v10 Andy Test - don't use

• Document No.

• Site number and location

• Site Address
  Address

• Client

• Conducted on

  Date

• Inspector name

• Site ganger

• Contracts Manager

Corrective Actions

• Are there any actions outstanding from previous audit?

  Yes

  No

  N/a

• Are there any actions from this audit?

  Yes

  No

  N/a

1. Project/site management requirements

• Are ACS Principle Contractor?

  Yes

  No

• is the F10 on display in a prominent position?

  Yes

  NO - The F10 on display is not in a prominent position

  N/a

1.1. Site arrangements

• Are site arrangements compliant?<br><br>- Is the site secure from unauthorised access?<br>- Is safe access and egress provided?<br>- Is adequate safety signage provided?<br>- Are adequate welfare facilities provided and maintained?<br>- Are all sub contractors vetted for addition to the Approved Contractors Register?<br>- Is there adequate provision for vehicle/pedestrian segregation<br>- Are people wearing mandatory and applicable PPE?

  Yes

  No

  N/A

• Is the site secure from unauthorised access

  Yes

  No

  N/A

• 1.1.2. Is the site secure from unauthorised access?

  Select YES NO - Fencing unsecured NO - Gates left open NO - Subject to Vandalism NO - Other response N/a

  • YES
  • NO - Fencing unsecured
  • NO - Gates left open
  • NO - Subject to Vandalism
  • NO - Other response
  • N/a

• 1.1.3. Is safe access and egress provided?

  Yes

  NO - Pedestrian & Vehicle combined access

  NO - Uncontrolled Exit to public road/path

  NO - Other response

  N/a

• 1.1.4. Is adequate safety signage provided?

  Yes

  NO - adequate safety signage not provided

  N/a

• 1.1.5. Are adequate welfare facilities provided and maintained?

  Select Yes NO - No facilities in place NO - Insufficient facilities NO - Poorly maintained facilities NO - Other response N/a

  • Yes
  • NO - No facilities in place
  • NO - Insufficient facilities
  • NO - Poorly maintained facilities
  • NO - Other response
  • N/a

• 1.1.6. Are all sub contractors vetted for addition to the Approved Contractors Register?

  Yes

  NO - sub contractors are not vetted for addition to the Approved Contractors Register

  N/a

• 1.1.7. Is there adequate provision for vehicle/pedestrian segregation

  Yes

  NO - There is not adequate provision for vehicle/pedestrian segregation

  N/a

• 1.1.8. Are people wearing mandatory and applicable PPE?

  Yes

  NO - people are not wearing mandatory PPE

  N/a

1.2. Documentation

• Is documentation in place and in date?<br><br>- Construction Phase Plan in place and in date?<br>- Have all personnel received site induction?<br>- Are Toolbox Talks being held at least once a fortnight?<br>- Is there a Traffic Management Plan in place?<br>- Are safe systems of work (RAMS) in place for the range of activities taking place?<br>- Are maintenance and servicing records readily available?<br>- Are registers and records being completed and up to date?

  Yes

  No

  N/A

• 1.2.1. Construction Phase Plan in place and in date?

  Yes

  NO - Construction Phase Plan in place and in date

  N/a

• 1.2.2. Have all personnel received site induction?

  Yes

  NO - Not all personnel have received site induction

  N/a

• 1.2.3. Are Toolbox Talks being held at least once a fortnight?

  Yes

  NO - TBT's are not being held at least once a fortnight

  N/a

• 1.2.4. Is there a Traffic Management Plan in place?

  Yes

  NO - There is no Traffic Management Plan in place/on display

  N/a

• 1.2.5. Are safe systems of work (RAMS) in place for the range of activities taking place?

  Yes

  No

  N/A

• Are there RAMS on site?

  Yes

  No

  N/A

• Are the RAMS in date?

  Yes

  No

  N/A

• Are the RAMS incorrect /Not applicable?

  Yes

  No

  N/A

• Are Subcontractor RAMS not on site?

  Yes

  No

  N/A

• 1.2.6. Are maintenance and servicing records readily available?

  Yes

  NO - There are no maintenance and servicing records readily available

  N/a

• 1.2.7. Are registers and records being completed and up to date?<br><br>- mobile plant daily checks<br>- PUWER weekly register<br>- LOLER weekly register<br>- weekly excavation records<br>- HAVS register

  Yes

  No

  N/A

• Are mobile plant daily checks up to date?

  Yes

  No

  N/A

• Are HAVS registers up to date?

  Yes

  No

  N/A

• Are LOLER registers up to date?

  Yes

  No

  N/A

• Are PUWER registers up to date?

  Yes

  No

  N/A

• Are excavation records kept up to date?

  Yes

  No

  N/A

1.3. Emergency Arrangements

• Are emergency arrangements satisfactory?<br><br>- Are there adequate Fire and Emergency resources in place? <br>- Are there adequate 1st aid personnel and resources on site?

  Yes

  No

  N/A

• 1.3.1. Are there adequate Fire and Emergency resources in place?

  Yes

  No

  N/A

• Is there a sufficient quantity fire extinguishers?

  Yes

  No

  N/A

• Is there a fire warden?

  Yes

  No

  N/A

• Is the fire assembly point clear and sign posted?

  Yes

  No

  N/A

• Is the route to the fire assembly point clear and sign posted?

  Yes

  No

  N/A

• Are there adequate 1st aid personnel and resources on site?

  Yes

  No

  N/a

• Are there sufficient 1st aid personnel?

  Yes

  No - there are insufficient 1st aiders

  N/a

• Are there sufficient 1st aid resources?

  Yes

  No - there are insufficient 1st aid resources

  N/a

2. Excavators

2.1. Excavator Safety

• Are excavators provided, used and maintained in a safe condition?<br><br>- Are certificates of thorough examination readily available?<br>- Is there provision for the operator to have all round vision?<br>- Is there a sign for the type of quick hitch and safety pin requirements displayed on the dipper arm?<br>- Is the flashing beacon working and being used?

  Yes

  No

  N/A

• 2.1.1. Are certificates of thorough examination readily available?

  Yes

  NO - Certificates of thorough examination are not readily available

  N/a

• 2.1.2. Is there provision for the operator to have all round vision?

  Yes

  No - operator does not have all round vision

  N/A

• 2.1.3. Is there a sign for the type of quick hitch and safety pin requirements displayed on the dipper arm?

  Yes

  NO - There is no sign for the type of quick hitch and safety pin requirements displayed on the dipper arm

  N/a

• 2.1.4. Is the flashing beacon working and being used?

  Yes

  NO - The flashing beacon is not working and being used

  N/a

2.2. Lifting Operations

• If used for lifting operations, are arrangements in place to plan and carry out the task safely?<br><br>- Is there a lift plan in place for the activity?<br>- If lifting in excess of 1tonne are there boom hose burst check valves fitted?<br>- SWL display on dipper or in cab?

  Yes

  No

  N/A

• 2.2.1. Is there a lift plan in place for the activity?

  Yes

  NO - No lift plan in place

  N/A

• 2.2.2. If excavator used for lifting operations in excess of 1tonne are there boom hose burst check valves fitted?

  Yes

  NO - There are no boom hose burst check valves fitted

  N/a

• Is SWL on display on dipper arm or in cab?

  Yes

  No

  N/A

3. Dumpers/Ride On rollers

• Are dumpers/rollers provided, used and maintained in a safe condition?<br><br>- Is roll over protection bar upright and locked in position?<br>- Are all lights functional (headlights, brake, tail, reversing and flashing amber lights)?<br>- Is seat belt functional and being used by operator when driving?<br>- Is drivers seat secure and adjuster functioning?<br>- Are wheels and tyres fit for use (treads, pressures, side walls, wheels and wheel nuts)?

  Yes

  No

  N/A

• 3.1.1. Is roll over protection bar upright and locked in position?

  Yes

  No - roll over protection bar not upright and locked in position

  N/a

• 3.1.2. Are all lights functional (headlights, brake, tail, reversing and flashing amber lights)?

  Yes

  NO - Lights are not functional (headlights, brake, tail, reversing and flashing amber lights)

  N/a

• 3.1.3. Is seat belt functional and being used by operator when driving?

  Yes

  NO - Seat belt is not functional and being used by operator when driving

  N/a

• 3.1.4. Is drivers seat secure and adjuster functioning?

  Yes

  NO - Drivers seat is not secure and adjuster functioning

  N/a

• 3.1.5. Are wheels and tyres fit for use (treads, pressures, side walls, wheels and wheel nuts)?

  Yes

  NO - Equipment not fit for purpose

  N/a

4. Hand held power tools

• Are hand held power tools provided, used and maintained in a safe condition?<br><br>- Are daily/before use checks carried out by operatives?<br>- Is the equipment fit for purpose (worn abrasive wheels, chisels, bits, plates etc.)?

  Yes

  No

  N/A

• 4.1.1. Are daily/before use checks carried out by operatives?

  Yes

  NO - Daily/before use checks are not carried out by operatives

  N/a

• 4.1.2. Is the equipment fit for purpose (worn abrasive wheels, chisels, bits, plates etc.)?

  Yes

  NO - Equipment not fit for purpose

  N/a

5. Excavations

5.1. Excavation Safety

• 5.1.1. Are Excavations safe?<br><br>- measures to prevent collapse<br>- measures to prevent falls from height<br>- temporary works<br>- measures to prevent water build up

  Yes

  No

  N/A

• Are there suitable measures are not in place to prevent trench wall collapse (batters, steps, shoring, boxes etc.)?

  Yes

  No

  N/A

• Is there anything in place to prevent water build up to trench floors (covers, sumps, pumping etc.)?

  Yes

  No

  N/A

• Are there elements of excavation works are classified as temporary works and are not being managed appropriately (Temporary works co-ordination, design brief, design, design checks, permit to erect/dismantle, Temporary works supervisor etc.)?

  Yes

  No

  N/A

• Are there measures in place to prevent people and/or plant from falling into the excavation (covers, road plates, barriers, blocks etc.)?

  Yes

  No

  N/A

5.2. Buried services

• 5.2.1. Have the Golden Rules been followed?<br><br>- excavation work compliant with HSG 47

  Yes

  No

  N/A

• Has G been followed? G Gather the relevant information from Statutory Providers service drawings, carry out visual survey to see if there’s anything missing on the drawings. SPEN/SGN must be contacted and invited to site whenever we will be working near HV cables or Medium/High pressure gas pipes

  Yes

  No

  N/A

• Has O been followed? O Obtain and assess competence of the people doing the work?

  Yes

  No

  N/A

• Has L been followed? L Locate services using CAT and Genny

  Yes

  No

  N/A

• Has D been followed? D Demarcate all services found with paint or markers on the ground

  Yes

  No

  N/A

• Has E been followed? E Ensure ACS or Client Permit to dig/excavate/break ground and relevant RAMS are in place before you to commence any further. The site supervisor must brief the Safe System of Work to all involved in the work

  Yes

  No

  N/A

• Has N been followed? N Now hand dig enough trial holes to confirm location and depth of identified services

  Yes

  No

  N/A

• Has R been followed? R Review service drawings to confirm that all services marked have been found and located

  Yes

  No

  N/A

• Has U been followed? U Use safe digging practices at all times, CAT scan every 200mm of digging to ensure there’s nothing else in the ground that wasn’t originally found.

  Yes

  No

  N/A

• Has L been followed? L Leave at least 500mm distance between mechanical plant and any live service

  Yes

  No

  N/A

• Has E been followed? E Ensure the works are supervised by a competent person at all times. If supervisor has to leave site for any reason then stop works.

  Yes

  No

  N/A

• Has S been followed? S Stop digging if you find anything unexpected i.e. concrete encased cables. Carry out a Point of Work Risk Assessment and decide on the safest way forward before recommencing.

  Yes

  No

  N/A

• 5.2.2. Are there correct hand tools available for safe digging to take place?

  Yes

  NO - There are not correct hand tools available for safe digging to take place

  N/a

6. Confined Spaces

• 6.1.1. Is confined space working safe?<br><br>- trained persons<br>- Risk assessment in place and briefed<br>- Permit to enter confined space in place<br>- Gas/oxygen testing and monitoring in place<br>- Emergency rescue equipment in place<br>- Emergency 1st Aider present

  Yes

  No

  N/A

• Confined space working safe - Is the type of confined space (excavation, manhole etc.)?

  Yes

  No

  N/A

• Have Personnel have had confined space training?

  Yes

  No

  N/A

• Is there Risk assessment in place and briefed?

  Yes

  No

  N/A

• Is there a Permit to enter confined space in place?

  Yes

  No

  N/A

• Is there Gas/oxygen testing and monitoring in place?

  Yes

  No

  N/A

• Is there Emergency rescue equipment in place?

  Yes

  No

  N/A

• Is there an Emergency 1st Aider present?

  Yes

  No

  N/A

7. COSHH

7.1. Use of Substances

• Are workers protected from substances hazardous to health?<br><br>- Are COSHH assessments available for all hazardous substances used on site?<br>- Have all personnel likely to be exposed to hazardous substances been briefed on the COSHH Assessments and controls?<br>- Have all operatives working with COSHH items been provide with specific and suitable PPE?<br>- Are flammable liquids and gases stored securely and away from sources of ignition?

  Yes

  No

  N/A

• 7.1.1. Are COSHH assessments available for all hazardous substances used on site?

  Yes

  No - COSHH assessments are not available for all hazardous substances used on site

  N/a

• 7.1.2. Have all personnel likely to be exposed to hazardous substances been briefed on the COSHH Assessments and controls?

  Yes

  NO - Personnel likely to be exposed to hazardous substances have not been briefed on the COSHH Assessments and controls

  N/a

• 7.1.3. Have all operatives working with COSHH items been provide with specific and suitable PPE?

  Yes

  NO - operatives working with COSHH items have not been provided with specific and suitable PPE

  N/a

• 7.1.4. Are flammable liquids and gases stored securely and away from sources of ignition?

  Yes

  NO - Flammable liquids and gases ar no stored securely and away from sources of ignition

  N/a

7.2. Dust

• Are people protected from dust?<br><br>- measures been taken to avoid the creation of dust (guillotines, pre cut slabs/ blocks/kerbs/bricks etc.)?<br>- personnel been briefed on the risks and controls of general dust and Respirable Crystalline Silica?<br>- Are suitable water suppression units provided and used (avoid the use of gravity fed water containers)?<br>- Is suitable respiratory protection provided and used ( FFP 3 disposable or half face masks)?<br>- Have all operatives at risk been face fit tested for the RPE being used?<br>- Are all operatives using RPE clean shaven?

  Yes

  No

  N/A

• 7.2.1. Have all measures been taken to avoid the creation of dust (guillotines, pre cut slabs/ blocks/kerbs/bricks etc.)?

  Yes

  NO - All measures have not been taken to avoid the creation of dust (guillotines, pre cut slabs/ blocks/kerbs/bricks etc.)

  N/a

• 7.2.2. Have all personnel been briefed on the risks and controls of general dust and Respirable Crystalline Silica?

  Yes

  NO - Not all personnel been briefed on the risks and controls of general dust and Respirable Crystalline Silica

  N/a

• 7.2.3. Are suitable water suppression units provided and used (avoid the use of gravity fed water containers)?

  Yes

  NO - Suitable water suppression units are not provided and used (avoid the use of gravity fed water containers)

  N/a

• 7.2.4. Is suitable respiratory protection provided and used ( FFP 3 disposable or half face masks)?

  Yes

  NO - Suitable respiratory protection is not provided and used ( FFP 3 disposable or half face masks)

  N/a

• 7.2.5. Have all operatives at risk been face fit tested for the RPE being used?

  Yes

  NO - All operatives at risk have not been face fit tested for the RPE being used

  N/a

• 7.2.6. Are all operatives using RPE clean shaven?

  Yes

  NO - Not all operatives using RPE are clean shaven

  N/a

8. Vibration

• Are workers protected from vibration?<br><br>- Does the vibrating tool in use have the lowest vibration magnitude available?<br>- Is the use of vibrating tools the safest method to carry out the task?<br>- Have all personnel been briefed on early signs and symptoms of HAVS and control measures to prevent over exposure?<br>- Are vibration emissions marked on vibrating tools?<br>- Are all operatives aware of vibration data and acceptable trigger times for vibrating tools they are using?

  Yes

  No

  N/A

• 8.1.1. Does the vibrating tool in use have the lowest vibration magnitude available?

  Yes

  NO - The vibrating tool in use does not have the lowest vibration magnitude

  N/a

• 8.1.2. Is the use of vibrating tools the safest method to carry out the task?

  Yes

  NO - there are safer methods of work that don’t expose people to the risk of HAVS?

  N/a

• 8.1.3. Have all personnel been briefed on early signs and symptoms of HAVS and control measures to prevent over exposure?

  Yes

  NO - Personnel have not been briefed on early signs and symptoms of HAVS and control measures to prevent over exposure

  N/a

• 8.1.4. Are vibration emissions marked on vibrating tools?

  Yes

  NO - Vibration emissions are not marked on vibrating tools

  N/a

• 8.1.5. Are all operatives aware of vibration data and acceptable trigger times for vibrating tools they are using?

  Yes

  NO - Operatives are not aware of vibration data and acceptable trigger times for vibrating tools they are using

  N/a

9. Manual Handling

• Are manual handling activities carried out safely?<br><br>- Mechanical handling equipment available and in use?<br>- carried out taking cognizance of T.I.L.E (Task, Individual, Load, Environment)

  Yes

  No

  N/A

• 9.1.1. Mechanical handling equipment available and in use?

  Yes

  NO - Mechanical handling equipment unavailable or not in use

  N/a

• Are tasks being carried out taking cognizance of T.I.L.E (Task, Individual, Load, Environment)

  Yes

  No

  N/A

10. Noise

• Are people protected from noise?<br><br>- Does equipment have noise emission data or warnings marked or labelled?<br>- Are people are wearing mandatory and applicable PPE?

  Yes

  No

  N/A

• 10.1.1 Does equipment have noise emission data or warnings marked or labelled?

  Yes

  NO - Equipment has no noise emission data marked or labelled

  N/a

• 10.1.2. Are people are wearing mandatory and applicable PPE?

  Yes

  NO - People are not protected from excessive noise levels

  N/a

11. Training

• 11.1. Have all training requirements been met?

  Yes

  No

  N/A

• Is there SMSTS/SSSTS?

  Yes

  No

  N/A

• Is there Temporary Works?

  Yes

  No

  N/A

• Is there Confined Spaces?

  Yes

  No

  N/A

• Is there Dumper/Roller?

  Yes

  No

  N/A

• Is there First Aid?

  Yes

  No

  N/A

• Is there Cat & Gen?

  Yes

  No

  N/A

• Is there CPCS/CSCS?

  Yes

  No

  N/A

• Is there Lifting operations?

  Yes

  No

  N/A

• Is there Quick Hitch?

  Yes

  No

  N/A

• Is there Slinger/Banksman?

  Yes

  No

  N/A

• Is there Street Works?

  Yes

  No

  N/A

• Is there Face Fit Testing?

  Yes

  No

  N/A

• Is there Abrasive wheels?

  Yes

  No

  N/A

• Manual Handling?

  Yes

  No

  N/A

12. Environment

12.1. Waste

• Is waste management compliant?<br><br>- waste plan in place<br>- waste segregated<br>- WTN's/consignment notes compliant for waste removed from site<br>- waste carriers/transfer stations/landfill tips licensed

  Yes

  No

  N/A

• 12.1.1. Is there a waste plan in place?

  Yes

  NO - There is no waste plan in place

  N/a

• 12.1.2. Is waste segregated?

  Yes

  NO - Waste is not segregated

  N/A

• 12.1.3. Are WTN's/consignment notes compliant for waste removed from site?

  Yes

  NO - WTN's/consignment notes are not compliant for waste removed from site

  N/a

• 12.1.4. Are waste carriers/transfer stations/landfill tips licensed?

  Yes

  NO - Waste carriers/transfer stations/landfill tips are not licenced

  N/a

12.2. Pollution Prevention and Control

• Is PPC measures compliant?<br><br>- measures suitable and sufficient<br>- spill prevention/containment measures in place<br>- requisite licenses, registrations, exemptions in place

  Yes

  No

  N/A

• 12.2.1. Are pollution prevention measures suitable and sufficient

  Yes

  NO - pollution prevention measures are not suitable and sufficient

  N/a

• 12.2.2. Are there adequate spill prevention measures in place?

  Yes

  NO - Adequate spill prevention measures are not in place

  N/a

• 12.2.3. Are requisite licenses, registrations, exemptions in place?

  Yes

  NO - Requisite licenses, registrations, exemptions are not in place

  N/a

Other

• Are there any issues posing an immediate significant risk to health and safety? (If yes, what immediate action has been taken?) (Note : 'yes' subtracts 10 from score)

  Yes

  No

• Are there any other issues on site which may result in non compliance or non conformance and which do not carry a significant risk to health and safety?

  yes

  no

• Item 1

  Safe

  At Risk

  N/A

• Item 2

  Safe

  At Risk

  N/A

• Item 3

  Safe

  At Risk

  N/A

• Additional comments

• Additional photographs

  Media

• Were there any good practices or 'above the line' behaviors noted?

  Yes

  N/A

Audit end

• H&S signature

  Sign

• Ganger signature

  Sign