Street Work Compliance Audit

• Conducted on

  Date

• Conducted by - Name

• Civil Project Number

• Permit Number

• Location
  Address

• Work Description

• Is their a permit board with the correct information?

  Yes

  No

  N/A

• Excavation Type?

  Soft

  Footway

  Carriageway

• Weather conditions?

  Safe

  At Risk

  N/A

SLG (Signage, Lighting and Guarding)

• Is there an NRASWA Ticket Qualified Operative on site and Supervisor contactable?

  Yes

  No

  N/A

• Have you marked all other utilities along the route of excavation?

  Yes

  No

  N/A

• Do all excavations have linked barriers to prevent access to the site from ANY direction? (including open plan, driveways and pedestrian accesses)?

  Yes

  No

  N/A

• Do all works in the road have Keep Right/Left arrows, Traffic Cones and Tapers?

  Yes

  No

  N/A

• Is SLG (Signage, lighting, Guarding) on site and placed correctly?

  Pass

  Fail

  N/A

• Is the signage in good condition, clean, weighted & lit (if required)?

  Select Yes No N/A

  • Yes
  • No
  • N/A

Traffic Management

• Is the Traffic Management correct for the works?

  Pass

  Fail

  N/A

• Are the road/footway plates secure and fit for purpose?

  Yes

  No

  N/A

• Have you checked the minimum widths for traffic in the<br>carriageway?

  Yes

  No

  N/A

• Is the road closure/diversion route appropriate & approved?

  Yes

  No

  N/A

• Are Pedestrian Ramps appropriately situated and are they undamaged, Ridgely fixed or rubber edged? (if required)?

  Yes

  No

  N/A

• Is your Pedestrian Management correct and safe? (1m remaining/Ped Arrows for walkways/Footway Closed Ahead of Footway Closed or visa versa)?

  Yes

  No

  N/A

PPE

• Are they wearing the correct PPE?

  Yes

  No

  N/A

General Site Safety

• Is the site tidy, and being managed considerately?

  Yes

  No

  N/A

• Are the excavations safe?

  Yes

  No

  N/A

• Is relevant H&S documentation on site?

  Yes

  No

  N/A

• General Site Safety - Pass or Fail?

  Pass

  Fail

  N/A

Observation and Signature

• Observation

• Engineer signature

  Sign