Title Page
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Operative(s) Names
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Manager
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Job Number
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Vehicle Registration
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Site Address
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Conducted on
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Conducted by
1.0 Documentation
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1.1. Has a task specific Risk Assessment been conducted, with all hazards identified and sufficiently mitigated?
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1.2. Have all required permits been issued (e.g. permit to break ground) and environmental permissions been obtained for the works being conducted?
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1.3. Are full utility drawings available and in a suitable format (electric, water, sewer, gas, telecoms)?
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1.4. Is a CBUL Health and Safety Document Van Pack available on site?
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1.5. Have operatives including members of the supply chain received a CBUL Health and Safety induction?
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1.6. Are in date certificates of thorough inspection available for all lifting equipment and accessories?
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1.7. Is a temporary works design available for all temporary works on site? Is it approved for construction? Has a temporary works register been completed?
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1.8. Is the current task covered by the CBUL 'core' RAMS?
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1.9. Have operatives including members of the supply chain got an in date Southern Water ID card?
2.0 Site Set-Up
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2.1. Are sufficient traffic management arrangements in place as per the NRSWA approved code of practice?
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2.2. Is signing, lighting and guarding suitable and of a good condition? (Barriers must be clipped and heras panels double clipped, in suitable feet).
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2.3. Is people and plant interface adequately controlled, with pedestrians adequately segregated?
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2.4. Is the general housekeeping of the site of a good condition, with slip, trip and fall hazards removed?
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2.5. Are materials and equipment suitably stored within designated areas?
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2.6. Are materials and waste materials suitably stored and segregated?
3.0 Site Safety
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3.1. Have all excavations got adequate edge protection and/or sufficient means to prevent falls?
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3.2. Is there adequate space on site with sufficient access and egress arrangements?
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3.3. Are there sufficient welfare arrangements on site, with facilities suitably clean?
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3.4. Have all located utilities been identified via trial holes and sufficiently marked? Are exposed utilities adequately supported?
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3.5. Is excavation support sufficient and installed as per the temporary works design?
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3.6. Have all excavations and other temporary works been inspected by a competent individual?
4.0 Equipment Checks
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4.1. Are all tools and equipment suitable and in a good condition?
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4.2. Is full 5 Point PPE worn and in good condition, by all on site?
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4.3. Is a calibrated CAT and Genny available on site?
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4.4. Is a suitable and calibrated gas monitor available on site?
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4.5. Have all required machine checks been completed, with records kept?
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4.6. Have operatives connected their CAT to the CAT manager app and downloaded their data?
5.0 Sign Off
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Are there any additional comments or observations?
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Auditor Signature
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Operative Signature