Title Page
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Conducted on
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Prepared by
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Location
Onsite
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Site Address
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Ref Number
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Work Activity
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Team Leader
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Other Members
Safety of personnel
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Is method statements in ‘Black Books’ available and in date
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Does activity comply with method statement
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Has pre work risk assessment been carried out
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Up to date colour utility plans available
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Proban treated clothing available and worn where appropriate
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Safety helmets
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Ear defenders
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Safety goggles/ Safety Spectacles
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Gloves
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Comprehensive first aid kit readily available/ Eyewash available
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Breathing apparatus x 2 available
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Is it stored and/or in good condition ( not contaminated)
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Is the face mask in date and fit for purpose
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Does the BA box contain two fire resistant balaclavas
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Has the team completed the monthly BA inspection form
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Has the form been countersigned by a supervisor/agent
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Safety boots
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High visibility clothing
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Has the team reported any near misses
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Discuss the near miss with the team
Tools and Equipment
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Gascoseeker
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ElectroFusionBox
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Butt fusion equipment
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Continuity bonds
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Extension lead (110v)
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Tent – (to cover fusionbutt fusion equipment)
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Leak detection fluid
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Cable and pipe locator
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Pressure test gauges
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LP Bull Horns available and in date
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MP Bull Horns available and in date: see 11a below
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On Site teams will only carry the above for specific MP work
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2 x Fire extinguishers available and in Date
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Hand tools issued to teams available/ in good condition/ fit for purpose
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Lifting equipment, lifting slings, shackles etc in good condition and within inspection date
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Voltstick available works and correctly used
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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?
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Small Air Drill, appropriate drill bit, Rivet Gun & rivets
Environmental
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Evidence of waste segregation and management on site
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Spill kits available for use
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Fuel/Oil containing vessels stored & managed to avoid contamination (e.g: Drip Tray, Bung, plant nappy)
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Equipment, Spoil & fuel stored to avoid contamination of drains & water courses
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Risks to ecology or from invasive plants managed on site (E.g: Knott Weed, Wildlife)
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Risks from contaminated land assesed & controlled on site (E.g: Coal Tar)
Underground & Overhead Utilities
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CAT & Genny out with evidence of use
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CAT & Genny and all attachments in date and in good condition
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Good understanding of the location of utilities that corresponds with utility plans and visual indicators
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Have overhead cables risks been identified/controlled (use of Diggers/HIAB's) Is spoil and materials stored under/away from OHLs?
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Exposed utilities protected/supported as required
Excavations
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Is excavation size suitable for the activity
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Is there suitable means of access/egress for the size/depth of the excavation
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Is spoil/materials stored a safe distance away from the edge of the excavation
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Are tools/materials stored a safe distance or securely to prevent them falling or being kicked into the excavation
Meter Installations
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Is the meter control valve accessible
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Is the control valve fitted correctly
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Is the on/off label fitted
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Is the meter box secure
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If no meter box, is the meter secure
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Is the medium pressure label fitted (if required)
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Is the outlet pipe sleeve satisfactory
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Has the label been fitted, easily visible and in good condition
Jointing
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Pipe/Fittings stored correctly and clean. Joint protected from weather as required
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Clamps used and pipe cut/scrapped correctly. Joints/Fittings marked
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Fusion cycled completed correctly. Joint/Fittings inspected following fusion and soap test completed
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Correct separation distances between fittings/squeeze off etc
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Is butt fusion controls ie dummy welds, inspection of beads etc being followed
Transport Compliance
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Is vehicle, trailer, plant underweight and loaded correctly
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Any damage found e.g., lights, mirrors, bodywork
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Are tyres within legal limit
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Is tow hitch assembly fit for purpose
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Is daily defect check being carried out and compliant
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Is tachograph process in place as per company policy
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Is vehicle servicing in date
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Is the 12 weekly plant inspection process in date
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Is the vehicle fitted with a bunded flammables box
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Are the lorry steps/ ladders in good condition
Qualifications
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ID CARD – TEAM LEADER
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ID CARD – SECOND TEAM MEMBER
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ID CARD – THIRD TEAM MEMBER
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Qualifications adequate for work being done team leader
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Qualifications adequate second team member
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Qualifications adequate third team member
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Team Leader Signature confirming findings and accepting recommended actions:
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Auditor Signature confirming that this report is a true reflection of findings on site: