Information

  • Document No.

  • Audit Title

  • Conducted on

  • Audit By

  • Client

  • Contract Number

  • Site Address
  • Insert Photo of Site

  • Contract Manager

  • Project Manager

  • Site Supervisor

  • Team Leader

  • Team Leaders Signature

  • Names of others on Site

  • Signature of Auditor

Training

  • CSCS / EUSR / SHEA or BESC Card

  • Name, Number, Type and Expiry Date

  • NRSWA Card (insert name & number)

  • Expiry Date

  • CPCS / NPORS Card

  • Name, type, number, expiry date & catogeries

  • HSG47 (insert name)

  • Expiry Date

  • Emergency First Aid (insert holder)

  • Expiry Date

Documentation

  • If no or insufficient refer to safety seven / zero tolerance for required action

  • Daily On Site Risk Assessment Completed?

  • Site Specific Risk Assessment Current for Works being undertaken?

  • Is a Permit to Work Available?

  • Is the Permit to work correct for works undertaken?

  • Is a vibration Log available?

  • Is the vibration log up to date & completed correctly

  • Are utility drawings on site, applicable, in date & legible

  • Electric

  • Gas

  • Water

  • BT

  • Can the team leader correctly identify on the utility drawings where they are working?

  • Is the team pack in available on site?

  • Is all documentation in date

Vehicle

  • Vehicle Registration

  • Has the vehicle been parked safely

  • Is the vehicle clean, tidy, inside and outside

  • Are relevant / correct hazard warning stickers displayed on vehicle?

Personal Protective Equipment

  • Hi-Visibility Clothing

  • Is it being worn

  • Correct type for works location?

  • In good condition?

  • Is correct eye protection being worn?

  • Are these correct for works undertaken?

  • Are gloves being worn?

  • Are these correct for works being undertaken?

  • Is a Safety Helmet being worn?

  • Expiry Dates ( insert name and date)

  • Are Flame Retardant Overalls being worn?

  • Is correct safety footwear being worn?

  • Is there any steel exposed?

  • Are dusk mask available?

  • Are there sufficient masks available for team

  • Has damaged PPE been disposed of?

Plant & Equipment

  • Is a GENNY available?

  • Is it fit for purpose?

  • Calibration expiry Date

  • Is a C.A.T available

  • Is it fit for purpose?

  • Calibration expiry Date

  • Is a Compressor on site

  • Is it fit for purpose and in good working order?

  • Are Whip checks being used?

  • Have Daily, Weekly inspections been completed?

  • Is a drip tray located underneath?

  • Are there any lifting straps, chains and or accessories on site or in vehicle?

  • What is there expiry date?

  • Is certification available?

  • Is a winch on site?

  • Is it Free from visible defects and in good working order?

  • Is the winch certificated and is it available on site?

  • What is the calibration expiry date of the winch gauge?

  • Is a dumper on site?

  • Is it Free from visible defects and in good working order?

  • Have Daily, Weekly inspections been completed?

  • Does the operator have the correct certification to be using the plant?

  • Is an Excavator available on site?

  • Is it Free from visible defects and in good working order?

  • Have Daily, Weekly inspections been completed?

  • Does the operator have the correct certification to be using the plant?

  • Is Electrical Equipment PAT tested and free from defects?

Health & Safety Equipment

  • Is a First Aid box available?

  • Is all contents in date?

  • Is a contents card available?

  • Is contents as per the contents card?

  • Is Eye Wash available?

  • What is the expiry date?

  • Is there sufficient amounts for staff on site?

  • Is the a Fire Extinguisher available on site?

  • What is the calibration expiry date?

  • Is the dial on Green?

  • Is a spill kit available?

  • Is it correctly stocked?

  • Are welfare facilities Available on site?

  • Are manual handling operations being carried out safely?

Worksite / Signing, Lighting & Guarding

  • Have all underground utility been identified and the ground marked?

  • Carry out Check with CAT, GENNY & site drawings

  • Is the site free from slip, trip or fall hazards?

  • Is the site tidy (house keeping)?

  • Is Traffic Management drawing available and is the site as per drawing?

  • Is the signing, lighting & guarding positioned in accordance with chapter 8 / Red Book?

  • Are all cones, barriers & signs etc: clean and in good order?

  • Are all barriers clipped together and secure?

  • Is there a sufficient safety zone?

  • Is there a sufficient walkway for pedestrians (min 1.2mtrs)?

  • Are any kerb ramps sufficiently secured?

  • Are any road / footpath plates/ boards place correctly and do not pose any hazards?

  • Is there safe access / egress for work personnel?

  • Is a courtesy board displayed and correctly filled in?

  • Is all materials adequately stored & correctly segregated?

  • Is the excavation in order (shuttering used when necessary etc:)?

Environment

  • Is the work in vicinity of trees?

  • Is work in being carried out in accordance with NJUG 10

  • Is spoil / materials stored in appropriate place, (I.e. Not on kerb edge without sufficient facilities for water flow)?

  • Is a drip tray available as required?

  • Are fuel containers labelled?

  • Is fuel stored in correct containers?

  • Are all other containers labelled with their contents?

  • Are surface free from any staining or spillages?

Quality

  • Have ducts been laid at the correct depth?

  • Are they in the correct formation as per specification?

  • If not has the client / JSM project manager given permission?

  • Have steel plates been used for additional protection, for shallow cables?

  • Has title tape / boards or slabs been laid above the ducts?

  • Is backfill material free from contain contamination?

  • Has granular materials been done in layers and compacted?

  • Have existing street furniture, slabs, kerbs etc been put back like for like?

  • Has all temporary reinstatement been made permanent?

  • Have yellow, white, red lines & other road markings been renewed"

Penalty Cards

  • Have penalty Cards, red or yellow been issued due to any audit failings?

  • Has a photo been taken of the failing?

  • If a red card is issued, the work site has to be secured and work ceased, contact Mick Barrett (SHEQ Director)

  • If yes type of card issued?

  • Provide brief description of why the card(s) have been issued?

  • Has the project manager & contracts manager been notified?

  • Enter name(s) of those issued with card?

  • Penalty Card expiry Date

  • Has a card alert been populated and issued out?

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.