Title Page

  • Location
  • Client

  • Date of Inspection

  • Inspection carried out by

  • Team Leader

  • Operative(s) Name(s)

Vehicles

  • Has the vehicle been parked safely?

  • Has the vehicle defect checks been carried out on Fleetcheck?

  • Have all defects/damages been recorded?

  • Is the vehicle clean and free from hazards on the outside?

  • Is the vehicle clean and free from hazards on the inside

  • Are the vehicle lights fully functional

  • Is the vehicle's beacon Chapter 8 compliant?

Operations

Documentation

  • Is the team in possession of a Teampack?

  • Is the Teampack current and in date?

  • Has the onsite Risk Assessment been carried out?

  • Is it suitable and sufficient?

  • Is there a work instruction?

  • Is it suitable and sufficient?

  • Is the team in possession of Utility drawings?

  • Are they accurate and in date? (ie within 3 months of extraction)

  • Are vibration trigger times being completed ?

  • Have plant inspections been carried out and recorded?

Training

  • NRSWA card holder name

  • Card Category ?

  • Is everyone on site is possession of CSCS/EUSR certification?

  • Please take photos of front and back of cards

  • If PIA works are being carried out, are there suitably qualified operatives on site?

Plant

  • Type of plant in use

  • Are the operatives trained in its use?

  • Take photo of front and back of card

  • Have daily checks been carried out?

  • Has a drip tray been placed under stationary plant?

Site set up

  • Is the site signage (vehicle and pedestrian) Chapter 8 compliant?

  • If Traffic Management is being used is there a drawing available?

  • Is the set up as per the drawing?

  • Has a permit board been displayed?

  • Has it been correctly completed?

  • Are the barriers fully connected and in good condition?

  • Have sandbags been placed on signs and barriers to prevent them falling?

  • Is there a pedestrian walkway

  • Is it clear of obstructions?

  • Is it a minimum of 1.2m wide?

  • If temporary kerb ramps are being used are they secure/non-slip?

  • Are materials and plant stored safely within the barriers

  • Are Welfare facilities available?

Health and Safety

  • Is PPE being worn as per company/ client requirements?

  • Is it in good condition?

  • Is task specific PPE/RPE being worn?

  • Is it in good condition?

  • Is there a fire extinguisher available and within service date

  • Is a fully stocked First Aid kit available?

  • Expiry Date

  • Is eyewash available?

  • Is there sufficient for those on site?

  • Expiry Date?

  • Is there a Cable Location Tool on site?

  • Date of next due calibration?

  • Is there a Genny on site?

  • Date of next due calibration?

  • Are there dust masks available

  • Are they FFP3 masks

  • Are the operatives Face Fit tested?

  • Are the operatives in possession of Gas Detection Units?

  • What is the date of next due date of calibration?

  • Have readings been taken and recorded?

  • Are correct manual handling techniques being carried out?

Excavations

  • Have all services been marked?

  • Has excavated spoil been stored at least 1m clear from the edge of the excavation?

  • Have paving slabs been stored correctly?

  • Has the trench been risked assessed for shoring/support?

  • Are the shovels insulated?

Environmental

  • Are works being carried out close to trees?

  • Is the team adhering to NJUG guidelines surrounding working with trees?

  • Are works being carried out near drains?

  • Have materials been stored away from kerb edges to allow the free flow of surface water?

  • Is there a fully stocked spill kit available on site?

  • Is there a drip tray available?

  • Is there any evidence of spills/leaks?

  • Are there any fuel containers present?

  • Are they labelled?

  • Are all other containers labelled?

Quality

  • Have ducts been laid to the specified depth?

  • Have protective tiles been laid over shallow ducts?

  • Has warning tape been laid over the ducts?

  • Have all reinstatement activities been carried out to HAUC requirements?

Conclusion

  • Are site conditions and working practices free from hazards

  • Comments

  • Team Leader Sign off

  • Auditor sign off

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.