Title Page

  • Prepared by

  • Team Leader

  • Location

Site Safety

  • Site clean and tidy, no trip hazards

  • Traffic signs / traffic management correct for job

  • Pedestrian walkways adequate and maintained / including serviceable walk boards that are free from defects, slippery material and properly pinned

  • Excavations secure (barriers shuttering)

  • If required is a deep ex RA in place and signed

Documentation

  • Has daily RA been completed

  • Permit to dig in place and signed (If applicable)

  • CDM / Site File completed and up to date

  • Road permit in place

Credentials

  • At least one person on site has a valid NRSWA card

  • All operatives have SHEA Gas (Check cards against matrix):

  • Operatives have relevant qualifications for all plant and equipment they operate

Plant and Equipment

  • Plant sampled

  • Sampled plant condition i.e. CAT, Gascoseeker, Volt stick, continuity bonds, fusion box, BA, Fire extinguishers, top tee clamps in good order and in date.

  • Sampled Equipment

  • Sampled equipment condition

  • Vehicle Checks and Condition

  • Vehicle interior is organised - access and egress is maintained plus items stored and secured correctly

  • Towed Plant Condition

  • Personal Protective Equipment reasonably clean, free from defects and being worn correctly

Welfare

  • Welfare Equipment available, clean and in working order

  • Welfare facilities where not on site are within 10 minutes of the site

  • Local facilities are known to all operatives & noted in CDM pack / SSRA

  • First Aid kit (contents in date)

  • Eye wash (in date)

Environment

  • Have any TPO's been identified

  • Are exposed tree roots protected

  • Are there any concerns re tree roots

  • Plant free from leaks

  • Spoil / waste segregated

  • Spoil sited correctly

  • Plant is appropriately sited (not over drains)

  • Liquids stored and labelled correct

  • Drains protected

  • Spill kits available

  • Water removed from excavation

Corrective actions and observations

  • List CAR's and enter into CAR register

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