Set up checklist (004)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Weather conditions

TASK

• Department

  Gas

  Telecoms

  Private

  Other

• Work type

• Expected duration of works

Welfare

• Is the welfare set up as per the TMP?

  Yes

  No

  N/A

• Is the welfare in full working order?

  Yes

  No

  N/A

• Are the appliances within the welfare PAT tested and in date?

  Yes

  No

  N/A

• Is the Electrical Certificate supplied and in date?

  Yes

  No

  N/A

• Is a carbon monoxide detector fitted and inspection in date?

  Yes

  No

  N/A

• Is there enough fuel in the welfare?

  Yes

  No

  N/A

• Is the welfare plumbed in?

  Yes

  No

  N/A

• Is the welfare connected to a power source, i.e. generator?

  Yes

  No

  N/A

• Is there drinking water in the welfare?

  Yes

  No

  N/A

• Are the toilet facilities plumbed in?

  Yes

  No

  N/A

• Are the toilet facilities appropriately labelled?

  Yes

  No

  N/A

• Is there a general waste bin in the welfare?

  Yes

  No

  N/A

• Is there a recycling bin in the welfare?

  Yes

  No

  N/A

• Is there a COVID-19 waste bin in the welfare?

  Yes

  No

  N/A

• Is there a site notice board in the welfare?

  Yes

  No

  N/A

• Are the documents set out correctly within the notice board, as per the NGN checklist?

  Yes

  No

  N/A

• Is the health and safety poster displayed in the welfare?

  Yes

  No

  N/A

• Is there a first aid kit, burns kit and eyewash station in the welfare?

  Yes

  No

  N/A

• Is there a temperature gun in the welfare?

  Yes

  No

  N/A

• Is there an airhorn in the welfare?

  Yes

  No

  N/A

• Is there a mop, bucket and brush in the welfare?

  Yes

  No

  N/A

• Are there cleaning products, hand wash and sanitiser in the welfare?

  Yes

  No

  N/A

• Are there shaving kits in the welfare?

  Yes

  No

  N/A

• Is all appropriate COVID-19 signage displayed in the welfare?

  Yes

  No

  N/A

• Are the site folders in the welfare?

  Yes

  No

  N/A

• Has the welfare been earthed?

  Yes

  No

  N/A

• Are there fire extinguishers in the welfare area?

  Yes

  No

  N/A

• Is the heras fencing set up around the welfare?

  Yes

  No

  N/A

• Is the heras fencing double clipped?

  Yes

  No

  N/A

• Have the stabilisers been used?

  Yes

  No

  N/A

Works Area

• Is the emergency muster point sign set up as per the TMP?

  Yes

  No

  N/A

• Is the smoking point sign set up as per the TMP?

  Yes

  No

  N/A

• Does the smoking area have a waste bin?

  Yes

  No

  N/A

• Has a pedestrian route been established using crowd barriers?

  Yes

  No

  N/A

• Is all directional signage in place as per the TMP?

  Yes

  No

  N/A

• Is the RJ site sign in place?

  Yes

  No

  N/A

• Has the laydown area been established?

  Yes

  No

  N/A

• Is the laydown area barriered/fenced off?

  Yes

  No

  N/A

• Is the laydown area tidy?

  Yes

  No

  N/A

• Is the skip set up as per the TMP and appropriately labelled?

  Yes

  No

  N/A

• Is the storage unit set up as per the TMP?

  Yes

  No

  N/A

• Has the works area been established?

  Yes

  No

  N/A

• Has the works area been made safe with crowd barriers?

  Yes

  No

  N/A

• Have sandbags been used on the crowd barriers?

  Yes

  No

  N/A

• Has the works area been made safe with heras fencing?

  Yes

  No

  N/A

• Is the heras fencing double clipped?

  Yes

  No

  N/A

• Have the stabilisers been used?

  Yes

  No

  N/A

• Are there fire extinguishers in the works area?

  Yes

  No

  N/A

• Is there a first aid kit in the works area?

  Yes

  No

  N/A

• Is there an airhorn in the works area?

  Yes

  No

  N/A

• Is there a spill kit with list of contents in the works area?

  Yes

  No

  N/A

• Is there drip trays on site?

  Yes

  No

  N/A

• Is all appropriate signage displayed on the heras fencing, i.e. deep excavation, no smoking?

  Yes

  No

  N/A

• Has the parking area been established?

  Yes

  No

  N/A

• Are there reverse parking signs in the parking area?

  Yes

  No

  N/A

• Is the rhino deck system set up correctly?

  Yes

  No

  N/A

• Have telescopic goalposts been installed below overhead obstacles?

  Yes

  No

  N/A

Traffic Management

• Is the site set up as per the TMP?

  Yes

  No

  N/A

• Is the permit board displayed in the works area?

  Yes

  No

  N/A

• Is the traffic management set up as per the streetworks notice?

  Yes

  No

  N/A

• Is there speed limit signage in place?

  Yes

  No

  N/A

• Is all appropriate site signage in place?

  Yes

  No

  N/A

• Are there kerb ramps installed within the temporary pedestrian footway?

  Yes

  No

  N/A

• Are the signs clean and visible?

  Yes

  No

  N/A

• Are there stop and go boards available in case of a traffic light malfunction?

  Yes

  No

  N/A

• Are the correct footpath widths being maintained during works?

  Yes

  No

  N/A

• Are the correct carriageway widths being maintained during works?

  Yes

  No

  N/A

• Signed

  Sign

• Date

  Date