Site QEHS Audit (NETS- Lighting Fibre) - Cabling/Splicing

• Conducted on

  Date

• Audit Conducted by

• Location
  Address

• Customer

• Activity

• Team Lead

• Operatives on site (name /number)

• Project Manager

• Overall QHSE Compliance?

  Good

  Fair

  Poor

  N/A

• Observation & Closing Remarks

• Audit Result

  Select Pass Fail Need improvement/proposed corrective actions

  • Pass
  • Fail
  • Need improvement/proposed corrective actions

Site Safety Management

• Is team in complete PPE (required for the task)?

  Yes

  No

  N/A

• Safety Boots

  Pass

  Fail

  N/A

• Safety/climbing Helmet?

  Pass

  Fail

  N/A

• High viz jacket

  Pass

  Fail

  N/A

• Gloves

  Pass

  Fail

  N/A

• Dust mask

  Pass

  Fail

  N/A

• Safety Goggles

  Pass

  Fail

  N/A

• Site PPE compliance

• Chapter 8/safety /warning signs with sufficient information are in place?

  Yes

  No

  N/A

• Unobstructed 1 meter clear way available for members of public?

  Yes

  No

  N/A

• Is work site tidy and free from tripping hazards?

  Yes

  No

  N/A

• Do operatives have relevant safety training certifications? NRSWA & PIA

  Yes

  No

  N/A

• Are all gate guards are set up properly to guard the main work area

  Pass

  Fail

  N/A

• Is there a certified person in team for First Aid/CPR?

  Yes

  No

  N/A

• Risk assessment carried out before activity?

  Yes

  No

  N/A

• Is the worksite clean of trash and debris?

  Yes

  No

  N/A

• Is there roller bar available on site?

  Yes

  No

  N/A

• Is appropriate chamber key available with team?

  Yes

  No

  N/A

• Are all power tools in good condition and being used safely?

  Yes

  No

  N/A

• Working, Charged and Calibrated GDU available on site?

  Yes

  No

  N/A

Quality Compliance

• Cable ties are properly cut with flush cutter , leaving no sharp edges?

  Yes

  No

  N/A

• Cable are organized properly, not entangled with other lines?

  Yes

  No

  N/A

• A Frame is properly installed and Fiber cable is properly looped and tied?

  Yes

  No

  N/A

• Node is properly placed/installed on 1A kit?

  Yes

  No

  N/A

• Piano labels are are installed with all required information clearly written ?

  Yes

  No

  N/A

• • Fibre sharps/shards present in or around the chamber?<br>

  No

  Yes

  NA

Work At Height Safety Arrangements

• Fall protection PPEs (Full body harness) is in good condition? Any visible wear and tear?

  Yes

  No

  N/A

• Full body harness/lanyards/working belt? Worn during work at height?

  Yes

  No

  N/A

• Do operatives have relevant safety training certifications for OH safety? S001/S001A/S8.

  Yes

  No

  N/A

• Is work being carried out using MEWP?

  Yes

  No

  N/A

• Is the MEWP/ Cherry Picker LOLER certified?

  Yes

  No

  N/A

• Is operator Qualified IPAF?

  Yes

  No

  N/A

• Is MEWP Pre-use inspection checklist completed?

  Yes

  No

  N/A

Environmental Safety Management

• Are there sufficient arrangements for waste management at site?

  Yes

  No

  N/A

• Are all COSHH items being stored safely & away from drains, watercourses?

  Yes

  No

  N/A

• All fiber waste, optical (glass) ends shards safely contained in correct sharps container

  Yes

  No

  N/A

• Is plant, vehicle or equipment is shut down when not in use? (To cut down CO2 emissions)

  Yes

  No

  N/A

• Are all chemicals are stored safely and marked?

  Yes

  No

  N/A

• Is COSHH risk assessment in place?

  Yes

  No

  N/A

• Does activity produce noise/ vibrations/ ? (If yes is in under acceptable frequency/limits)

  Yes

  No

  N/A

• Is spill kit available on site?

  Yes

  No

  N/A

Vehicle safety Management and Welfare

• Is there enough drinking water available with team?

  Yes

  No

  N/A

• Does team have Paper Towel and wet wipes?

  Yes

  No

  N/A

• Is site vehicle equipped with fully stocked First Aid box?

  Pass

  Fail

  N/A

• Does vehicle have correct fire extinguisher (ABC) with accurate pressure?

  Pass

  Fail

  N/A

• Are Vehicle tires in good condition? (Any wear and tear/ damage to tire)

  Good

  Fair

  Poor

  N/A

• Does vehicle have working beacons and approriate chevron markings?

  Pass

  Fail

  N/A

• Are all lights and wipers working?

  Pass

  Fail

  N/A

• Any damage to vehicle/abnormal sound/smell or leakage?

  Pass

  Fail

  N/A

• PPEs storage place provided in Van?

  Pass

  Fail

  N/A

• Is vehicle properly and safely parked?

  Pass

  Fail

  N/A

Close out

• Auditor signature

  Sign