Van / site audit

General information

• Document No.

• Conducted on

  Date

• Prepared by

• Client / Site

• Work number

• Location
  Address

• Operative 1

• Operative 2

Health& Safety

• Cat and Genny

  Yes

  No

  N/A

• Buried utilities apparatus clearly marked

  Yes

  No

  N/A

• Site risk assessment completed

  Yes

  No

  N/A

• Utility service drawings available

  Yes

  No

  N/A

• ID card carried

  Yes

  No

  N/A

• PPE being worn

  Yes

  No

  N/A

• First aid kit complete

  Yes

  No

  N/A

Water Quality

• EUSR card medical clearance

Operative

• Operative name

  Yes

  No

  N/A

• Fittings clear prior to use

  Yes

  No

  N/A

• Spillage kits

  Yes

  No

  N/A

• Fittings clean prior to use

  Yes

  No

  N/A

• Disinfection spray (correct dosage)

  Yes

  No

  N/A

• Van tidy in & out

  Yes

  No

  N/A

Site Audit

• All relevant signs in correct sequence

  Yes

  No

  N/A

• Barriers around all sides of excavation

  Yes

  No

  N/A

• All materials and soil inside barriers

  Yes

  No

  N/A

• Work safety zone correctly used

  Yes

  No

  N/A

• Kerb ramps used where required

  Yes

  No

  N/A

• Site clean and tidy

  Yes

  No

  N/A

• Traffic lights set up correctly

  Yes

  No

  N/A

• Sump hole excavated if nescessary

  Yes

  No

  N/A

Additional information

• Comments

• Site drawings (only if applicable)

Drawing

• Van registration

• Information

• Drawing

  Drawing