Title Page
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Site conducted, site address and job number, take picture of paperwork.
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Conducted on
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Team Name
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Prepared by
- Reece Martinez
- Leon Clarke
- Daniel Bagalo
- Mathew Nice
- Mantas Siciunas
- Andrei Jitaru
- Cristian Serban
- Greg Siciunas
- Tyrone Davis
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Live Location
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Contract
- Telent
- Hyperoptic
- Morrison
- Trooli
- NERS National Electrical Register Scheme
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Job number
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Site specific risk assessment been completed prior to start works.
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Has the team on site got the correct PPE for the tasks they are doing, do they have long sleeve hi viz worn at time of inspection?
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Pictures of the in date Street Works card or Smart Awards card as evidence.
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Has the site plant and vehicles have flashing amber lights
Location of site, site set up.
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Has the site been set-up as per the permit conditions.
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Advance Signage been set up correctly
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Has the taper been installed as per red book, short taper if 30mph or lower.
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Has the blue arrows been installed on both tapers two on side traffic approaching, and single on rear ?
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Is the site safety zone been installed if required?
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Has the teams vehicle been parked in safe manor?
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Has the footway been closed to allow for works to be undertaken?
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Has the team gave safe place for pedestrians to cross road for closed footway to other footway, please show pictures of these crossing points to make sure they have drop kerbs. If no dropped kerbs then we require ramps to be installed. Please show evidence of these crossing points.
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Has the site a permit board and has it got the correct Permit number, please take picture of permit board.
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Are barriers segregating the works all securely connected to each other and no open gaps to allow public to access the site?
SLG condition of all items on site.
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Are the signs in good condition and clearly visible ?
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Are all cones in good condition and less than 30% damage to cone sleeves and cones structure
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Has sand bags been used for signs to stop them being blown over.
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Does signs have carriageway incursion, if so are cones beside the side of sign of which incursion in highway.
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Footway ahead closed signs being used if the footway is closed
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Footway closed sign in use and on all approaches to the site where we closed the footway.
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Footway not closed then is there safe access past the works of minimum 1.2 to 1m width for safe access past the site, Show picture with tape measure or depth stick as proof.
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Curtesy board with correct permit number, please take picture.
Traffic light Heads used
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Do we have any traffic lights on site?
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Does the traffic lights have a engineer on site?
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Is there stop and go boards at head positions if the traffic lights were to fail.
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If we have taken out light heads, has these been covered or turned off
Road closure
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Do we have a road closure in place?
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Is the road closure maned by Traffic management team.
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Are diversion routes clearly signed for alternative routes.
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Resident access, footway and driveway boards.
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Do we have safe access for pedestrians to access their homes or businesses if we have closed their access?
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Do we have footway and carriageway boards for safe access for residents and businesses
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Please take picture of any access boards used for safe access.
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Please show picture of residents access closed with barriers to stop non-authorised access.
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Do we have any issues with residents with disability of which we require extra assistance?
- Yes
- No
- N/A
Signature of team and supervisor
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Signature of team leader
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Signature of Supervisor - auditor.
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Any recommendations for the team
