site report - vital projects- v2

• Site name

• Client

• Nature of works

• week number

• Shift pattern

  Day shift

  Night shift

• Day of the week.

• Start Time

  Date

• Finish Time

  Date

Possession start details

• Published worksite Times (see WON)

  Date

• Published isolation Times (see WON)

  Date

• Worksite granted (ES to advise)

  Date

• Isolation granted / First form C received (NOM to advise)

  Date

• Reason for delay

End of Possession details

• Requested time for work site to be clear. (ES to advise)

  Date

• Requested time for form C to be returned (NOM to advise)

  Date

• Work Site cancellation time (ES to advise)

  Date

• Reason / comment for work site being returned late

• TEF3203 Required

  Yes

  No

Works complete

• Contractor/ sub Contractor

• Discipline

  P-Way

  S&T

  Civils

  Other

• What discipline has been Required

• WPP Reference Number

• TBS Reference Number

• Actual Works complete

• Issue / delays / general comments

• Task PIC (task specific Person in charge)

  Sign

• Protection/ Warning Arrangements Were suitable for works

  Yes

  No

  N/A

• Task briefs/ risk control and site risk controls were suitable for works

  Yes

  No

  N/A

• Appropriate Permits to works were included

  Yes

  No

  N/A

• welfare facilities were appropriate

  Yes

  No

  N/A

• worksite is safe and clear for passage of trains

  Yes

  No

  N/A

• Are there any changes / additions to be made to this sheet?

  Yes

  No

  N/A

• Person in charge

• SWP number

• Site photos

  Media

form completed by

• Name/ Signature

  Sign

• Date

  Date