Site Specific safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• WEATHER

  FINE

  SHOWERS

  RAIN

• SITE CONDITIONS

  GOOD

  DAMP

  WET

  SATURATED

• TRAFFIC MANAGEMENT

  Select yes as per TMPP no not as per TMP n/a to site

  • yes as per TMPP
  • no not as per TMP
  • n/a to site

1.0 ACTIVITY : SEWER, STORMWATER, RETICULATED, ELECTRICAL, TELECOMS, GAS.

• Sewer Sub Contractor Onsite

  Yes

  No

  N/A

• StormWater Sub Contractor Onsite

  Yes

  No

  N/A

• Drainage Sub Contractor Onsite

  Yes

  No

  N/A

• Electrical Sub Contractor Onsite

  Yes

  No

  N/A

• Telecom Sub Contractor Onsite

  Yes

  No

  N/A

1.1 Works - Trenching, Pipelaying, Pits/Manholes, Backfill

• Sewer Retic Status

  N/A

  Commenced

  Delayed

  Progressing

  Completed

• Drainage Works Status

  N/A

  Commenced

  Delayed

  Progressing

  Completed

• Water Retic Status

  N/A

  Commenced

  Delayed

  Progressing

  Completed

• Electrical Retic Status

  N/A

  Commenced

  Delayed

  Progressing

  Completed

• Telecom/Gas Status

  N/A

  Commenced

  Delayed

  Progressing

  Completed

• Is there a certified drainlayer on site where required.

  Yes

  No

  N/A

• Are trench widths adequate for pipe size/ type

  Yes

  No

  N/A

• Is the bedding material & thickness within tolerance and being compacted correctly

  Yes

  No

  N/A

• Are pipes being installed in accordance with design specification and manufacturers recomendations.

  Yes

  No

  N/A

• Are clearances to other services being maintained as per specification.

  Yes

  No

  N/A

• Does trench backfill material comply with standard drawings and specifications

  Yes

  No

  N/A

• Is mechanical compaction being carried out to specification within the support zone and around MH, MS, IS, Hydrants,Valves and Stormwater Pits.

  Yes

  No

  N/A

• Has the concrete been placed and vibrated to specification

  Yes

  No

  N/A

• Is the surface finish of pit / manhole walls satisfactory.

  Yes

  No

  N/A

• Are lids / covers as per design and correct rating.

  Yes

  No

  N/A

2.0. ACTIVITY : DEMOLITION, STRIPPING, BULK EARTHWORKS, ROAD BOXING, LOT GRADING, TOPSOILING

• Demolition / Stripping status

  Yes

  No

  N/A

• Bulk Earthworks, Cut / Fill status

  Yes

  No

  N/A

• Road Boxing Status

  Yes

  No

  N/A

• Grading / Topsoiling Status

  Yes

  No

  N/A

2.1 Works - Earthworks, Excavation

• Are truck / scraper routes around site clearly designated and separate from public access areas.

  Yes

  No

  N/A

• Is fill being placed in layers and compacted as per specification.

  Yes

  No

  N/A

• Are compaction tests being conducted to specified Level by NATA registered tester.

  Yes

  No

  N/A

2.2 Safety - Earthworks, Excavation

• Does the contractor have utilities / services plans on site.

  Yes

  No

  N/A

• Does plant and equipment have suitable warning lights and reversing beepers

  Yes

  No

  N/A

• Are personnel in the vicinity of operating plant wearing high vis clothing and helmets where required.

  Yes

  No

  N/A

2.3 Environmental - Earthworks, Excavation.

• Is there provision to minimize dust / mud from leaving the site.

  Yes

  No

  N/A

• Do stockpiles have adequate silt runoff protection.

  Yes

  No

  N/A

• Are environmental No Go areas fenced where required.

  Yes

  No

  N/A

• Are silt traps in place to prevent silt build up in previously installed drainage system.

  Yes

  No

  N/A

3.0. ACTIVITY : PAVEMENT

• Subgrade excavation - visual check of line and level<br>Measurement by tape & string line of correct set out

  Yes

  No

  N/A

• Subgrade preparation - check compactiond using approved vehicle to proof roll the subgrade and string line to check level

  Yes

  No

  N/A

• AG drain installation - check for depth below subgrade and trench width by tape<br>Check backfill material (screenings)<br>No sock on 100mm AG

  Yes

  No

  N/A

• Service conduit installation - conduits to have min 250mm cover below pavement boxing - measurement by tape

  Yes

  No

  N/A

• SUBGADE HOLD POINT - subgrade layer must be approved prior to commencement of BASE LAYER

  Yes

  No

  N/A

• Base layer - Class 3 crushed rock <br>Check class 3 for compaction and level using approved vehicle to proof roll and string line (tolerance plus/minus 10mm)

  Yes

  No

  N/A

• BASE LAYER HOLD POINT<br>Base layer must be approved prior to commencement of sub base layer

  Yes

  No

  N/A

• Sub base layer - class 2 crushed rock<br>Check class 2 for compaction and level using approved vehicle to proof roll and string line for correct level (tolerance plus/minus 10mm)<br>Sub base can only commence after sufficient curing of adjoining k/c and backing up of nature strip to rear of kerb.

  Yes

  No

  N/A

• Trenches under pavement and kerb & channel back filled with class2 - visual inspection and measurement of correct depth

  Yes

  No

  N/A

• SUB BASE LAYER HOLD POINT<br>Sub base layer must be approved prior to commencement of asphalt layer

  Yes

  No

  N/A

• Asphalt Base Course<br>Application of asphalt to be during temperatures above 12 degrees C and dry

  Yes

  No

  N/A

• Wearing Course Asphalt Status<br>Application of asphalt to be during temperatures above 12 degrees C and dry

  Yes

  No

  N/A

3.1 Works - Pavement

• Does trench backfill material comply with standard drawings and specifications

  Yes

  No

  N/A

• Does pavement material comply with plans, standard drawings and specifications.

  Yes

  No

  N/A

• Is compaction equipment adequate to achieve specified results.

  Yes

  No

  N/A

• Is crushed rock being placed in layers and compacted as per specification.

  Yes

  No

  N/A

• Are compaction tests being conducted to specified Level by tester.

  Yes

  No

  N/A

• Is the weather suitable for priming or placing asphalt.

  Yes

  No

  N/A

Drainage

• Pipe trench excavation - measure by tape

  Yes

  No

  N/A

• Depth of bedding & material for pipes - measure by tape<br>20mm class 3 for concrete pipe<br>7mm aggregate for UPVC pipe

  Yes

  No

  N/A

• Drainage pipe condition - visual inspection of pipes prior to laying for damaged joints or cracks

  Yes

  No

  N/A

• Drainage pipes at correct line & level - visual check to ensure pipes laid true to line & level

  Yes

  No

  N/A

• Pipe connections & haunching - visual inspection

  Yes

  No

  N/A

• Approved jointing method applied - visual inspection

  Yes

  No

  N/A

• Depth of backfill and cover for pipes and material - measurement by tape in accordance with design/standards.<br>20mm class 2 crushed rock for all trenches under traffic able areas

  Yes

  No

  N/A

• Pit construction - visual inspection of form work to ensure correct thickness of walls and floor 150mm

  Yes

  No

  N/A

• Inside of pits rendered - visual inspection of pit walls once formwork removed

  Yes

  No

  N/A

• Step irons - required for all pits greater than 900mm depth. 300mm centres at 500mm below top of pit

  Yes

  No

  N/A

• Pit covers - visual inspection to ensure pit frame and lids in accordance with standards

  Yes

  No

  N/A

• House drain connections - visual inspection to ensure each house lot is connected

  Yes

  No

  N/A

4.0. CONCRETE

• Kerb and Channel Status

  Yes

  No

  N/A

• Footpath and Crossover Status<br>

  Yes

  No

  N/A

• Pattern Paving Status

  Yes

  No

  N/A

• Endwall / Headwall Status

  Yes

  No

  N/A

4.1 Works - Concrete

• Are weather conditions suitable for placing concrete.

  Yes

  No

  N/A

• Kerb & Channel base preparation - measure by tape depth below top of kerb

  Yes

  No

  N/A

• Is boxing depth and crushed rock bedding as per specification

  Yes

  No

  N/A

• Grade of kerb & channel - check string line for correct alignment and level

  Yes

  No

  N/A

• Is kerb & channel type and profile correct

  Yes

  No

  N/A

• Kerb & channel line & finish - visual inspection for compliance to Council standards and acceptable finish

  Yes

  No

  N/A

• Pit lintels - visual check of correct line & height

  Yes

  No

  N/A

• Are kerb markings for services being installed.

  Yes

  No

  N/A

Footpaths/Shared Paths

• Path preparation - visual inspection of boxing for alignment<br>Measure width of path to Knox standards, grade and crossfall

  Yes

  No

  N/A

• Base for paths - measurement by tape

  Yes

  No

  N/A

• Pram crossings - visual inspection and measurement to standards

  Yes

  No

  N/A

• Reinforcement mesh - visual inspection & correctly placed

  Yes

  No

  N/A

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• Yes

  No

  N/A

• Footpath pour - correct expansion joint, spacing and finish

  Yes

  No

  N/A

• Tactile paving to LA compliance - visual inspection to design/standards

  Yes

  No

  N/A

Nature strips

• Nature strip - visual inspection depth of topsoil 100mm

  Yes

  No

  N/A

• Topsoil levelled and flush with adjoining footpath

  Yes

  No

  N/A

• Nature strip seeded

  Yes

  No

  N/A

5.0. ACTIVITY : ROCKWORK / MISCELLANEOUS

• Rock Wall Status

  Yes

  No

  N/A

• Rock Endwall / Headwall Status

  Yes

  No

  N/A

• Rock Beaching Status

  Yes

  No

  N/A

• Porphrey Stone Paving Status

  Yes

  No

  N/A

5.1 Works - Rockwork, Miscellaneous

• Are rocks suitable for intended purpose and of appropriate size/ grading.

  Yes

  No

  N/A

• Are rocks sitting on concrete cushions over pipe ends

  Yes

  No

  N/A

• Are rocks being placed to specification and grouted as required.

  Yes

  No

  N/A

• Is reinforcing being installed as per specification.

  Yes

  No

  N/A

COMMENTS / PROGRESS / INSTRUCTIONS.

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• PHOTOS

  Media