Site Audit Form

Date

Time

Site Location

Closure Type

Closure Type (Other)

Site Foreman

Site Foreman (Other)

Inspected by

Inspected by (Other)

Safe TM Job Number

Client

Client (Other)

Weather Conditions

Weather Conditions (Other)

Guidance

A) Each item is to be given a score between 0 to 5 in the item box.
B) If the item is not applicable to that particular site then enter "0" in the box.
C) Any remedial actions should be listed on the actions page.
D) Inspection results and actions must be noted.

Scores
0	N/A
1	Very Poor - Immediate preventative action required.
2	Poor - Needs corrective action.
3	Adequate - Acceptable minimum standard
4	Good - Above adequate standard
5	Excellent - Above and beyond

1) Are the advance signs as to the TM drawing?

1) Score

Photo

2) Condition of the sign plate? Are the legends correct? Correct for road type? List any plate needs changing.

2) Score

3) Are the frames secured properly? Sandbags & straps must be used)

3) Score

4) Are all signs sighted safely and cleared visible? Do any signs need cones next to them?

4) Score

5) Are all signs sighted safely and cleared visible? Do any signs need cones next to them?he frames secured properly? Sandbags & straps must be used)

5) Score

6) Are all cones/lamps spaced correctly?

6) Score

7) Are all safety zones in place and correct for the type of road?

7) Score

8) Are the timings on the TTL's set correctly for the road?

8) Score

9) Score

10) Is there a method for reporting near misses?

10) Score

11) Has a pre-start briefing been carried out for the works installed?

11) Score

12) Has operatives got valid Lantra/CSCS cards?

12) Score

13) What's the condition of the vehicle - interior/exterior?

13) Score

14) Does the vehicle have a valid first aid kit?

14) Score

Other comments/observations & remedial actions

Score

From an Available Score of

Score Guide: 0 – N/A, 1 – Very Poor – Immediate preventative action required, 2 – Poor – Needs corrective action, 3 – Adequate – Acceptable minimum standard, 4 – Good – Above adequate standard, 5 – Excellent – Above and beyond.

Site Audit Form

Guidance

Scores