Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Audit Details
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Job Title:
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Job Number:
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Client:
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Date:
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COWI UK Engineers:
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Auditor:
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Checker:
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Area of project covered by this Audit:
Was the following completed and in place on site?
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Permit to Work
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Site Induction/Liaison
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Vehicle Driving Authority
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Licences to Operate Machinery (List Licence Type)
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Health & Safety Risk Assessments
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Trained First Aid Personnel
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Emergency Procedures
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Track Safety Certificates
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PTS – Certificate Number:
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COSS – Certificate Number:
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Other (e.g. ES, PICOP) – Certificate Number:
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Temporary Certificates (checked with Sentinel 24hr validation hotline)
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Industry Common Induction (ICI)
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LUCAS
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Fire Training
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LU Other
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NGC Safety Certification
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Other Client specific certification, List:
Are all site personnel equipped with the required PPE?
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Safety Footwear
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Approved Hi Vi Clothing
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Approved HiVi Breathable Clothing
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Hard Hat
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Eye Protection
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Overalls
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Ear Protection
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Gloves
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Foul Weather Clothing
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First Aid Kit
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Mobile Phone
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Is all site equipment in good condition, calibrated and suitable for the required task?
Site Documentation
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Is a copy of the Approved Site Health, Safety & Environmental Plan, and Method Statement available on site?
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Is there a requirement to review the Site Health, Safety & Environmental Plan, Method Statement or method of work?
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If Yes, specify why?
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Are all work activities being carried out in accordance with the Approved documents?
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Have all staff been fully briefed on the approved method of working?
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Have site access times and rules been made clear to all staff? (E.g. possession times)
Are the required Control Measures in place for the following activities?
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Road Vehicle Movements
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Lone Working Arrangements
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Terrain
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Access
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Manual Handling
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Visibility
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Allergic Responses
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Rail Vehicle Movements
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OLE/Electrified Conductor Rail Hazards
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HV cable Hazards
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Has mitigation been taken against the risks identified in the Safety and Environmental documentation?
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Have recommendations identified in the previous Audit been implemented?
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Are there Quality, Health & Safety or Environmental Issues/Risks that have not been adequately addressed?
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Have there been any accidents or incidents on site since last Audit?
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If yes, have they been reported in accordance with IMS procedures?