Offsite Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

Offsite

• Site Address

• Ref Number

• Work Activity

• Team Leader

• Other Members

Safety of personnel

• Is method statements in ‘Black Books’ available and in date

  Yes

  Major

  Minor

  N/A

  No

• Does activity comply with method statement

  Yes

  Major

  Minor

  N/A

  No

• Has pre work risk assessment been carried out

  Yes

  Major

  Minor

  N/A

  No

• Up to date colour utility plans available

  Yes

  Major

  Minor

  N/A

  No

• Proban treated clothing available and worn where appropriate

  Yes

  Major

  Minor

  N/A

  No

• Safety helmets

  Yes

  Major

  Minor

  N/A

  No

• Ear defenders

  Yes

  Major

  Minor

  N/A

  No

• Safety goggles/ Safety Spectacles

  Yes

  Major

  Minor

  N/A

  No

• Gloves

  Yes

  Major

  Minor

  N/A

  No

• Comprehensive first aid kit readily available/ Eyewash available

  Yes

  Major

  Minor

  N/A

  No

• Breathing apparatus x 2 available

  Yes

  Major

  Minor

  N/A

  No

• Is it stored and/or in good condition ( not contaminated)

  Yes

  Major

  Minor

  N/A

  No

• Is the face mask in date and fit for purpose

  Yes

  Major

  Minor

  N/A

  No

• Does the BA box contain two fire resistant balaclavas

  Yes

  Major

  Minor

  N/A

  No

• Has the team completed the monthly BA inspection form

  Yes

  Major

  Minor

  N/A

  No

• Has the form been countersigned by a supervisor/agent

  Yes

  Major

  Minor

  N/A

  No

• Safety boots

  Yes

  Major

  Minor

  N/A

  No

• High visibility clothing

  Yes

  Major

  Minor

  N/A

  No

• Has the team reported any near misses

  Yes

  Major

  Minor

  N/A

  No

• Discuss the near miss with the team

  Yes

  Major

  Minor

  N/A

  No

Tools and Equipment

• Gascoseeker

  Yes

  Major

  Minor

  N/A

  No

• ElectroFusionBox

  Yes

  Major

  Minor

  N/A

  No

• Butt fusion equipment

  Yes

  Major

  Minor

  N/A

  No

• Continuity bonds

  Yes

  Major

  Minor

  N/A

  No

• Extension lead (110v)

  Yes

  Major

  Minor

  N/A

  No

• Tent – (to cover fusionbutt fusion equipment)

  Yes

  Major

  Minor

  N/A

  No

• Leak detection fluid

  Yes

  Major

  Minor

  N/A

  No

• Cable and pipe locator

  Yes

  Major

  Minor

  N/A

  No

• Pressure test gauges

  Yes

  Major

  Minor

  N/A

  No

• LP Bull Horns available and in date

  Yes

  Major

  Minor

  N/A

  No

• MP Bull Horns available and in date: see 11a below

  Yes

  Major

  Minor

  N/A

  No

• On Site teams will only carry the above for specific MP work

  Yes

  Major

  Minor

  N/A

  No

• 2 x Fire extinguishers available and in Date

  Yes

  Major

  Minor

  N/A

  No

• Hand tools issued to teams available/ in good condition/ fit for purpose

  Yes

  Major

  Minor

  N/A

  No

• Lifting equipment, lifting slings, shackles etc in good condition and within inspection date

  Yes

  Major

  Minor

  N/A

  No

• Voltstick available works and correctly used

  Yes

  Major

  Minor

  N/A

  No

• Excavator/Dumper Seat Belt worn/ cab or roll over cage. Movement around site managed, including spoil storage area? Machine adequately secured to trailer when towing?

  Yes

  Major

  Minor

  N/A

  No

• Small Air Drill, appropriate drill bit, Rivet Gun & rivets

  Yes

  Major

  Minor

  N/A

  No

Environmental

• Evidence of waste segregation and management on site

  Yes

  Major

  Minor

  N/A

  No

• Spill kits available for use

  Yes

  Major

  Minor

  N/A

  No

• Fuel/Oil containing vessels stored & managed to avoid contamination (e.g: Drip Tray, Bung, plant nappy)

  Yes

  Major

  Minor

  N/A

  No

• Equipment, Spoil & fuel stored to avoid contamination of drains & water courses

  Yes

  Major

  Minor

  N/A

  No

• Risks to ecology or from invasive plants managed on site (E.g: Knott Weed, Wildlife)

  Yes

  Major

  Minor

  N/A

  No

• Risks from contaminated land assesed & controlled on site (E.g: Coal Tar)

  Yes

  Major

  Minor

  N/A

  No

NRSWA

• NRSWA complies with NRSWA guidance

  Yes

  Major

  Minor

  N/A

  No

• Barriers/HERAs fencing and signs in good condition

  Yes

  Major

  Minor

  N/A

  No

• Barriers and signs adequately secured and weighted

  Yes

  Major

  Minor

  N/A

  No

• Adequate controls to protect pedestrians including vulnerable people are in place and to ensure safe passage around our site

  Yes

  Major

  Minor

  N/A

  No

• Vehicles/Plant/Materials stored within a barrier system

  Yes

  Major

  Minor

  N/A

  No

• All excavations, including within the private adequately protected/covered

  Yes

  Major

  Minor

  N/A

  No

• Footway Boards and Plates used safely, reducing risk of STF hazards or risk of movement. Are boards/plates in good condition and to specification

  Yes

  Major

  Minor

  N/A

  No

• Is there a high standard of housekeeping on site and the risk of STF hazards ie cables/hoses etc are managed

  Yes

  Major

  Minor

  N/A

  No

Underground & Overhead Utilities

• Evidence of marking up, including outside of excavation and along face of excavation

  Yes

  Major

  Minor

  N/A

  No

• CAT & Genny out with evidence of use

  Yes

  Major

  Minor

  N/A

  No

• CAT & Genny and all attachments in date and in good condition

  Yes

  Major

  Minor

  N/A

  No

• Good understanding of the location of utilities that corresponds with utility plans and visual indicators

  Yes

  Major

  Minor

  N/A

  No

• Evidence of Safe Digging practices being adopted

  Yes

  Major

  Minor

  N/A

  No

• Clear assessment of risks been undertaken before mechanical plant is used

  Yes

  Major

  Minor

  N/A

  No

• Have overhead cables risks been identified/controlled (use of Diggers/HIAB's) Is spoil and materials stored under/away from OHLs?

  Yes

  Major

  Minor

  N/A

  No

• Exposed utilities protected/supported as required

  Yes

  Major

  Minor

  N/A

  No

Excavations

• Risk from dusty activities fully managed. Water Suppression plus full PPE including dust mask is used when saw cutting. Dust supression effective

  Yes

  Major

  Minor

  N/A

  No

• Is excavation size suitable for the activity

  Yes

  Major

  Minor

  N/A

  No

• Is there suitable means of access/egress for the size/depth of the excavation

  Yes

  Major

  Minor

  N/A

  No

• Is there evidence that the team have assessed the stability of the excavation, having regard to external factors ie walls, lampposts etc. Has the risk of the excavation being a confined space been considered?

  Yes

  Major

  Minor

  N/A

  No

• Is spoil/materials stored a safe distance away from the edge of the excavation

  Yes

  Major

  Minor

  N/A

  No

• Is plant/vehicles inc grab/vac ex stored a safe distance away from the edge of the excavation

  Yes

  Major

  Minor

  N/A

  No

• Are tools/materials stored a safe distance or securely to prevent them falling or being kicked into the excavation

  Yes

  Major

  Minor

  N/A

  No

Jointing

• Pipe/Fittings stored correctly and clean. Joint protected from weather as required

  Yes

  Major

  Minor

  N/A

  No

• Clamps used and pipe cut/scrapped correctly. Joints/Fittings marked

  Yes

  Major

  Minor

  N/A

  No

• Fusion cycled completed correctly. Joint/Fittings inspected following fusion and soap test completed

  Yes

  Major

  Minor

  N/A

  No

• Correct separation distances between fittings/squeeze off etc

  Yes

  Major

  Minor

  N/A

  No

• Is butt fusion controls ie dummy welds, inspection of beads etc being followed

  Yes

  Major

  Minor

  N/A

  No

Backfill and reinstatement

• Is an approved finefill material used

  Yes

  Major

  Minor

  N/A

  No

• Are HAUC specifications being met

  Yes

  Major

  Minor

  N/A

  No

Mains

• Bands cut in sequence and pipe restrained. Correct number of people on site

  Yes

  Major

  Minor

  N/A

  No

• Pipe assessed for damage prior to insert/lay

  Yes

  Major

  Minor

  N/A

  No

• If mechanical plant is used to lift or transport materials/equipment, are operatives competent, is the plant suitable and certificated as required

  Yes

  Major

  Minor

  N/A

  No

Transport Compliance

• Is vehicle, trailer, plant underweight and loaded correctly

  Yes

  Major

  Minor

  N/A

  No

• Any damage found e.g., lights, mirrors, bodywork

  Yes

  Major

  Minor

  N/A

  No

• Are tyres within legal limit

  Yes

  Major

  Minor

  N/A

  No

• Is tow hitch assembly fit for purpose

  Yes

  Major

  Minor

  N/A

  No

• Is daily defect check being carried out and compliant

  Yes

  Major

  Minor

  N/A

  No

• Is tachograph process in place as per company policy

  Yes

  Major

  Minor

  N/A

  No

• Is vehicle servicing in date

  Yes

  Major

  Minor

  N/A

  No

• Is the 12 weekly plant inspection process in date

  Yes

  Major

  Minor

  N/A

  No

• Is the vehicle fitted with a bunded flammables box

  Yes

  Major

  Minor

  N/A

  No

• Are the lorry steps/ ladders in good condition

  Yes

  Major

  Minor

  N/A

  No

Qualifications

• ID CARD – TEAM LEADER

  Yes

  Major

  Minor

  N/A

  No

• ID CARD – SECOND TEAM MEMBER

  Yes

  Major

  Minor

  N/A

  No

• ID CARD – THIRD TEAM MEMBER

  Yes

  Major

  Minor

  N/A

  No

• Qualifications adequate for work being done team leader

  Yes

  Major

  Minor

  N/A

  No

• Qualifications adequate second team member

  Yes

  Major

  Minor

  N/A

  No

• Qualifications adequate third team member

  Yes

  Major

  Minor

  N/A

  No

• Team Leader Signature confirming findings and accepting recommended actions:

  Sign

• Auditor Signature confirming that this report is a true reflection of findings on site:

  Sign