Title Page

  • Document Title

  • Auditor

  • Name

  • Organisation

  • Direct supervisor or managerial responsibility?

  • NRSWA Accredited?

  • 1 day SLG appreciation completed?

  • First assessment or reassessment?

  • Date and time

  • Does this person have satisfactory and suitable underpinning knowledge and experience?

  • Does this person recognise the key risks associated with street works on the highway?

  • Can this person satisfactorily understand and interpret the standard SLG inspection question set?

  • Is this person able to report and / or rectify any noted risks or non compliance?

  • Does this person know where to gain additional support or advice?

  • Site 1

  • Competent?

  • Site 2

  • Competent?

  • Site 3

  • Competent?

  • Comments

  • Candidate Signature

  • Auditor signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.