Street Lighting & Guarding

• Document No.

• Select date

  Date

• Street Lighting & Guarding Audit

• Location Street Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

QA number

• Yes

  No

  N/A

Location Description

• Yes

  No

  N/A

Permit or NRASWA

• Yes

  No

  N/A

Street Name

• Yes

  No

  N/A

Traffic Management

• Yes

  No

  N/A

Footway Closure

• Yes

  No

  N/A

Works Description

• Yes

  No

  N/A

Town & Post Code

• Yes

  No

  N/A

Pass/Fail

• Yes

  No

  N/A

• Yes

  No

  N/A

• Do Adequate advance warning signs exist?

  Yes

  No

  N/A

• Are advanced warning signs in correct sequence & set distance?

  Yes

  No

  N/A

• Are the advance warning signs suitably fixed to prevent them being blown down or out of position.

  Yes

  No

  N/A

• Is the working space fenced off correctly?

  Yes

  No

  N/A

• Are all of the excavated materials within the working space?

  Yes

  No

  N/A

• Is the safety zone coned off correctly?

  Yes

  No

  N/A

• Is a pedestrian walkway required and established?

  Yes

  No

  N/A

• Is the pedestrian walkway the correct width?

  Yes

  No

  N/A

• Are warning lights present?

  Yes

  No

  N/A

• Are footway ramps/footway boards suitable, in place and rigidly fixed?

  Yes

  No

  N/A

• Are road plates suitable, in place and rigidly fixed?

  Yes

  No

  N/A

• Are information boards required and fixed correctly?

  Yes

  No

  N/A

• Are pedestrian arrows required and fixed correctly?

  Yes

  No

  N/A

• And are the pedestrian arrows attached correctly?

  Yes

  No

  N/A

• Are all barriers supported by suitable bases?

  Yes

  No

  N/A

• Is all the equipment fit for purpose?

  Yes

  No

  N/A

• Is traffic control required and the correct method?

  Yes

  No

  N/A

• If footway closed signs are in use is an agreement in place and logged?

  Yes

  No

  N/A

• If the site is vandalised or affected by adverse weather is all the correct equipment present?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Add signature

  Sign

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Add media

  Media

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  Media

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  Media