Title Page
People On Site And Site Location
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Location
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Audited by
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Audit conducted on
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Contractor on site
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Job Number
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Template Name
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Business Area
- Capital and Commercial Service (CCS)
- Chief Engineer
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Select your department
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Select your department
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Workstream working on
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Vehicle Reg
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Team Leader
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Operative 2
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Operative 3
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Operative 4
Initial Site Observations
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Is Site Active
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Audit Date
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Work description
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Unsafe condition, act or omission very likely to cause a significant accident giving reason to stop work Immediately
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Overall site set up & work area, does the site project correct image(Take photo's to show)
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All Ops' carrying ID Cards and Leptospirosis (RAT) card
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PTD forms available and if applicable have they been signed
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Do crew have calling cards
Health & Safety, Equipment & TM
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Risk assessment completed & understood, visitors inducted/briefed and signed on to SSRA
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At the time of the audit was a safe system of work being practised
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All Ops' have their training cert's on site and in date(Take Photo Evidence)
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All Ops' have the correct and relevant PPE as required to carry out the task and is in use
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All crew members First Aid trained and have adequately stocked first aid box and eye wash
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Eye protection available and in use (jetting visors, safety glasses, goggles)
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The team is aware of the process for reporting accidents, customer complaints, close calls
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Crew aware of Manual Handling techniques and prevention
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Both Company and Client van packs in date and includes generic risk assessements and COSHH assessemnets
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TM specific controls relevant to working in the Highway in place and being observed. (Chap 8, Traffic Lights, Road Closure)
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Work areas are suitably signed, lighted and guarded
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Task specific signage displayed
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Are any temporary openings i.e, manholes/shafts etc adequately protected
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Has suitable access and egress from the site been provided
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Where applicable are overhead services controlled
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All work equipment and tools in good condition and fit for purpose
High Pressure Water Jetting & CCTV Surveying
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Leader hose fitted and all hoses free from damage
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Correct jetting heads in use
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Correct skids for camera availble, in use
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Where required gas detectors calibrated and charged, gas test carried out and results recorded. Charging unit available on site
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Do crew have a Cat & Genny and are trained and capable of using it ?
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Pollution prevention controls in place (drains and watercourses protected, spill kit available, secondary containment available where required)
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Plant service records available for inspection
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Evidence all relevant electrical equipment has been inspected/tested
Confined Space
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Op's hold correct training cert's for the confined space entry & Top Man, and they are capable of using Safety Equipment?
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Sufficient lighting in place within the confined space
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Full Safety kit available/escape set, Calibrated & in date ?
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Work at height/falls from height
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Ladders & Step Ladders if in use at all are fit for purpose, secured safely and tagged
Patching & Relining inc. Re-rounding
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Do all crew members understand the correct mixing guidelines for any chemicals they are carrying ?
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Are all Air Hoses free from damage, any noticable kinks
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Rerounding operation set up correctly and crew have the necessary waste bags for Asbestos
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Chemicals/flammable liquids securely stored away from sources of ignition and labelled, drip bund in use
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Protection against scolding in place Hot Cure works
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Suitable ventillation in place for the task
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Scaffold & other temporary work platforms tagged with set up date
Vehicle
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Vehicle daily check sheet completed
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Vehicle externally and internally clean, cab free from clutter, bodywork acceptable standard, livery applied
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Sufficient TM to perform current days tasks
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Storage secured, area free from hazards
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Drivers licence in accordance with vehicle and trailer legal requirement
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Keys removed from vehicle, stored securely
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Vehicle visibly within the legal weight limit
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Lights working including flashing roof beacon, lenses clean and undamaged
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Tyres visibly within legal limits
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Windowscreen free from damage/cracks, driver has clear vision.
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Is vehicle height displayed
Excavation Works in highway and/or private property
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Have the works been adequately planned including liaison with the highway authority permit /notice in place, PTD signed
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PPE being used as per the Operatives RAMS, Site rules and COSHH assessments
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Do crew have a Cat & Genny and are trained and capable of using it ?
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Utility plans on site and up to date and all service's clearly identified
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Work areas are suitably signed, lighted and guarded
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Appropriate number of NRSWA qualified operatives on site (certificates in place)
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is Heras fencing in place where needed and double clipped
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All machinery, plant and spoil within the barriers
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All plates / footway boards secured appropriately for the location and correctly maintained
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Where applicable are HAVS calculations available
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Working at height controls in place as per RAMS and SSRA
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Is shoring in place where needed and to satisfactory standard
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A Business Open as Usual Sign is in place at either end of the works where there are businesses present
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Spoil correctly separated and stored safe distance from excavation.
Environmental, Hygiene & Welfare
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Adequate supply of fresh water
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Adequate washing facilities available i.e soap, wipes, hand towel etc
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If any specific environmental controls are in place, are these considered as adequate
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Has provision been made for the disposal of site waste
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Chemicals/flammable liquids securely stored away from sources of ignition and labelled, drip bund in use
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The storage of Hazardous substances (COSHH) is adequately controlled
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Client specific standpipe available and correct storage for standpipe being used
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Hydrant key and hydrant location list available, correct hydrant being used
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Chlorine tablets available and chlorine solution labelled and dated
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Spill Kit available
Customer and third party management
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Are permit/customer information boards displayed, with correct details
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Access to shops and houses being maintained. Pedestrian and vehicular access satisfactory
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Members of the public and any 3rd parties adequately protected
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Are overshoes available if needed
Good Practices
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Do you want to capture Good Practices?
Review Status
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Do you want to assign review status?
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Please select a status type
Sign Off
Contractor Sign Off
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Contractor Rep Comments
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Contractor Signature
Auditors Sign off
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Auditor's Comments
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Auditor's Signature