TES Gas team H&S Inspection

• Prepared by

• Team Leader

• Location
  Address

• Site clean and tidy, no trip hazards

  Good

  Fair

  Poor

  N/A

• Traffic signs / traffic management correct for job

  Good

  Fair

  Poor

  N/A

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

  Yes

  No

  N/A

• Excavations secure (barriers shuttering)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Documentation

• Has daily RA been completed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• CDM / Site File completed and up to date

  Yes

  No

  N/A

• Road permit in place

  Yes

  No

  N/A

Credentials

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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.

  Compliant

  Non-Compliant

  N/A

• Sampled Equipment

• Sampled equipment condition

  Compliant

  Non-Compliant

  N/A

• Vehicle Checks and Condition

  Good

  Fair

  Poor

  N/A

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

  Good

  Fair

  Poor

  N/A

• Towed Plant Condition

  Good

  Fair

  Poor

  N/A

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

  Compliant

  Non-Compliant

  N/A

Welfare

• Welfare Equipment available, clean and in working order

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• First Aid kit (contents in date)

  Yes

  No

  N/A

• Eye wash (in date)

  Yes

  No

  N/A

Environment

• Have any TPO's been identified

• Are exposed tree roots protected

  Yes

  No

  N/A

• Are there any concerns re tree roots

• Plant free from leaks

  Yes

  No

  N/A

• Spoil / waste segregated

  Yes

  No

  N/A

• Spoil sited correctly

  Yes

  No

  N/A

• Plant is appropriately sited (not over drains)

  Yes

  No

  N/A

• Liquids stored and labelled correct

  Yes

  No

  N/A

• Drains protected

  Yes

  No

  N/A

• Spill kits available

  Yes

  No

  N/A

• Water removed from excavation

  Yes

  No

  N/A

Corrective actions and observations

• List CAR's and enter into CAR register