Strata Highways - Reinstatement Audit

• Client

• Conducted on

  Date
• Location
  Address

• Team / Operative

SLG / SAFETY / CERTIFICATION

• SLG & site layout as per Codes Of Practice

  Yes

  No

  N/A

• Permit board displayed / completed / appropriate

  Yes

  No

  N/A

• Vehicle, plant, tools & materials fit for purpose / stored safely

  Yes

  No

  N/A

• Site condition / Environmental considerations acceptable

  Yes

  No

  N/A

• Cable locator carried / in use / appropriate

  Yes

  No

  N/A

• PPE Appropriate & in use

  Yes

  No

  N/A

• ID / EUSR / Plant / NRSWA / Drivers Licence Carried & in date

  Yes

  No

  N/A

• Operatives competent for task in hand

  Yes

  No

  N/A

• SSRA completed / signed / appropriate

  Yes

  No

  N/A

• Trees / roots / cables / hazards considered and protected

  Yes

  No

  N/A

• First Aid Kit carried / in date / appropriate

  Yes

  No

  N/A

• Eye wash carried / in date / appropriate

  Yes

  No

  N/A

• Fire extinguisher(s) carried / in date / appropriate

  Yes

  No

  N/A

• Drip tray carried / appropriate

  Yes

  No

  N/A

• Spill Kit carried / appropriate

  Yes

  No

  N/A

REINSTATEMENT METHODS / MATERIALS

• Method statement carried / followed

  Yes

  No

  N/A

• Road type / construction known & applied

  Yes

  No

  N/A

• Field identification tests understood and used

  Yes

  No

  N/A

• Backfill materials certificated / suitable

  Yes

  No

  N/A

• Surround to apparatus suitable

  Yes

  No

  N/A

• Compaction of backfill correct / appropriate

  Yes

  No

  N/A

• Bituminous materials within correct temperature range / suitable

  Yes

  No

  N/A

• Edge sealant used / appropriate

  Yes

  No

  N/A

• Compaction of bituminous correct / appropriate

  Yes

  No

  N/A

• Materials stored correctly & segregated

  Yes

  No

  N/A

QUALITY & PERFORMANCE

• Correct surface material to SROH

  Yes

  No

  N/A

• Coated chippings used where appropriate

  Yes

  No

  N/A

• Cut back / proximity to SROH

  Yes

  No

  N/A

• Overbanding max 3mm thick, 40mm wide to SROH

  Yes

  No

  N/A

• Pointing to SROH

  Yes

  No

  N/A

• Profile / trips / edge depression within tolerance to SROH

  Yes

  No

  N/A

• Damaged modules / slabs replaced

  Yes

  No

  N/A

• Road markings replaced permanent or temporary with appropriate material

  Yes

  No

  N/A

• Road markings over 2.5m long laid using hot pour paint or equivalent

  Yes

  No

  N/A

• Special surfaces replaced permanently to SROH

  Yes

  No

  N/A

• Special surfaces not replaced, slippery surface sign on site

  Yes

  No

  N/A

• Reinstatement fully compliant with SROH (give detail if not)

  Yes

  No

  N/A

MEASUREMENT AUDIT

• Linear measurements correct

  Yes

  No

  N/A

• Re-excavated materials and depths correct / appropriate

  Yes

  No

  N/A

SIGNATURES

• Team / Operative signature

  Sign

• Auditor(s) signature

  Sign

• Discuss your findings with the team. Encourage them to give you feedback. Help identify where we can all improve safety, quality and welfare. Discuss near misses in detail. Encourage reporting and explain why it is so important to help avoid future accidents. If you agree to raise an issue on their behalf make sure you keep your promise.