Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Team Leader/LDP
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Work Type
RO/NRO
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RO Post Checks
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RO Pre start quality
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Is the Ro Live?
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NRO Post Checks
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NRO Pre start quality
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Is the NRO Live?
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CP Competency Checks
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AE Competency Checks
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Permit for Deep Excavation
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Cable Avoidance
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Training Records
PC Roles
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Discussion held with SDS/SMS
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MWC Roles Maturity Discussion held with SDS/SMS
Site Arrival
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Inducted and site register signed?
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Are safe digging techniques being employed and mark up to a sufficient standard?
Pre Con Pack
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Are utility drawings in place
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Vulnerable customer list available?
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Pre Con risk map available?
CPP
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Is this correctly completely with the correct names and available on site?
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Are the team producing all things necessary for pack completion? ie DR4,DAF,SHALLOW MAINS,TEST CERTS,
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RA's and Permit to dig available?
- Yes
- No
- N/A
Welfare Facilities
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Drinking Water available?
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Are facilities fit for purpose and clean?
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Are there facilities to dry clothing?
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First aid and eyewash available and in date?
Site Setup
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Can road users and Pedestrians navigate through the site safely and free from trip hazards/
PPE
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Is the correct PPE being worn?
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Task specific PPE available?
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Is PPE acceptable, clean/not torn.
PLANT AND VEHICLE MANAGEMENT
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Mechanical plant in safe working order/Plant check sheet filled in?
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Plant/vehicles parked in a safe manner door to footpath, wheels turned to kerb etc?
- Yes
- No
- N/A
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Are trailers safely parked and chocks used?
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SSW for plant being adhered to/ Banksman for excavators/Grab lorry's
Fatigue Management
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Are the Team aware of their LDP fatigue management systems
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Are the team aware of the LDP HAVS management system and is it being followed?
EMERGENCY PROCEDURES
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Are the team aware of the Gas escape procedure if found/reported to them?
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Have the team got access to Hazard/Near Miss reporting system?
PIPE AND FITTINGS
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Are pipe and fittings being stored correctly, Dry stored and no open fittings or open ends on service pipe?
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Is there a reasonable amount of fittings onsite to complete the task, No large access of fittings onsite.
MSL/1 COMPLIANCE
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Are works being completed to Cadent standards/Procedures?
SAFETY EQUIPMENT
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Are the extinguishers in good condition,pressurised and within inspection date?
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Are there enough extinguishers available to cover span of works?
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Are Dust masks available/in date and fit for use?
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Can operatives demonstrate how to carry out equipment checks?
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Are face fit certs available? BA/Dust masks
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Is the Team clean shaven?
SERVICE LAYING AND TESTING
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Are activities being carried out to cadent standards?
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Service testing being carried out as per Cadent Standards?
MAINS TESTING
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Are mains testing being carried out to Cadent Procedures?
Continuity Bonds
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Are the team working on electrical insulation ie IJ's, Standpipe Insulation, Temp con bonds?
NRSWA
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Is there at least one streetworks card available?
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Is the Chapter 8 (Redbook) available Oct 13 with June 14 updates? (Paperback or electronically)
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Does the team understand the permit conditions and are they being followed?
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Are the correct permit numbers being displayed inc correct contact number?
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Is the permit in progress and have the contacted planner to check?
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Spoil away within 24hrs and reinstatement tight up
VYN
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Can the team demonstrate they are doing a min of 2 VYNS a day
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SLG as per Redbook?
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If TM is manned, are the appropriate personnel onsite?
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Are intelligent lights being used where appropriate
