Title Page

  • Conducted on

  • Prepared by

  • Project Number

  • Project Name
  • Are the correct drawings issued and are at a suitable scale to be understood? (Design drawing approved for construction and Existing records )

  • Consult with your Manager and do not proceed with any works!

  • What is the current state of the proposed work area?

  • What known services are there in the vicinity of the works?

  • Has the area been surveyed with CAT & GENNY?

  • Do not continue with works and contact your manager

  • Provide photos of the equipment being used and calibration stickers.

  • Have all known services been marked up?

  • Is the area traffic sensitive?

  • Is TM required?

  • Is the area of work public or private?

  • Is the works to be carried out under a council notice?

  • Provide photos of permit board.

  • Do we have the Landowners permission to carry out the works?

  • Consult with your Manager and do not proceed with the works!

  • Is work required out of hours?

  • Are there any access restrictions?

  • Are there any SED's (Special Engineering Difficulties)?

  • Are there any SSSI's (Site of Special Scientific Interest)?

  • Have all hazards been identified and risk assessed? ( Photo of Risk Assessment)

  • Photo of Risk Assessment required

  • Review risks and implement control measures required - can the works safely continue?

  • Consult with your manager and don't proceed with the works!

  • Photo of Risk assessment.

  • Are there residents to inform of the work?

  • Have the residents been letter dropped?

  • Are the any Specific requirements from the Main Works Contractor?

  • Please specify?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.