Title Page
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Date & Time
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Team Leader
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Second Operative
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Third Operative
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Fourth Operative
Site & Vehicle Observations
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Has a daily and/or a site specific R.A. been completed?
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Are Service Plans available and legible?
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Is a Team Safety Pack available and complete?
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Are all qualification cards/ID cards available and in date?
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Are all operatives qualified for work they will be undertaking?
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Have relevant Permits & authorisations been acquired?
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Is the Operative Lone working ?(if so is a lone worker procedure being followed)?
Plant & Equipment
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Is locating equipment calibrated?
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Fire Extinguisher acceptable?
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Lifting Equipment in good order & Tested?
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Gas Detection Unit (GDU) calibrated?
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Is Plant & Machinery in good working order Tested and in date?
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Is Plant & Equipment securely stored on the trailer?
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Is Scaffolding being used if so has it been checked?
Excavations
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Safe Access/Egress into excavation?
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Excavation adequately supported?
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Is Spoil from the excavation stored safely?
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Has a full Cat & Genny Survey been conducted ie services clearly marked out?
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Are the types of barriers used adequate for the work been undertaken?
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Exposed utilities adequately supported?
Welfare
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Is a First Aid Kit & Eye wash available?
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Is all PPE available and worn in accordance with the requirements?
NRASWA
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Is the Signing lighting and guarding correct? (NRSWA)
Environment
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Are spill kits readily available?
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Is all chlorination equipment available?
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All containers correctly labelled?
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Are the teams aware of how to dispose of waste?
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Can operatives describe what the procedure is in the event of a pollution incident?
Quality
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Quality of workmanship on site
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Backfill and Reinstatement
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Profile and Structure
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Quality of SAP feedback
Team Leader Sign-Off
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Team Leader Signature