Title Page
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Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall form part of the CDM Health & Safety File.
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Sensible Monitoring Audit Completed By:
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Site Manager:
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Contract Number:
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Project Title:
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Conducted on
General
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Any H&S actions identified shall be entered onto Audit / Inspection Action Log and brought to the urgent attention of the appropriate personnel as soon as possible. Contractor / Project Manager to be notified of actions required / taken.
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1) Is there a Method Statement / Risk Assessment available on site for the activity?<br>a) Has it been briefed out and signed for?
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Comments:
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Attach any images relevant to question 1 here.
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2) Has the temporary design been briefed out to all concerned and regular inspection implemented?
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Comments:
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Attach any images relevant to question 2 here.
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3) Are the emergency procedures adequate and do all personnel understand them?<br>a) Have foreseeable emergencies been identified?
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Comments:
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Attach any images relevant to question 3 here.
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4) Have all Operatives been inducted to Project and received EUSR training?
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Comments:
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Attach any images relevant to question 4 here.
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5) Are all operatives competent to perform the task?<br>(Check CITB, CSCS Cards, Training Records etc.) Confined Spaces entry training, breathing apparatus medically fit.
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Comments:
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Attach any images relevant to question 5 here.
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6) Is there a process in place in the event of unforeseen / change in ground condition?<br>i.e. contaminated ground, running sand, high water table, mass concrete etc
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Comments:
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Attach any images relevant to question 6 here.
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7) Is the correct PPE for the task being worn?<br>(Check condition, age, storage, training)
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Comments:
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Attach any images relevant to question 7 here.
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8) Is the site tidy and free from trip hazards and is there safe access and egress available for all?
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Comments:
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Attach any images relevant to question 8 here.
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9) Are the welfare facilities adequate and is there appropriate first aid provision on site?<br>(Numbers of Appointed Persons / First Aiders, Location / Contents of Kit)
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Comments:
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Attach any images relevant to question 9 here.
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10) Has adequate fencing been put in place around excavations and is appropriate signage posted to warn of dangers?
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Comments:
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Attach any images relevant to question 10 here.
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11) Is a system in place to deal with surplus water, which may be present in the excavation and surrounding ground?
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Comments:
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Attach any images relevant to question 11 here.
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12) Who is responsible for inspecting the condition of the excavations, are these inspections recorded?
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Comments:
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Attach any images relevant to question 12 here.
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13) Is there safe access and egress to all areas of the excavations?
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Comments:
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Attach any images relevant to question 13 here.
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14) Is there sufficient space available around the excavation to all for plant, materials, vehicles and persons to move around safely?<br>a) Does the layout of the site comply with the given plot plan?
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Comments:
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Attach any images relevant to question 14 here.
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15) Does the method statement include specific items of lifting equipment to be used during lifting operations and are these adhered to?
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Comments:
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Attach any images relevant to question 15 here.
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16) Are all slings, shackles, hooks, chains etc. in good condition and do they have the appropriate certification?
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Comments:
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Attach any images relevant to question 16 here.
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17) Do all items of plant on site undergo regular inspections and checks by the operators; are these recorded?<br>e.g. excavators, cranes, side booms etc.
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Comments:
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Attach any images relevant to question 17 here.
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18) Are "Safe Havens" in use during lifting operations in the shaft?
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Comments:
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Attach any images relevant to question 18 here.
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19) Has the operation been class as "Confined Space" working?<br>a) If so, are persons competent to enter and are there appropriate emergency evacuation procedures?
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Comments:
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Attach any images relevant to question 19 here.
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20) Has a system of communication been agreed between those inside the confined space and those outside?<br>
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Comments:
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Attach any images relevant to question 20 here.
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21) Is there a "Tally" system or similar to record who is in the tunnel and how long they have been in there?
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Comments:
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Attach any images relevant to question 21 here.
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22) Is the confined space checked for a toxic atmosphere, oxygen deficient atmosphere, flammable gas and water?<br>a) Are atmospheric tests carried out at the start of every shift and during activities?
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Comments:
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Attach any images relevant to question 22 here.
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23) Is there sufficient lighting available on site for overall illumination as well as task specific lighting?
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Comments:
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Attach any images relevant to question 23 here.
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24) Has sufficient air movement been provided and fume extraction?
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Comments:
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Attach any images relevant to question 24 here.
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25) Are any vehicle / plant exhaust fumes likely to enter the confined space?
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Comments:
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Attach any images relevant to question 25 here.
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26) Has adequate stale air / fume extraction been provided?
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Comments:
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Attach any images relevant to question 26 here.
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27) Is breathing apparatus checked / tested / inspected prior to entry?<br>(Recorded)
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Comments:
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Attach any images relevant to question 27 here.
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28) Are atmospheric monitors within their calibration date, batteries checked, tested prior to entry?
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Comments:
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Attach any images relevant to question 28 here.
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29) If required, are there an adequate number and type of fire extinguishers on site and are they in appropriate locations?
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Comments:
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Attach any images relevant to question 29 here.
Sign Off Audit
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Print Name:
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Signature:
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Project Manager Name:
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Signature:
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Designation:
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Select date