Title Page

  • Job Pack / PN Number

  • Conducted on

  • Prepared by

  • Location
  • TIS Civils Supervisor for Site

  • Site conducted

  • Name of Sub Contractor

  • Team Leader on Site

  • Operatives on Site

  • Site Overview

Site Management

  • Is person in charge of works clearly identified and adequately performing the role?

  • Are all vehicles parked safe and legal?

  • Is there adequate access and task lighting?

  • Is there clear and unobstructed access, good housekeeping?

  • Are all welfare facilities available for operatives and are they adequate?

  • Is there a qualified first aider on site?

  • Is there an easily accessible first aid kit on site?

  • Are local hospital details available?

  • Is the fire assembly point identified and known?

  • Is there a fire extinguisher required for the works?

  • Is the fire extinguisher in date?

  • Is there adequate means of raising the alarm? To warn operatives and to warn others?

  • Has the asbestos hazard potential been managed adequately?

  • Are all materials stored safely and securely?

  • Have hazardous materials been stored correctly?

  • Are COSHH assessments available for all hazardous substances and controls implemented?

  • Are the works suitably protected from the public?

  • Are access points closed?

  • Are works secure from 3rd party access when no-one on site?

  • Is there adequate safety signage?

  • Are site rules displayed and complied with?

  • Is plant running at 110v or protected by RCD?

  • Are activities generating noise suitably controlled?

  • Is the correct PPE worn for the works taking place?

HEALTH AND SAFETY DOCUMENTATION

  • Is there a Construction Phase Health and Safety plan on site?

  • Have all personnel signed to confirm they have received an induction?

  • Has Site Risk Assessment been conducted for the current operations?

  • Do the RAMS cover the work scope that is being undertaken?

  • Have they been amended to take account of any unforeseen changes?

  • Are operatives undertaking works in line with the RAMS?

  • Are all permits to work in place as required (permit to Dig)?

CERTIFICATION

  • Is public liability insurance displayed/available?

  • Is certification for mobile mechanical plant available and in date?

  • Are operative training certs available and in date for work activities?

TRAFFIC AND PEDESTRIAN MANAGEMENT

  • Do the works require an EToN notice?

  • If yes, is this available on site?

  • Are works being undertaken in line with the EToN notice?

  • Signing, lighting and guarding suitable and sufficient and in line with the Code of Practice?

  • Is the TM/PM set up in line with the layout plan provided?

  • Are all access points closed to the public?

  • Signage in place as required identifying works, duration etc? Symology number displayed?

  • Where specified is there adequate personnel to marshall the works?

EXCAVATION

  • Have all services been identified?

  • Are utility plans on site?

  • Are utility plans valid (within 28 days)?

  • Are safe dig techniques employed on site? (HSG 47)

  • Are underground services supported when running through excavations?

  • Is the excavation appropriately shored or battered?

  • Is there safe access in to the excavation?

  • Is spoil stored safely and sides of excavation not surcharged.

  • Are excavator slewing zones safe?

  • If the excavation is to be left overnight is it barriered and secure?

ENVIRONMENTAL

  • Is waste being removed from site?

  • Is a waste carrier licence number available ?

  • Are any skips positioned safely?

  • Is any plant used being re-fuelled with consideration to the environment?

  • If carrying items covered by COSHH Is a spill kit accessible and correctly stored on site?

  • Have staff been trained adequately to deal with a spillage?

PICW

  • Did the PICW prepare his/her paperwork prior to commencement of work?

  • Did the PICW have control and leadership while on site?

  • Did the PICW provide a solution to any issues raised on site?

  • Did the PICW understand his responsibility while on site?

  • Summary of the PICW

Summary

  • Audit Summary:

  • Audit Result

PICW Acknowledgement

  • Contactor lead person on site (They do not have to agree the findings but must acknowledge your audit)

  • Name:

  • Signature:

Auditor

  • Sign Here

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