Title Page

  • Site conducted

  • CityFibre_Logo_JPG[1].jpg

Document Reference Number

  • OHSF-PR-08-01-01 Version 1 Revision 0 Dated 01/04/2022

  • (Format:- City name - Job Pack / PN Number) E.g Aberdeen S12345 Always insert City name and Job Pack / PN number if known

  • CityFibre Holdings Ltd, 15 Bedford St, London, WC2E 9HE

  • Date and Time

Location

  • Complete location on tracker

Contractor

  • Who is the principle contractor?

  • What is the name of the principle contractor?

  • Please send an email to iAuditor.support@cityfibre.com detailing the contractor name and city.

  • If you are auditing a sub-contractor, please provide the organisation name.

Reference materials (Streetworks Code of Practice etc.)

  • Code of Practice (Red Book)
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/safety-at-streetworks.pdf

  • SROH/R (Reinstatement specification Highways/Road)
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/SROF%20Scotland.pdf

  • CDM Code of Practice
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/l153(1).pdf

  • CityFibre Fibre Specification Document
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/CF-NOD-SFI01%20-%20Fibre%20Specification.docx?d=wc41be78482c44d1eb56b968a21e799cf

  • Code of Practice (Red Book)
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/safety-at-streetworks.pdf

  • Specification for Reinstatement
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/sroh.pdf

  • CDM Code of Practice
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/l153(1).pdf

  • CityFibre - Fibre Specification Document
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/CF-NOD-SFI01%20-%20Fibre%20Specification.docx?d=wc41be78482c44d1eb56b968a21e799cf

  • CityFibre Civils Specification Document
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/CF-NOD-SCI01%20Civils%20Specification%20FINAL.DOCX?d=wd74a900ece7f4ea7a299ef8fe7e99a04

  • Contractor Monitoring Risk Assessment
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/3.%20%20OHSM%20Risk%20Assessments/OHSF%E2%80%93PR-03-01-019%20RA%20Monitoring%20Contractor%20Work%20Sites.doc?d=wc53e3603bd7a41198b86334459838ff2

  • CityFibre Civils Specification Document
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/Compliance%20Department%20Folders/IAuditor%20Reference%20Matrials/CF-NOD-SCI01%20Civils%20Specification%20FINAL.DOCX?d=wd74a900ece7f4ea7a299ef8fe7e99a04

  • Contractor Monitoring Risk Assessment
    https://cityfibreholdings.sharepoint.com/IMS/OHSMS/Shared%20Documents/3.%20%20OHSM%20Risk%20Assessments/OHSF%E2%80%93PR-03-01-019%20RA%20Monitoring%20Contractor%20Work%20Sites.doc?d=wc53e3603bd7a41198b86334459838ff2

Supervision

  • Is there adequate, competent 'supervision' of the site activities?

  • Is there a supervisor on site?

  • Do you know who your Principle Contractor supervisor is and do you know how to contact them?

  • Has your supervisor visited the site in the last 24 hours?

  • Do you know where your NRSWA supervisor is?

Documentation

  • Has suitable Site Risk Assessment been conducted for the current operations?

  • Have all operatives signed the Risk Assessment or is there evidence of briefing?

  • Are Method Statements in use and applicable?

  • Are COSHH Assessment and Safety Data Sheets Available for all hazardous substances held on site?

  • Are utility drawings onsite and available?

  • Are utility drawings in date? (ordinarily 28 days from date of issue)

  • Is the F10 displayed/available on site?

  • Are HAVs being recorded?

  • Has the use of high-vibration tools been minimised?

Noticing & Competence

  • Are NRSWA Noticing / TTRO's in place, displayed and valid?

  • Have Streetworks personnel got the relevant NRSWA Cards and plant certificates available for inspection?

  • List Names of operatives sampled, separated by a comma.

  • After talking to the workers have they been provided with everything required in order to do the job safely and succeed?

  • Are site First Aiders Qualified?

  • Is First Aid Kit Stocked suitably for the work being carried out and content in date? For guidance see INDG214, Q4

Fire

  • Are Fire Extinguishers available, charged, in date and in useable condition? (N/A if not required in CPP)

Welfare

  • Are drinking water and vessels made available to the operatives?

  • Are washing facilities available (including warm water, sink, soap & hand towels) available in conjunction with the Build Partner CPP (Construction Phase Plan)?

  • Are toilet facilities available in conjunction with the Build Partner CPP (Construction Phase Plan)?

  • Are suitable facilities on site or at a hub location for resting, drying PPE, warming food etc available in conjunction with the Build Partner CPP (Construction Phase Plan)?

PPE

  • For the following PPE options, please confirm they are in good condition and readily available when needed.

  • Full Hi-Vis (Tabard & Trousers)

  • Safety Boots

  • Eye Protection

  • Gloves

  • Hard Hat

  • Dust Mask

  • Ear Defenders

  • Is PPE being worn correctly and appropriate for the works being conducted?

  • Is the CityFibre logo on the contractors PPE? (N/A if flame retardant PPE is required)

  • Is there suitable storage for PPE in the vehicles provided?

  • Is flame retardant PPE being worn by those undertaking excavations?

  • Is dust suppression being used during cutting activities?

Barriers & Work Area

  • Are Traffic / Pedestrian Segregation Barriers fitted, supported by suitable bases, linked together and enclosing all sides of the site?

  • Is all the working equipment contained within the barriered work area (Including spoil)?

  • Is spoil stored in appropriate area(s)? (Environmental considerations ie away from water courses & drainage)

  • Is work area of a suitable size to operate safely?

  • Have all excavation works taken place as advised by the NJUG tree protection zone?

Traffic Management

  • Is Traffic Management required?

  • Is Traffic Management set up in accordance with Plan and assessment?

  • Is Traffic Management suitable for location and in good working condition?

Signing Lighting & Guarding

  • Are CityFibre approved Courtesy Boards displayed and do they contain correct information? (0800 083 6160 Number)

  • Are Advanced warnings signs in correct sequence, distance and suitably fixed to prevent being blown down or out of position?

  • Is the natural light, or temporary lighting (as in DRA), adequate for the works being carried out?

Footways

  • Are alternative pedestrian arrangements required? (i.e. Pedestrian re-routing, narrowing of walkway, road crossing)

  • Are footway covers / boards in good condition, appropriately fitted and free of trip hazards?

  • Are pedestrian diversion routes clearly marked, visible, and correctly fitted?

  • Are footway closed signs in use?

  • Is the pedestrian walkway the correct width? (At least 1.2m)

  • Is there a safe method for pedestrians to avoid the road / carriageway whilst passing works?

  • Are carriageway trench boards suitable and fixed where in use?

HSG47

  • Are utility markings suitable and clearly visible?

  • Are insulated tools being used where required?

  • Are cable avoidance tool and genny readily available, and being used prior to breaking ground and at correct intervals?

  • Are operatives using CAT and genny trained and competent?

  • Is CAT and genny equipment calibrated and in good working order?

  • Please input the calibration/service date.

Other Plant & Equipment (excluding CAT and Genny)

  • Are other Plant and Equipment required on site at time of audit?

  • Are Plant / Equipment etc in good operational order and being used correctly (clean, usable, beacons, safety pins etc)?

  • Add information on other Plant / Equipment (excluding CAT and Genny)
  • Please enter the name/type of the equipment.

  • Please input the calibration/service date.

House Keeping

  • Are excavated materials removed from the side of the excavation?

  • Are contaminated materials stored away from grass verge?

  • Are tools stored safely?

  • Are materials (reinstatement/excavated) stored correctly within the confines of the site/compound?

  • Are plant, fuelled tools and fuel cans being stored on plant pads?

  • Is the site swept clean after completion?

  • Is all plant attended whilst running?

  • Are vehicle keys stored outside of the vehicle when not in use?

  • Is duct stored correctly/safely?

  • Is there sufficient protection to prevent falls from height? (including on vehicles where required)

  • Is COSHH stored with appropriate labels and in approved containers?

  • Is there a site appropriate spill kit available for any environmental issues, fuel leaks etc

Defects

  • Are there any Streetworks Defects / Issues that have not been rectified at the completion of Site Visit?

  • Please ensure you have informed all relevant parties of the defect(s) identified.

Good Practice

  • Are there any exceptionally good safety behaviours or standards of work being exhibited?

  • Who would you like to highlight?

  • If answer is other, please specify.

  • Please name the group / individual you would like to highlight

  • Which category best describes the good practice?

  • Please describe the category of the work being recognised.

  • Please give a description of the practice you have observed and would like recognised.

Sign Off

All personnel conducting site audits and inspections must ensure that all findings are recognised by the lead contractor representative on site (they do not have to agree the findings but must acknowledge your audit).

  • Contractor Signature of recognition of findings

  • Auditor Signature

  • Please ensure all actions have been assigned where required.

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.