Title Page

  • Was audit carried out on site or in depot?

  • Feature ID being worked on

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PPE Audit (Checked and in good condition?)

  • Safety Boots for all Gang Members

  • Long Sleeve High Visibility Vest for all Gang Members

  • High Visibility Jacket for all Gang Members

  • Hard Hat for all Gang Members

  • Glasses/ Goggles for all Gang Members

  • Gloves for all Gang Members

  • Ear Defenders for all Gang Members

  • Face fitted FFP3 dust masks for all Gang Members

Welfare Audit

  • In date Eyewash

  • In date First Aid Kit

  • Drinking water / Other

  • Cleaning Wipes

  • Specific Storage space for PPE

  • In date fire extinguisher or fire blanket

Chapter 8 Audit

  • Minimum of 2 gate guards

  • Minimum of 10 cones (450mm)

  • Minimum of 2 men at work signs

  • Minimum of 2 road narrows signs

  • Keep right sign

  • Keep left sign

  • Courtesy sign / Notice Board

  • Footpath Ahead Closed Sign (Bilingual)

  • Footpath Closed Sign (Bilingual)

  • Pedestrian directional signs

  • Sign Weights / Sandbags available for all signs & gate guards

Tools Audit

  • Mains Cable Detector (CAT & GENNY)

  • Key No.5

  • Roller Bar

  • Gas Detector Unit (GDU)

  • Water Test Kit

  • Sharps Box

  • Spill Kit available

Additional Equipment Audit

  • Overhead & UG Crew or UG Crew Only

  • Ladders in good condition

  • Ladder Ties

  • Ladder stopper

  • Ladder Stand-off

  • Harness in good condition

  • Lanyard in good condition

  • Works Positioning Belt

  • Height rod

  • Insulated Rubber Gloves (Gloves IR)

  • Pulley no.4

  • Pulley no.5

  • Sashline short

  • Sashline long / dispenser

  • Sashline weight

  • Cable dispenser pole strap

  • Pole Belt

  • Belt pocket

  • Tool bass

  • Radiodetection Cscope Cable Clamp

  • Trench Rammer

  • Whacker Plate

  • Disc Cutter / Floor Saw

  • Dust Suppression Kit

  • Insulated Digging Tools

Validation

  • Any Comments / Additional Info?

  • Confirmation

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.