Title Page
-
Conducted for -
-
Conducted on
-
Auditor
-
Location
-
Jointers Name
-
Jointers Mates Name
Site Documentation
-
1.1 Have the team completed the SSRA?
-
1.2 Have all visitors/site agents signed the SSRA?
-
1.3 Is a copy of the team pack on site?
-
1.4 Are copies of all utility plans on site, in colour and in date?
-
1.5 Is the team in possession of a DNO ID card or covering letter?
-
1.6 If SLG is in place does at least on operative have an in date NRSWA card?
-
1.7 If working on a building site and required do operatives have an in date CSCS card?
-
1.8 If applicable does the team hold an abrasive wheel's ticket?
Vehicle
-
2.1 Have the team completed a documented daily check of the vehicle?
-
2.2 Is the outside of the van clean?
-
2.3 Is the cab of the vehicle tidy?
-
2.4 Is the rear of the vehicle tidy?
-
2.5 Do all vehicle lights work including flashing amber amber light?
-
2.6 Is the vehicle free from excessive damage?
-
2.7 Are keys removed when vehicle not in use?
-
2.8 Is the vehicle parked as not to cause obstruction?
Trailer
-
3.1 Is the trailer in good general condition?
-
3.2 Is a MOT standard reg plate available for the trailer?
-
3.3 Is the mini digger secured with 3 straps to the trailer or 3 straps available on site to secure?
-
3.4 Are straps in good condition?
-
3.5 Do all trailer lights work?
-
3.6 Is the breakaway cable used/serviceable?
-
3.7 Is the jack wheel present and serviceable?
-
3.8 Does the trailer appear to be at the correct weight i.e, no sand bags/ breakers etc loaded with mini digger?
-
3.9 If not in use is the trailer parked defensively as not to cause a hazard i.e ramps in vertical position?
Plant and Equipment
-
4.1 If any lifting equipment is available is it in date?
-
4.2 Is the excavator in good order with evidence on site of service?
-
4.3 Is the amber light working on the excavator?
-
4.4 Are insulated tools being used when hand digging and in good condition?
-
4.5 If ladders/steps are available for use is a ladder tag fitted and showing 6-Month inspection by competent person?
-
4.6 Is the Floorsaw in good condition?
-
4.7 Is the breaker in good condition?
-
4.8 Is all other equipment calibrated as required?
PPE
-
5.1 When required are teams wearing ARC PPE?
-
5.2 If wearing a hi-vis vest is this long sleeved (class 2)?
-
5.3 Are boots in good condition with no steel showing?
-
5.4 Are all team members wearing a hard hat that is in good condition?
-
5.5 Are safety glasses being worn and in good condition?
-
5.6 Are goggles available on site for use?
-
5.7 Are gloves being worn when working?
Excavation
-
6.1 If deep ex, is a permit in place?
-
6.2 If required is the excavation suitably supported?
-
6.3 Is there good access and egress into the excavation?
-
6.4 Is spoil stored away from the edge of the excavation?
-
6.5 Is all spoil stored inside the barriers?
Backfill and Excavation
-
7.1 Is the correct material being used for back fill inline with HAUC spec?
-
7.2 Has required compaction been achieved with correct number of rammer passes?
-
7.3 Is correct material being used for reinstatement i.e HRA/SMA/flags/blocks etc?
-
7.4 Have edges of reinstatement been sealed with water resistant edge sealant?
-
7.5 Is Leo clean being used or a suitable environmentally friendly alternative?
-
7.6 Is back-fill correct depth for the type of footway/carriageway?
-
7.7 Is the working area tidy?
-
7.8 Have all the road markings been replaced?
Kerb ramps and Foot boards
-
8.1 If required are kerb ramps/ Foot boards in use?
-
8.2 Are all kerb ramps/ Foot boards in good condition?
-
8.3 Are all kerb ramps/ Foot boards secured with pins etc this includes no slip boards?
-
8.4 Are all kerb ramps fitted as not to cause a trip hazard?
Barriers
-
9.1 Are all barriers in good condition?
-
9.2 Are all barriers of the same type? (So able to lock together)
-
9.3 Are all barriers interlinked/cable tied?
-
9.4 Does a minimum of every other barrier have a sandbag on it?
-
9.5 Are all barrier feet in good condition?
Signs
-
10.1 Are all signs in good condition and have a sandbag on to stop them overturning?
-
10.2 Is a courtesy board on site and secured correctly?
-
10.3 Is the permit number displayed on site and correct?
Footway Closure
-
11.1 When the footway is closed is an adequate alternate available?
-
11.2 Is the correct signage including advanced signage in place to warn of footway closed?
-
11.3 If a temporary footway is in place is the minimum distance of 1m provided?
-
11.4 Is the temp footway free from all trip hazards?
-
11.5 If a temp footway is in place, are barriers erected right up to the kerb edge to stop MOP straying into the carriage way?
Protection of Utilities
-
12.1 Is CAT and Genny available on site and within calibration date?
-
12.2 Is there evidence to to show the area of excavation has been scanned?
-
12.3 Does mark-up extend past the area to be excavated?
-
12.4 Have trail holes been dug to positively locate all known services?
-
12.5 Has the team been trained to use the CAT and Genny?
-
12.6 When required are all exposed utilities protected?
-
12.7 Has the SSRA been updated to confirm use of trial holes and CAT and Genny scan completed?
First Aid
-
13.1 Is there at a minimum 1x First aider on site?
-
13.2 Is a First aid kit available?
-
13.3 If there is a risk of burns, is a burns kit available?
-
13.4 Are the contents of the first aid box suitable and in date?
-
13.5 Is in date eye wash available?
-
13.6 Are the team aware of the nearest A&E?
Health
-
14.1 Have the team received general information regarding dust/asbestos?
-
14.2 Have the team received general information regarding noise?
-
14.3 Have the team received general information regarding Hand Arm Vibration Syndrome?
-
14.4 Have the team been face fitted for dust masks?
-
14.5 Are FFP3 dust masks available on site if required?
-
14.6 Is ear defense available on site if required?
-
14.7 Is ear defense in good condition?
-
14.8 Are the team aware of the vibration magnitude of the tools i.e colour coded tags on vibration tools?
-
14.9 Are arrangements in place to allow hand cleaning prior to eating?
-
14.10 Is water suppression available for cutting tools i.e Road saw/Stihl saw?
Quality
-
15.1 Is the cable depth correct?
-
15.2 Is the duct at the correct depth?
-
15.3 Is the Tile tape correct at the point of installation?
-
15.4 It the Tile tape secure?
-
15.5 Is the trench sanded?
-
15.6 Are works provided by 3rd parties i.e builders to correct spec?
Environment
-
16.1 Is a spill kit available on site?
-
16.2 Is waste correctly segregated for disposal?
-
16.3 COSHH stored correctly?
-
16.4 Are fuels stored in correct container and labelled?
-
16.5 Is COSHH information available on site?
-
16.6 Are the team aware of local protected species and flora and fauna?
-
16.7 Are vehicles and plant turned off when not in use?
Are there any other notable issues/ good practice worth recording?
Debriefing
-
Have the team been debriefed on the findings?
-
Any further feedback ?
Sign off and close out
-
Is this audit free from any NON-CONFORMANCES. If you have identified any non-conformances what have you done about it before leaving site.
-
Auditors Signature
-
Team Leaders Signature
