Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
1. Safe systems of work
-
1.1 Work instruction
-
1.2 Utility Drawings
-
1.3 Risk Assessment & Method Statement
-
1.4 Daily site specific R.A
-
1.5 Permits & Authorisations
-
1.6 Safety Team Pack
-
1.7 Banksman
-
1.8 Lone working
-
1.9 HSG47 (mark up/trial holes)
-
1.10 GS6
-
1.11 Other
2. Tools and Equipment
-
2.1 Plant
-
2.2 Inspection/Defect book
-
2.3 CAT & Genny
-
2.4 Cutting & Breaking
-
2.5 Lifting & Excavating
-
2.6 Hand tools
-
2.7 Electrical equipment/tools
-
2.8 Vehicle & Trailer (Livery/Logo)
-
2.9 Fire extinguisher
-
2.10 Ladders & Steps
-
2.11 Excavator
-
2.12 Other
3. Personal Protective Equipment
-
3.1 Worn in accordance with R.A
-
3.2 Condition/Company image
-
3.3 Storage
-
3.4 Flame Retardant
-
3.5 ENW Logo
4. Welfare
-
4.1 Water & eating facilities
-
4.2 Toilets & cleaning facilities
-
4.3 First aid kit
-
4.4 Emergency arrangements
-
4.5 Other
-
4.6 Other
5. Environmental considerations
-
5.1 Included in R.A
-
5.2 Accidental release arrangements
-
5.3 Waste management
-
5.4 Constraints map
-
5.5 Spill kits/Drip trays
6. COSHH
-
6.1 COSHH Assessments
-
6.2 Labelled
-
6.3 Storage & Use
-
6.4 Other
-
6.5 Other
7. Site Specific Considerations
-
7.1 NRSWA (Traffic Management)
-
7.2 Excavation Operations (trench support?)
-
7.3 Noise & Vibration
-
7.4 Working near or under OHL
-
7.5 Working at Height
-
7.6 Scaffolding
-
7.7 Confined Spaces
-
7.8 Manual handling & Lifting operations
-
7.9 General Housekeeping
-
7.10 Dust Suppresion
-
7.11 Other
8. CDM Requirements
-
8.1 Induction (all operatives & visitors)
-
8.2 SSRA Completed and Quality
-
8.3 RAMS Briefed out at all and signed
-
8.4 Permit to dig
-
8.5 Barrier checks
-
8.6 Other
-
8.7 Other
9. Training & Competency
-
9.1 ID Card
-
9.2 Authorisations
-
9.3 Relevant Cards/Certificates
-
9.4 First Aid Trained <br>
-
Inspected by
-
Signature
-
Select date
-
Summary Log
-
Audit Reference
