Site Safety Compliance Inspection

• Location
  Address

CP1.10 Checksheet

• Gang ID

• Permit No

• Auditor

• Date Audited

  Date

• Client

• Activities Audited

Question

Documentation

• 0.0.1 Is site specific Daily Risk Assessment available and completed by a competent person?

  Yes

  No

  N/A

COSHH

• 0.0.4 Are there COSHH data sheets available for all substances? Stored on Tablet

  Yes

  No

  N/A

Dust

• 0.0.6 Is there a water supression bottle on site , in good condition and being used ?

Vibration

• 0.0.8 Is all vibrating equipment assessed and tagged?

  Yes

  No

  N/A

• 0.0.9 Have Vibration Exposure Assessments been undertaken for the activities on site?

  Yes

  No

  N/A

PPE

• 0.1.0 Hi-visibility vest / jacket available / worn & in good condition?

  Yes

  No

  N/A

• 0.1.2 Wet weather clothing available when required?

  Yes

  No

  N/A

• 0.1.3 Is hivisibility clothing the type for the speed of the road?

  Yes

  No

  N/A

• 0.1.4 Are the appropriate safety helmets being worn?

  Yes

  No

  N/A

• 0.1.5a Is protective footwear used and worn where appropriate, and in good condition?

  Yes

  No

  N/A

• 0.1.5b Are all operatives wearing Flame redardent Clothing :

  Yes

  No

  N/A

• 0.1.5c Is task specific PPE being Worn and in good condition :

  Select Yes No N/A

  • Yes
  • No
  • N/A

Work Equipment / Puwer

• 0.1.6 Hydraulic Pack & attachments in good working order?

  Yes

  No

  N/A

• 0.1.7a Breaker Gun in good working order ?

  Yes

  No

  N/A

• 0.1.7b Whacker plate in good working order ?

  Yes

  No

  N/A

• 0.1.8 Are all hand tools insulated and in good working order ?

  Yes

  No

  N/A

• 0.1.8b Petrol Saw in good working order ?

  Yes

  No

  N/A

SLG

• 0.1.9 Signing, lighting & guarding positioned in accordance with Acop

  Yes

  No

  N/A

• 0.2.1 Barriers / works separated from public effectively?

  Yes

  No

  N/A

• 0.2.2 Are cones, barriers & signs etc. clean and in good condition?

  Yes

  No

  N/A

• 0.2.3 Is all required NRSWA equipment available and being used where necessary, including courtesy boards, pedestrian signs, etc.?

  Yes

  No

  N/A

• 0.2.4 Are all works taking place within a safely barriered area?

  Yes

  No

  N/A

Manual Handling

• 0.2.5 Are manhole covers being handled safely using the correct techniques and tooling?

  Yes

  No

  N/A

Safe Digging

• 0.3.0 CAT and GENNY used, fit for purpose and within calibration?

  Yes

  No

  N/A

• 0.3.1 All underground services identified & marked?

  Yes

  No

  N/A

• 0.3.2 Are all excavation work being carried as per HSG47

  Yes

  No

  N/A

• 2.6.5 Are statutory drawings of underground services available and up to date?

  Yes

  No

  N/A

Confined Spaces

• 0.3.5 Is gas detection equipment within calibration, on site, being used where required?

  Yes

  No

  N/A

First Aid

• 0.3.6a Is First aid box in Date ?

  Yes

  No

  N/A

• First Aid Box Expiry Date

  Date

• 0.3.6b Is Eye wash in date ?

  Yes

  No

  N/A

Fire / Emergency Arrangements

• 0.3.9 Fire extinguisher available on site?

  Yes

  No

  N/A

Cable Pulling

• Are all cable pulling activities being completed within a safely guarded area, with foot / walkways free from tripping hazards?

  Yes

  No

  N/A

• Have cables been pulled and installed to client specification?

  Yes

  No

  N/A

HAUC

• 0.4.1 Are reinstatements free from material crowning and match existing profile?

  Yes

  No

  N/A

• 0.4.2 Are reinstatements free from road / cut off saw overcuts?

  Yes

  No

  N/A

• 0.4.3 All kerbs, road markings and road studs replaced as original if disturbed?

  Yes

  No

  N/A

• 0.4.4 Are all reinstatement works to an acceptable standard and free of tripping hazards?

  Yes

  No

  N/A

• 0.4.5 Are all reinstatements free from signs of edge cracking?

  Yes

  No

  N/A

Site Set up

• 0.4.6 Are operatives working in a safe manner, with safe layout of plant, materials ?

  Yes

  No

  N/A

Environmental Site Work

• 0.4.7 Is the site adequately equipped to deal with a spillage?

  Yes

  No

  N/A

• 0.5.0 Are appropriate fuel containers in use and labelled accordingly?

  Yes

  No

  N/A

• 4.5.14 Are there any areas of particular good practice on site?

• Supervisor Print Name :

• Supervisor Signature:

  Sign

• Operative Print Name:

• Operative Signature

  Sign