R&KGROUP SITE START

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SITE START

• DATE AND TIME ONSITE

  Date

• JOB NUMBER

• PRIORITY

• NAME OF CREW WHO ARE CALLING IN

• COMPANY

• NOTICE DURATION

• JOB TYPE

• ADDRESS
  Address

• COUNTY

• NOTICE START DATE

• CALLED IN ONTIME?

  YES

  NO

• IS YOUR LOCATION ON.........

  HIGHWAY

  PRIVATE

  VERGE

  FOOTPATH

• CUSTOMER CONTACT MADE

  YES

  NO

• COMMENTS

• ARE YOU USING ANY TRAFFIC MANAGEMENT?

  YES

  NO

• TYPE

  CHAPTER 8

  STOP AND GO

  2, 3 or 4 WAY LIGHTS

  LANE CLOSURE

  ROAD CLOSURE

• DOES THE JOB HAVE A VALID NOTICE FOR THESE WORKS? (If not do not allow works to start)

  YES

  NO

• HAS CORRECT TRAFFIC MANAGEMENT BEEN APPLIED AND APPROVED? ( if not do not allow works to start)

  YES

  NO

• ACTIONED BY

SITE STOP & REINSTATEMENT

• DATE AND TIME CALL WAS TAKEN

  Date

• CALLER (who made the call)

• COMPANY ( who they work for )

• IS THE SITE COMPLETELY CLEAR? (If no do not allow works to stop)

  YES

  NO

• LOCATION OF WORKS

  HIGHWAY

  PRIVATE

  VERGE

  FOOTPATH

• GRID REFERENCE (A grid ref needed for every 5m) X - easting Y - northing

CLOSING DIMENSIONS

• REINSTATEMENT DETAILS (in meters)

• SURFACE

  TEMPORARY

  PERMANENT

• Length

• Width

• Depth

• Length

• Width

• Depth

• Length

• Width

• Depth

• Length

• Width

• Depth

• COLLAPSE DATA (only if dig down)

• PIPE SIZE

• PIPE MATERIAL

• LENGTH REAIRED/REPLACED/RELINED

• PIPE SIZE

• PIPE MATERIAL

• LENGTH REAIRED/REPLACED/RELINED

• PIPE SIZE

• PIPE MATERIAL

• LENGTH REAIRED/REPLACED/RELINED

• PIPE SIZE

• PIPE MATERIAL

• LENGTH REAIRED/REPLACED/RELINED

• PIPE SIZE

• LENGTH REAIRED/REPLACED/RELINED

• HAS LINING BEEN REPLACED?

  YES

  NO

• YELLOW

  YES

  NO

• WHITE

  YES

  NO

• PLEASE ALSO CAPTURE THE FOLLOWING INFORMATION IF RELEVANT (for digs only)

• REASON FOR REPAIR

  BLOCKAGE

  COLLAPSE

  OTHER

• If other please state

• OTHER

• ACTIONED BY: