Information

General information

  • Document No.

  • Conducted on

  • Prepared by

  • Client / Site

  • Work number

  • Location
  • Operative 1

  • Operative 2

Audit details

Health& Safety

  • Cat and Genny

  • Buried utilities apparatus clearly marked

  • Site risk assessment completed

  • Utility service drawings available

  • ID card carried

  • PPE being worn

  • First aid kit complete

Water Quality

  • EUSR card medical clearance

  • Operative
  • Operative name

  • Fittings clear prior to use

  • Spillage kits

  • Fittings clean prior to use

  • Disinfection spray (correct dosage)

  • Van tidy in & out

Site Audit

  • All relevant signs in correct sequence

  • Barriers around all sides of excavation

  • All materials and soil inside barriers

  • Work safety zone correctly used

  • Kerb ramps used where required

  • Site clean and tidy

  • Traffic lights set up correctly

  • Sump hole excavated if nescessary

Summary

Additional information

  • Comments

  • Site drawings (only if applicable)

  • Drawing
  • Van registration

  • Information

  • Drawing

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.