Title Page
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Job Pack / PN Number
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Conducted on
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Prepared by
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Location
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TIS Civils Supervisor for Site
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Site conducted
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Name of Sub Contractor
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Team Leader on Site
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Operatives on Site
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Site Overview
Site Management
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Is person in charge of works clearly identified and adequately performing the role?
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Are all vehicles parked safe and legal?
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Is there adequate access and task lighting?
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Is there clear and unobstructed access, good housekeeping?
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Are all welfare facilities available for operatives and are they adequate?
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Is there a qualified first aider on site?
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Is there an easily accessible first aid kit on site?
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Are local hospital details available?
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Is the fire assembly point identified and known?
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Is there a fire extinguisher required for the works?
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Is the fire extinguisher in date?
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Is there adequate means of raising the alarm? To warn operatives and to warn others?
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Has the asbestos hazard potential been managed adequately?
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Are all materials stored safely and securely?
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Have hazardous materials been stored correctly?
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Are COSHH assessments available for all hazardous substances and controls implemented?
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Are the works suitably protected from the public?
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Are access points closed?
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Are works secure from 3rd party access when no-one on site?
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Is there adequate safety signage?
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Are site rules displayed and complied with?
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Is plant running at 110v or protected by RCD?
- Yes
- No
- N/A
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Are activities generating noise suitably controlled?
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Is the correct PPE worn for the works taking place?
HEALTH AND SAFETY DOCUMENTATION
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Is there a Construction Phase Health and Safety plan on site?
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Have all personnel signed to confirm they have received an induction?
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Has Site Risk Assessment been conducted for the current operations?
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Do the RAMS cover the work scope that is being undertaken?
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Have they been amended to take account of any unforeseen changes?
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Are operatives undertaking works in line with the RAMS?
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Are all permits to work in place as required (permit to Dig)?
CERTIFICATION
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Is public liability insurance displayed/available?
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Is certification for mobile mechanical plant available and in date?
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Are operative training certs available and in date for work activities?
TRAFFIC AND PEDESTRIAN MANAGEMENT
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Do the works require an EToN notice?
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If yes, is this available on site?
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Are works being undertaken in line with the EToN notice?
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Signing, lighting and guarding suitable and sufficient and in line with the Code of Practice?
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Is the TM/PM set up in line with the layout plan provided?
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Are all access points closed to the public?
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Signage in place as required identifying works, duration etc? Symology number displayed?
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Where specified is there adequate personnel to marshall the works?
EXCAVATION
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Have all services been identified?
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Are utility plans on site?
- Yes
- No
- N/A
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Are utility plans valid (within 28 days)?
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Are safe dig techniques employed on site? (HSG 47)
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Are underground services supported when running through excavations?
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Is the excavation appropriately shored or battered?
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Is there safe access in to the excavation?
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Is spoil stored safely and sides of excavation not surcharged.
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Are excavator slewing zones safe?
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If the excavation is to be left overnight is it barriered and secure?
ENVIRONMENTAL
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Is waste being removed from site?
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Is a waste carrier licence number available ?
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Are any skips positioned safely?
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Is any plant used being re-fuelled with consideration to the environment?
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If carrying items covered by COSHH Is a spill kit accessible and correctly stored on site?
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Have staff been trained adequately to deal with a spillage?
PICW
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Did the PICW prepare his/her paperwork prior to commencement of work?
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Did the PICW have control and leadership while on site?
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Did the PICW provide a solution to any issues raised on site?
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Did the PICW understand his responsibility while on site?
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Summary of the PICW
Summary
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Audit Summary:
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Audit Result
PICW Acknowledgement
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Contactor lead person on site (They do not have to agree the findings but must acknowledge your audit)
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Name:
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Signature:
Auditor
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Sign Here