Telecommunications Site Specific SP-11A ver b

• Client / Site

• SP Number

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

1.0 Site Documentation

• Is the Project Site Folder in the designated location?

  Compliant

  Non-Compliant

  Not Applicable

• Is the WINS document in date?

  Compliant

  Non-Compliant

  Not Applicable

• Are all permits in date and adequate for the works being undertaken?

  Compliant

  Non-Compliant

  Not Applicable

• Are up to date construction drawings available?

  Compliant

  Non-Compliant

  Not Applicable

• Are there copies of the MOPS in site folder to cover all project works?

  Compliant

  Non-Compliant

  Not Applicable

• Have all MOPS and SWMs(JSAs) been signed by all personnel?

  Compliant

  Non-Compliant

  Not Applicable

• Have all construction personnel signed in/out every day?

  Compliant

  Non-Compliant

  Not Applicable

• Are daily Tool Box Meetings being carried out and correctly recorded?

  Compliant

  Non-Compliant

  Not Applicable

• Are there SWMs (JSAs) provided in site folder to cover all tasks being undertaken?

  Compliant

  Non-Compliant

  Not Applicable

• Cross check site induction records against sign-in records to ensure all personnel have been inducted?

  Compliant

  Non-Compliant

  Not Applicable

• Are MSDS in date and include all substances being used on site?

  Compliant

  Non-Compliant

  Not Applicable

2.0 Housekeeping

• Is there adequate,appropriate and clear signage and barricading?

  Compliant

  Non-Compliant

  Not Applicable

• Is the work area free from tripping hazards?

  Compliant

  Non-Compliant

  Not Applicable

• Are all materials being stored in designated storage areas?

  Compliant

  Non-Compliant

  Not Applicable

• Are designated storage areas clearly identified?

  Compliant

  Non-Compliant

  Not Applicable

• Is the work area being kept clean and tidy?

  Compliant

  Non-Compliant

  Not Applicable

• Are the egress routes being maintained?

  Compliant

  Non-Compliant

  Not Applicable

• Is lighting adequate for carrying out works and/or safe access/egress?

  Compliant

  Non-Compliant

  Not Applicable

3.0 Stairs and Ladders

• Are all portable ladders in good condition?

  Compliant

  Non-Compliant

  Not Applicable

• Are all personnel using portable ladders in conformance with safe works practices?

  Compliant

  Non-Compliant

  Not Applicable

• Are only fibreglass ladders being utilised for electrical works or in Battery rooms?

  Compliant

  Non-Compliant

  Not Applicable

• Have suitable protective barricades and signage been provided around base of ladders?

  Compliant

  Non-Compliant

  Not Applicable

4.0 Electrical

• Are there any broken plugs, sockets or switches?

  Compliant

  Non-Compliant

  Not Applicable

• Are all leads in good condition?

  Compliant

  Non-Compliant

  Not Applicable

• Are portable power tools in good condition?

  Compliant

  Non-Compliant

  Not Applicable

• Are all leads supported off the ground?

  Compliant

  Non-Compliant

  Not Applicable

• Are all electrical outlets RCD protected?

  Compliant

  Non-Compliant

  Not Applicable

• Are all test tags up to date?

  Compliant

  Non-Compliant

  Not Applicable

5.0 First Aid

• Is the First Aid kit in it`s nominated location?

  Compliant

  Non-Compliant

  Not Applicable

• Have all used items been recorded and does the kit need replenishment?

  Compliant

  Non-Compliant

  Not Applicable

6.0 Other

• Further Comments

• Auditor

  Sign

• Site Representive

  Sign