Is First Aid stocked?

  Yes

  No

  N/A

• What is the expiry date of the first aid box?

  Yes

  No

  N/A

• Are Fire Extinguishers to hand?

  Yes

  No

  N/A

• Has fire extinguisher been inspected within 12 months?

  Yes

  No

  N/A

Sign-Off

• Any additional coments

• Person undertaking check (Name and Signature)

  Sign