Section 1

Section 1 - VEHICLE

1.1 Van livery displayed with current contact centre number. NRSWA liveried ?
- Double click here to add notes / image of vehicle livery

1.2 Vehicle parked safely with consideration for the safety of the general public and persons on site. Site tidy and contained as far as possible ?

1.3 Van clean and tidy - Externally RFL / MOT current
- Double click here to add notes / image of vehicle exterior

1.4 Van clear and tidy - Internally Segregated clean / dirty areas
- Double click here to add notes / image of vehicle interior

1.5 Engineer in MR uniform, ID, CSCS Card, Drivers Licence checked ?
- Double click here to add notes / image of vehicle

1.6 Engineer utilising correct PPE ?

1.7 Yellow dual beacon operable and visible 360 degrees ?

1.8 All lights in good working order ?

1.9 Are all tyres in good serviceable condition ?

Section 2

Section 2 - WATER JETTER
2.1 Water Jetter - Make / Model / Pressure / Flow - Double click here to add notes / image of Jetter

2.2 Jetter condition - pressure safety devices and general condition

2.3 Hose condition - no core visible. Check fix to jet heads and ancillary devices. Check pressure rating ?

2.4 Remote / OMO / condition. Emergency stop fitted and functioning ?

2.5 Jets & Ancillary Equipment

2.6 Standpipe and Key

2.7 Has the site been made safe with appropriate signage, lighting and guarding Standpipe

2.8 Is the work being carried out efficiently

Section 3

Section 3 - EMC & ELECTRICAL EQUIPMENT
3.1 EMC, Hand held - Make / Model / Battery / Power

3.2 EMC Stand alone - Make / Model

3.4 Transformer / extension leads / 110v / 240v

3.5 Angle grinder 110v

3.6 PAT testing in date

Section 4

Section 4 - CCTV EQUIPMENT
4.1 CCTV - Make / Model / Capabilities

4.2 Power generator

4.3 Van fitted inverter

Section 5

Section 5 - SITE & HAND TOOLS inc SAFETY SIGNS
5.1 Are there adequate small tools available - ie manhole keys etc for the work being undertaken and fit for purpose
5.2 Are there adequate safety signs for the work being undertaken - eg jetting / open manhole / barriers

5.3 Kenetic Ram or equivalent

5.4 Drain Rods

5.5 First Aid kit - in date

5.6 Fire Extinguisher - in date

5.7 Hand Wash / Hygiene facility on board

Section 6

Section 6 - SAFETY EQUIPMENT

6.1 Gas monitors - in calibration

6.2 Tripod / Escape set

6.3 Drain tracer / Sonde

6.4 Heavy duty manhole cover lifter - Hydraulic / Magnetic / Manual

6.5 Liquids - COSHH & Diesel - Bunded

6.6 Spill kits - present

Section 8

Section 8 - PERSONAL PROTECTIVE EQUIPMENT (PPE)

8.1 Overalls - blue / polycotton - including spare set

8.2 Safety Helmet - Full size - EN397

8.3 Goggles - EN166

8.4 Visor - EN166

8.5 Ear defenders - Cup type - EN352

8.6 Boots - Steel toe cap

8.7 Wellington boots - Steel toe cap

8.8 Gloves - 24" - Arm length

8.9 Gloves / Gauntlet PVC granular armoured

8.10 Gloves - Medical

8.11 High visibility coat - EN471

8.12 High visibility waist coat

8.13 Wet suit - EN343

8.14 Safety torch

8.15 Safety harness

Section 9

Section 9 - CERTIFICATION / DOCUMENTATION

9.1 Risk assessments / Method statements

9.2 Engineer training certificates - High Pressure Water Jetting / Confined Space / NRSWA / CSCS
9.3 Engineer cards - WJA hazard / Lepto / Casualty

9.4 PUWER - maintenance records for vehicle and jetter

9.5 Waste transfer records

Section 10

Section 10 - H&S AWARENESS

10.1 Does the engineer understand his responsibilities regarding Health & Safety

10.2 Does the engineer demonstrate a good understand of Health & Safety procedures and current regulations

What was the last Tool Box Talk delivered to the engineer

10.4 Has the engineer seen copies of safety bulletins

10.5 Was the engineer observed working safely and judged to be competent at their job tasks

Section 11

Section 11 - CLIENT COMMUNICATIONS

11.1 Did the engineer give advice on how to prevent further blockages

11.2 Has the engineer made further recommendations based on his findings

11.3 Has the engineer explained any guarantee

Summary

SUMMARY, FINDINGS & COMMENTS

Engineers comments:

Auditors comments:

Sign off

SIGN OFF - acceptance of the summary, findings & comments
Engineer signature

Auditor's signature

Add drawing
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.