Information
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Document No.
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Audit Title
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Conducted on
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Audit By
- Ian Watson
- Dawn Wright
- Jamie Howlett
- Ian Watson
- Mick Barrett
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Client
- UK Power Networks
- Scottish & Southern Electric
- Western Power Distribution
- Zayo
- Colt
- EU Networks
- National Grid
- Others
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Contract Number
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Site Address
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Insert Photo of Site
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Contract Manager
- John Fitzgerald
- Neil Hargest
- Gerry Garvin
- Mark Gardner
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Project Manager
- Paul Burch
- Padraic Garvin
- David Gaughan
- Grant Taylor
- Miles Crawford
- Dean Wingham
- Tony James
- Paul Reid
- Steve Hayes
- Oliver Bulch
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Site Supervisor
- Jack Whitlock
- Declan Wilson
- Colin Cliff
- Anthony Quinn
- Mark Beadle
- Kevin Kitchen
- Nick Ward
- Duncan Davidson
- Terry Harper
- Graeme Neil
- Damien Marius
- Charlie Fennessy
- Mick McHugh
- Mick O'Mahoney
- Bob Turner
- Vic Apps
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Team Leader
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- JSM Group
- MBS Construction
- MGM Construction
- GSL Limited
- Other
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Team Leaders Signature
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Names of others on Site
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Signature of Auditor
Training
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CSCS / EUSR / SHEA or BESC Card
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Name, Number, Type and Expiry Date
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NRSWA Card (insert name & number)
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Expiry Date
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CPCS / NPORS Card
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Name, type, number, expiry date & catogeries
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HSG47 (insert name)
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Expiry Date
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Emergency First Aid (insert holder)
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Expiry Date
Documentation
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If no or insufficient refer to safety seven / zero tolerance for required action
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Daily On Site Risk Assessment Completed?
- Yes
- No
- insufficient
- Not Applicable
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Site Specific Risk Assessment Current for Works being undertaken?
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Is a Permit to Work Available?
- Yes
- No
- insufficient
- Not Applicable
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Is the Permit to work correct for works undertaken?
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Is a vibration Log available?
- Yes
- No
- insufficient
- Not Applicable
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Is the vibration log up to date & completed correctly
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Are utility drawings on site, applicable, in date & legible
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Electric
- Yes
- No
- insufficient
- Not Applicable
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Gas
- Yes
- No
- insufficient
- Not Applicable
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Water
- Yes
- No
- insufficient
- Not Applicable
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BT
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Can the team leader correctly identify on the utility drawings where they are working?
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Is the team pack in available on site?
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Is all documentation in date
Vehicle
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Vehicle Registration
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Has the vehicle been parked safely
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Is the vehicle clean, tidy, inside and outside
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Are relevant / correct hazard warning stickers displayed on vehicle?
Personal Protective Equipment
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Hi-Visibility Clothing
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Is it being worn
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Correct type for works location?
- Yes
- No
- Not Applicable
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In good condition?
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Is correct eye protection being worn?
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Are these correct for works undertaken?
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Are gloves being worn?
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Are these correct for works being undertaken?
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Is a Safety Helmet being worn?
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Expiry Dates ( insert name and date)
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Are Flame Retardant Overalls being worn?
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Is correct safety footwear being worn?
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Is there any steel exposed?
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Are dusk mask available?
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Are there sufficient masks available for team
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Has damaged PPE been disposed of?
Plant & Equipment
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Is a GENNY available?
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Is it fit for purpose?
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Calibration expiry Date
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Is a C.A.T available
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Is it fit for purpose?
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Calibration expiry Date
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Is a Compressor on site
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Is it fit for purpose and in good working order?
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Are Whip checks being used?
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Have Daily, Weekly inspections been completed?
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Is a drip tray located underneath?
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Are there any lifting straps, chains and or accessories on site or in vehicle?
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What is there expiry date?
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Is certification available?
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Is a winch on site?
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Is it Free from visible defects and in good working order?
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Is the winch certificated and is it available on site?
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What is the calibration expiry date of the winch gauge?
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Is a dumper on site?
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Is it Free from visible defects and in good working order?
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Have Daily, Weekly inspections been completed?
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Does the operator have the correct certification to be using the plant?
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Is an Excavator available on site?
- Yes
- No
- Not Applicable
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Is it Free from visible defects and in good working order?
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Have Daily, Weekly inspections been completed?
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Does the operator have the correct certification to be using the plant?
Is Electrical Equipment PAT tested and free from defects?
Health & Safety Equipment
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Is a First Aid box available?
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Is all contents in date?
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Is a contents card available?
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Is contents as per the contents card?
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Is Eye Wash available?
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What is the expiry date?
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Is there sufficient amounts for staff on site?
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Is the a Fire Extinguisher available on site?
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What is the calibration expiry date?
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Is the dial on Green?
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Is a spill kit available?
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Is it correctly stocked?
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Are welfare facilities Available on site?
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Are manual handling operations being carried out safely?
Worksite / Signing, Lighting & Guarding
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Have all underground utility been identified and the ground marked?
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Carry out Check with CAT, GENNY & site drawings
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Is the site free from slip, trip or fall hazards?
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Is the site tidy (house keeping)?
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Is Traffic Management drawing available and is the site as per drawing?
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Is the signing, lighting & guarding positioned in accordance with chapter 8 / Red Book?
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Are all cones, barriers & signs etc: clean and in good order?
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Are all barriers clipped together and secure?
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Is there a sufficient safety zone?
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Is there a sufficient walkway for pedestrians (min 1.2mtrs)?
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Are any kerb ramps sufficiently secured?
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Are any road / footpath plates/ boards place correctly and do not pose any hazards?
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Is there safe access / egress for work personnel?
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Is a courtesy board displayed and correctly filled in?
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Is all materials adequately stored & correctly segregated?
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Is the excavation in order (shuttering used when necessary etc:)?
Environment
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Is the work in vicinity of trees?
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Is work in being carried out in accordance with NJUG 10
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Is spoil / materials stored in appropriate place, (I.e. Not on kerb edge without sufficient facilities for water flow)?
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Is a drip tray available as required?
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Are fuel containers labelled?
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Is fuel stored in correct containers?
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Are all other containers labelled with their contents?
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Are surface free from any staining or spillages?
Quality
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Have ducts been laid at the correct depth?
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Are they in the correct formation as per specification?
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If not has the client / JSM project manager given permission?
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Have steel plates been used for additional protection, for shallow cables?
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Has title tape / boards or slabs been laid above the ducts?
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Is backfill material free from contain contamination?
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Has granular materials been done in layers and compacted?
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Have existing street furniture, slabs, kerbs etc been put back like for like?
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Has all temporary reinstatement been made permanent?
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Have yellow, white, red lines & other road markings been renewed"
Penalty Cards
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Have penalty Cards, red or yellow been issued due to any audit failings?
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Has a photo been taken of the failing?
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If a red card is issued, the work site has to be secured and work ceased, contact Mick Barrett (SHEQ Director)
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If yes type of card issued?
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Provide brief description of why the card(s) have been issued?
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Has the project manager & contracts manager been notified?
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Enter name(s) of those issued with card?
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Penalty Card expiry Date
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Has a card alert been populated and issued out?