Splicing Team Gate Check

• Conducted on

  Date

• Prepared by

• Location
  Address

• Gang Name

Induction & Documents

• Have the crew had their induction?

  Yes

  No

• Have ALL crew members got their SMART cards and NRSWA card available? Please take pictures of all cards.

  Yes

  No

• Is the works product manual available and in good condition? Please take picture

  Yes

  No

Equipment

• Is there an in-date and complete first aid box and eye wash available? Please take pictures

  Yes

  No

• Have the team got blue roll or hand wipes?

  Yes

  No

• Have all operatives got required PPE to carry out their work safely?

  Yes

  No

• Have the crew got a fire extinguisher? Please take picture

  Yes

  No

• Have the team got the number 5 pit lifter + roller bar?

  Yes

  No

• Is the splicer machine clean and in good working order?

  Yes

  No

• Does the team have a calibrated gas detector in good working order?

  Yes

  No

• Does the team have a tent/umbrella in good usable condition?

  Yes

  No

• Does the team have the full SLG required?

  Yes

  No

• Does the team have a sharps bin?

  Yes

  No

• Does the team have testing equipment in good working order?

  Yes

  No

• Does the gang have gate guards as per BT spec?

  Yes

  No

Vehicle & Plant

• Has the driver completed their daily vehicle checks? Confirm that there are no issues with the vehicle. Please take picture

  Yes

  No

• Have the team confirmed their plant is compliant and safe to use? Add photos. Add detail if not compliant

  Yes

  No

• Are the vans or lorry's being used chapter 8 compliant? (Highway Maintenance/Chevrons)

  Yes

  No

• I can confirm that i have taken an accurate check of the items listed above

  Yes

  No

• Please print and sign name

  Sign