Reinstatement site inspection

• Team Inspected

• Contractor name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Team Leader

• Mate

Proactive Safety

• Good general safety practice and housekeeping displayed?

  Yes

  No

  N/A

• Have the team signed in to the CDM pack?

  Yes

  No

  N/A

• Is a copy of the red book available?

  Yes

  No

  N/A

• Are generic risk assessments available?

  Yes

  No

  N/A

• SGN Safe person handbook and task cards available?

  Yes

  No

  N/A

• Team members first aid trained and first aid kit available?

  Yes

  No

  N/A

• EUSR (SHEA Gas) , NRSWA and ID cards available?

  Yes

  No

  N/A

• Name of NRSWA qualified operative?

• Risk assessments completed and hazards correctly identified?

  Yes

  No

  N/A

• HAV's log available and completed?

  Yes

  No

  N/A

• CAT available and within calibration date?

  Yes

  No

  N/A

Welfare

• Is a welfare unit available for use by the reinstators?

  Yes

  No

  N/A

• Is it in a clean condition and fit for use?

  Yes

  No

  N/A

• Is drinking water available?

  Yes

  No

  N/A

• Hot water provided in both welfare and toilet sections?

  Yes

  No

  N/A

Work site and traffic management

• Would pedestrians and motorist know what is expected of them when passing the works?

  Yes

  No

  N/A

• Pedestrian access routes safe and sufficient?

  Yes

  No

  N/A

• All works areas barriered off?

  Yes

  No

  N/A

• Correct signage maintained?

  Yes

  No

  N/A

• Pedestrian walkway in place where required?

  Yes

  No

  N/A

• Tools, plant and equipment within barriers?

  Yes

  No

  N/A

• Road plates barriered off after use?

  Yes

  No

  N/A

• Barriers stacked correctly after use?

  Yes

  No

  N/A

• Unfinished / curing work barriered off?

  Yes

  No

  N/A

PPE

• Are all operatives clean shaven?

  Yes

  No

  N/A

• Correct PPE available?

  Yes

  No

  N/A

• In good condition?

  Yes

  No

  N/A

• Safety glasses worn?

  Yes

  No

  N/A

• FFP3 dust mask available?

  Yes

  No

  N/A

• Ear defenders?

  Yes

  No

  N/A

• Flame retardant overalls?

  Yes

  No

  N/A

• Hi Viz?

  Yes

  No

  N/A

• Gloves?

  Yes

  No

  N/A

Environmental

• Vehicles and plant parked safety and environmentally?

  Yes

  No

  N/A

• Dust suppresion available and used?

  Yes

  No

  N/A

• Plant and equipment turned off when not in use?

  Yes

  No

  N/A

• Fuel / oils stored and labelled correctly (petrol, diesel, etc)?

  Yes

  No

  N/A

• Funnel available for refuelling?

  Yes

  No

  N/A

• Gas bottles labelled and stored correctly?

  Yes

  No

  N/A

• Spill kit available?

  Yes

  No

  N/A

• Waste carriers license available?

  Yes

  No

  N/A

Vehicle, plant and work equipment

• All vehicles

• "O" License displayed?

  Yes

  No

  N/A

• Vehicle defect book available and up to date?

  Yes

  No

  N/A

• Daily vehicle checks carried out and recorded?

  Yes

  No

  N/A

• Vehicles parked safely?

  Yes

  No

  N/A

• Amber beacons fitted and working?

  Yes

  No

  N/A

• Dashboard clear from paperwork etc?

  Yes

  No

  N/A

• Is the rear of the vehicle clear of obstructions / trips etc?

  Yes

  No

  N/A

• Roller and trailer (including breakaway cable) in good order?

  Yes

  No

  N/A

• Warning stickers (petrol, diesel etc) in place?

  Yes

  No

  N/A

• Fire extinguisher available (all vehicles)?

  Yes

  No

  N/A

• Safe access to rear of vehicle?

  Yes

  No

  N/A

• First aid kit fully stocked, in date and available?

  Yes

  No

  N/A

• 500ml eyewash available and in date?

  Yes

  No

  N/A

• Grab

• Can the operator provide a current HIAB qualification?

  Yes

  No

  N/A

• Driving license?

  Yes

  No

  N/A

• Up to date CPC licence card?

  Yes

  No

  N/A

• Certificates of thorough examination (LOLER) for the crane and accessories?

  Yes

  No

  N/A

• Have waste transfer notes been completed correctly?

  Yes

  No

  N/A

Quality

• Type of backfill material used? e.g. recycled type 1

• Correct compaction technique used?

  Yes

  No

  N/A

• Type of compactor used?

• Is it footpath, carriageway or private?

• Type of surface being reinstated?

• Correct materials available?

  Yes

  No

  N/A

• Correct depths of base and wearing courses being applied?

  Yes

  No

  N/A

• Evidence of edge depression or crowning?

  Yes

  No

  N/A

• Evidence of edge sealant being used?

  Yes

  No

  N/A

• Correct slabs or modular paving available?

  Yes

  No

  N/A

• Completed surfaces free from defects?

  Yes

  No

  N/A

• Site left tidy upon completion?

  Yes

  No

  N/A

Sign off

• Inspection completed by:

• Date and time:

  Date

• Comments: