Quality, Health and Safety Audit

• Site conducted

  Select

• Person conducting the audit

  Select Reece Martinez Daniel Bagalo Andreri Jitaru Leon Clarke Mantas Siciunas Mathew Nice Mihaita Serban Greg Siciunas Tyrone Davis

  • Reece Martinez
  • Daniel Bagalo
  • Andreri Jitaru
  • Leon Clarke
  • Mantas Siciunas
  • Mathew Nice
  • Mihaita Serban
  • Greg Siciunas
  • Tyrone Davis

• Gang being audited

• Site Address

• Live Location
  Address

• Job Reference

• Conducted on

  Date

• Contract

  Morrison

  Telent

  Hyperoptic

  Trooli

  NERS

• Site risk assessment (Point of Work Risk Assessment)

  Good

  Fair

  Poor

  N/A

• Stop works immediately

Signing Lighting & Guarding

• please provide supporting evidence such as annotated photo’s and notes

• Are Courtesy Boards displayed?

  Yes

  No

  N/A

• Please ensure the correct permit number is displayed on a board this is MANDATORY and all sites MUST COMPLY

• Photo evidence required

  Media

• Is there enough Permit boards for the length as we require more than one if site longer than 50m

  Yes

  No

  N/A

• Is the correct permit number clearly visible and are works compliant to permit conditions?

  Yes

  No

• Do Adequate advance warning signs exist?

  Yes

  No

• Photo evidence required

  Media

• Are Advanced warnings signs in correct sequence, distance and suitably fixed to prevent being blown down or out of position?

  Yes

  No

Barriers and Work Area

• Are all Barriers set up correctly as per the red Book?

  Safe

  At Risk

  N/A

• Have sand bags been used on Cones with Signs, Barriers?

  Yes

  No

  N/A

• Is all the working equipment contained within the barriered work area (Including materials / spoil)?

  Yes

  No

  N/A

• Site tidiness (Housekeeping) - is site free of trip hazards (best as Possible)?

  Yes

  No

  N/A

• Are materials segregated and not contaminated?

  Yes

  No

  N/A

• Is the van parked in a safe position and accessible to the team? Surrounded by cones and signs?

  Yes

  No

  N/A

Footways

• Are footway Boards / Ramps fitted with rubber edging and fixed?

  Yes

  No

  N/A

• Are Footway Closed signs in use

  Yes

  No

  N/A

• Are pedestrian arrows in place and correctly fitted

  Yes

  No

  N/A

• Is the pedestrian walkway the correct width (At least 1.2m)

  Yes

  No

  N/A

• Is there a safe method for pedestrians to avoid the road / Carriageway whilst passing works?

  Yes

  No

  N/A

• Have all relevant provisions been made for people with disability? (wheelchair access, tapping rails)

  Yes

  No

  N/A

• Are permit conditions followed?

  Yes

  No

Carriageways

• Is there minimum carriageway width maintained?

  Yes

  No

  N/A

• Is the Traffic Management method suitable for the type of road?

  Yes

  No

  N/A

• Are we using road crossing ramp or carriageway boards

  Yes

  No

  N/A

• Is sufficient safety zone set up?

  Yes

  No

  N/A

Excavation

• Is the duct depth at the correct level, as per specification?

  Yes

  No

  N/A

• Correct backfill material been used as per specification?

  Yes

  No

  N/A

• Chambers drilled as per specification?

  Yes

  No

  N/A

• Backfill compacted to specification?

  Yes

  No

Reinstatement

• Excavation prepared for reinstatement?

  Yes

  No

  N/A

• 150mm Rule Footway?

  Yes

  No

  N/A

• 250mm Rule Carriageway?

  Yes

  No

  N/A

• 90 Degree cuts?

  Yes

  No

  N/A

• Compaction and base?

  Good

  Fair

  Poor

  N/A

• Slabs/Blocks in good condition? Not chipped or cracked.

  Yes

  No

  N/A

PPE

• Fire retardant clothing worn by operatives?

  Yes

  No

• Safety boots worn by operatives?

  Yes

  No

• Hard Hats?

  Safe

  At Risk

  N/A

• Safety Glasses?

  Safe

  At Risk

  N/A

• FFP3 dust mask?

  Safe

  At Risk

  N/A

• Ear defenders?

  Safe

  At Risk

  N/A

• Gloves?

  Safe

  At Risk

  N/A

Health and safety

• Utility Prints on site and in date?

  Yes

  No

  N/A

• First Aid Kit?

  Yes

  No

  N/A

• Eyewash?

  Yes

  No

  N/A

• Spill Kit?

  Yes

  No

  N/A

• Fire Extinguisher?

  Yes

  No

  N/A

• Insulated Tools?

  Yes

  No

  N/A

• All equipment in good condition and fit for purpose?

  Yes

  No

  N/A

• Cat, Genny, on site and Calibrated?

  Yes

  No

  N/A

• GDU on site in date calibration sticker attached.

  Yes

  No

  N/A

• Green marker tape with metal strip in tape.

  Yes

  No

  N/A

Outcome

• Any other issues or concerns raised not mentioned above?

• Inspectors signature

  Sign

• Ganger signature

  Sign