Title Page
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Conducted for -
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Conducted on
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Auditor
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Location
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Team Leader/Jointer
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Team Member(s)/ Jointers Mate
Site Documentation
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1.1 Have the team completed the SSRA?
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1.2 Have all visitors/site agents signed the SSRA?
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1.3 Is a copy of the team pack on site?
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1.4 Are copies of all utility plans on site, in colour and in date?
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1.5 Is the team in possession of a DNO ID card or covering letter?
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1.6 If SLG is in place does at least on operative have an in date NRSWA card?
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1.7 If working on a building site and required do operatives have an in date CSCS card?
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1.8 If applicable does the team hold an abrasive wheel's ticket?
Vehicle
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2.1 Have the team completed a documented daily check of the vehicle?
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2.2 Is the outside of the van clean?
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2.3 Is the cab of the vehicle tidy?
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2.4 Is the rear of the vehicle tidy and fitted with an in date secured 2kg dry powder fire extinguisher?
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2.5 Do all vehicle lights work including flashing amber amber light?
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2.6 Is the vehicle free from excessive damage?
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2.7 Are keys removed when vehicle not in use?
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2.8 Is the vehicle parked as not to cause obstruction?
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2.9 Is a no smoking sign present in the vehicle cab?
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2.10 Is there no evidence of smoking in the vehicle cab ?
Trailer
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3.1 Is the trailer in good general condition?
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3.2 Is a MOT standard reg plate available for the trailer?
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3.3 Is the mini digger secured with 3 straps to the trailer or 3 straps available on site to secure?
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3.4 Are straps in good condition?
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3.5 Do all trailer lights work?
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3.6 Is the breakaway cable used/serviceable?
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3.7 Is the jack wheel present and serviceable?
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3.8 Does the trailer appear to be at the correct weight i.e, no sand bags/ breakers etc loaded with mini digger?
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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
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4.1 If any lifting equipment is available is it in date?
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4.2 Is the excavator in good order with evidence on site of service?
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4.3 Is the amber light working on the excavator?
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4.4 Are insulated tools being used when hand digging and in good condition?
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4.5 If ladders/steps are available for use is a ladder tag fitted and showing 6-Month inspection by competent person?
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4.6 Is the Floorsaw in good condition?
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4.7 Is the breaker in good condition?
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4.8 Is all other equipment calibrated as required?
PPE
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5.1 When required are teams wearing ARC PPE?
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5.2 If wearing a hi-vis vest is this long sleeved (class 2)?
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5.3 Are boots in good condition with no steel showing?
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5.4 Are all team members wearing a hard hat that is in good condition?
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5.5 Are safety glasses being worn and in good condition?
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5.6 Are goggles available on site for use?
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5.7 Are gloves being worn when working?
Excavation
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6.1 If deep ex, is a permit in place?
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6.2 If required is the excavation suitably supported?
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6.3 Is there good access and egress into the excavation?
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6.4 Is spoil stored away from the edge of the excavation?
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6.5 Is all spoil stored inside the barriers?
Backfill and Excavation
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7.1 Is the correct material being used for back fill inline with HAUC spec?
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7.2 Has required compaction been achieved with correct number of rammer passes?
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7.3 Is correct material being used for reinstatement i.e HRA/SMA/flags/blocks etc?
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7.4 Have edges of reinstatement been sealed with water resistant edge sealant?
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7.5 Is Leo clean being used or a suitable environmentally friendly alternative?
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7.6 Is back-fill correct depth for the type of footway/carriageway?
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7.7 Is the working area tidy?
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7.8 Have all the road markings been replaced?
Kerb ramps and Foot boards
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8.1 If required are kerb ramps/ Foot boards in use?
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8.2 Are all kerb ramps/ Foot boards in good condition?
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8.3 Are all kerb ramps/ Foot boards secured with pins etc this includes no slip boards?
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8.4 Are all kerb ramps fitted as not to cause a trip hazard?
Barriers
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9.1 Are all barriers in good condition?
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9.2 Are all barriers of the same type? (So able to lock together)
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9.3 Are all barriers interlinked/cable tied?
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9.4 Does a minimum of every other barrier have a sandbag on it?
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9.5 Are all barrier feet in good condition?
Signs
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10.1 Are all signs in good condition and have a sandbag on to stop them overturning?
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10.2 Is a courtesy board on site and secured correctly?
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10.3 Is the permit number displayed on site and correct?
Footway Closure
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11.1 When the footway is closed is an adequate alternate available?
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11.2 Is the correct signage including advanced signage in place to warn of footway closed?
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11.3 If a temporary footway is in place is the minimum distance of 1m provided?
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11.4 Is the temp footway free from all trip hazards?
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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
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12.1 Is CAT and Genny available on site and within calibration date?
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12.2 Is there evidence to to show the area of excavation has been scanned?
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12.3 Does mark-up extend past the area to be excavated?
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12.4 Have trail holes been dug to positively locate all known services?
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12.5 Has the team been trained to use the CAT and Genny?
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12.6 When required are all exposed utilities protected?
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12.7 Has the SSRA been updated to confirm use of trial holes and CAT and Genny scan completed?
First Aid
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13.1 Is there at a minimum 1x First aider on site?
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13.2 Is a First aid kit available?
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13.3 If there is a risk of burns, is a burns kit available?
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13.4 Are the contents of the first aid box suitable and in date?
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13.5 Is in date eye wash available?
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13.6 Are the team aware of the nearest A&E?
Health
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14.1 Have the team received general information regarding dust/asbestos?
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14.2 Have the team received general information regarding noise?
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14.3 Have the team received general information regarding Hand Arm Vibration Syndrome?
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14.4 Have the team been face fitted for dust masks?
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14.5 Are FFP3 dust masks available on site if required?
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14.6 Is ear defense available on site if required?
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14.7 Is ear defense in good condition?
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14.8 Are the team aware of the vibration magnitude of the tools i.e colour coded tags on vibration tools?
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14.9 Are arrangements in place to allow hand cleaning prior to eating?
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14.10 Is water suppression available for cutting tools i.e Road saw/Stihl saw?
Quality
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15.1 Is the cable depth correct?
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15.2 Is the duct at the correct depth?
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15.3 Is the Tile tape correct at the point of installation?
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15.4 It the Tile tape secure?
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15.5 Is the trench sanded?
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15.6 Are works provided by 3rd parties i.e builders to correct spec?
Environment
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16.1 Is a spill kit available on site?
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16.2 Is waste correctly segregated for disposal?
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16.3 COSHH stored correctly?
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16.4 Are fuels stored in correct container and labelled?
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16.5 Is COSHH information available on site?
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16.6 Are the team aware of local protected species and flora and fauna?
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16.7 Are vehicles and plant turned off when not in use?
Working at Heights (WAH)
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17.1 Has the operative attended a WAH course?
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17.2 If using steps have the steps got an in date 6 months inspection tag?
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17.3 Has the operative attended the IPAF 1b course if using a MEWP?
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17.4 Does the MEWP have an in date 6 month LOLER certificate ?
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17.5 Is the site LOLER certificate on site?
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17.6 Has the 2nd man also attended the IPAF 1b course?
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17.7 Does the harness and lanyard have an in date 6 month LOLER Certificate?
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17.8 Are the LOLER certificates available onsite?
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17.9 Is an Anemometer available onsite to check windspeed MTS and MEWP?
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17.10 Are wind speeds being recorded on the SSRA MTS & MEWP ?
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17.11 Is the WAH area isolated to prevent MOP's from entering the working area
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17.12 If using the MEWP has a daily documented inspection been completed?
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17.13 If using harness and lanyard has a weekly documented been completed ?
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17.14 If using MTS, was the MTS erected by a PASMA trained operative ?
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17.15 Does the MTS have a weekly documented inspection?
Lorry Mounted Crane
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18.1 Is the vehicle parked as to minimise disruption to traffic ?
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18.2 If required is appropriate SLG in place as per the red book?
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18.3 Are amber warning lights in use?
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18.4 Does the operator of the crane have an in date ticket for the crane?
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18.5 Is the crane operators ticket available onsite ?
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18.6 Does the crane have an indate 12 month LOLER certificate?
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18.7 Is the crane LOLER certificate available on site?
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18.8 Do any lifting straps have an in date 6 month LOLER certificate?
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18.9 Are slings LOLER certificates available on site?
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18.10 Are slings in good condition showing no sign of excessive wear?
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18.11 Is the danger area around the crane and bucket operation isolated?
Are there any other notable issues/ good practice worth recording?
Debriefing
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Have the team been debriefed on the findings?
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Any further feedback ?
Sign off and close out
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Is this audit free from any NON-CONFORMANCES. If you have identified any non-conformances what have you done about it before leaving site.
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Auditors Signature
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Team Leaders Signature
