Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Add location
  • WEATHER

  • SITE CONDITIONS

  • TRAFFIC MANAGEMENT

  • FENCING & WHS SIGNAGE

Safety - Earthworks, Excavation

  • Does the contractor have utilities / services plans on site.

  • Does plant and equipment have suitable warning lights and reversing beepers

  • Are personnel in the vicinity of operating plant wearing high vis clothing and helmets where required.

Environmental - Earthworks, Excavation.

  • Is there provision to minimize dust / mud from leaving the site.

  • Do stockpiles have adequate silt runoff protection.

  • Are environmental No Go areas fenced where required.

  • Are silt traps in place to prevent silt build up in previously installed drainage system.

Sewer Works

  • Sewer Contractor Onsite

  • Does the contractor have issued for construction drawings and the latest revision

  • Are materials stored correctly on site

Works - Trenching, Pipelaying, Backfill, Surface Fittings

  • Pipeline Percentage Complete

  • Is there an accredited pipe layer on site.

  • Are trench widths adequate for pipe size/ type

  • Comments

  • Is the bedding material & thickness within tolerance and being compacted correctly

  • Are pipes being installed in accordance with design specification and manufacturers recomendations.

  • Are clearances to other services being maintained as per specification.

  • Does trench backfill material comply with standard drawings and specifications

  • Are lids / covers as per design and set correctly.

  • Comments

Safety - Trenching, Pipelaying, Backfill, Surface Fittings

  • Does the contractor have utilities / services plans on site.

  • Does plant and equipment have suitable warning lights and reversing beepers

  • Is ground support suitable for the ground conditions and depth of excavation

  • Are workers provided with a ladder or other means of access and egress where required.

  • Are hats and vests being worn by workers where required

  • Are trenches barricaded and made safe when left open.

  • Is lifting equipment suitable for the works being carried out.

Comments/ Progress/ Instructions

  • Sketch of Work Area (Optional)

  • Comments

  • Photos

  • Prepared by

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.