Daily Site Risk Assessment- MDU

Map Group (UK) Daily Site Risk Assessment

"MDU"
Please continue through each section to answer all the questions correctly. If you at any stage feel that you don't have correct equipment or training to complete the job, than you must stop working & immediatley contact your supervisor.
RNDID*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DateTime
Inspection Date*

Section-1 Team Details
Lets get a few more details of who you are inspecting. Please fill out the required fields below so that we know who we are dealing with
How many operatives being audited?*
Team Member 1

First NameLast Name
Team Member 2

First NameLast Name
Team Member 3

First NameLast Name
Team Member 4

First NameLast Name
Team Member Email*
Please Enter any of the Team Member's Email Address
Team Manager*
Choose Other if the TM isn't listed
Find the managers email address (Click the button below)
Other Team Manager
Manager Email*
Client Name*
Work Stream*
If not listed select Other
Are you a Direct Labor or Sub-Contractor?*
Sub-Contractor*
If not listed select Other
Vehicle Registration
Please use the format in capitals without spaces i.e NU18UOV

Section-2 Site Accreditation
2.1 Do you have relevant Accreditation/Qualification to work on Site?*

Section-3 Equipment Details
3.1 Vehicle Pack*
3.2 Street works Red Book*
3.3 All Working at Height equipment (Serviceable, inspected and correct color tags)*
3.4 4 headed gas tester charged and calibrated and without errors (please insert the number of days left for calibration below)*
Calibration Days Remaining
3.5 Pipe Locator*
3.6 Voltage Pen*
3.7 PPE (Eye protection, dust mask, ear protection, hard hat with chin strap, gloves)*
3.8 ID/SMART Awards card*
3.9 Cordless Drill (Serviceable and PA Tested)*
3.10 First Aid Kit + Eyewash*
3.11 Sufficient Signs, Lights & Guarding*
3.12 Works Mobile Phone*
3.13 Martindale*
3.14 Safety Boots*
3.15 High Vis Jacket (Long Sleeve)*
3.16 Internal Works Sign*
3.17 Dust Sheets*

Section-4 Site Details
4.1 Are all personnel on site adhering to Government, client and Map Group guidance in regards to COVID-19, according to the Map Group COVID-19 Risk Assessment & Method Statement?*
4.2 Relevant Job Pack available on site inc. RAMS, COSSH Spreadsheet etc.*
4.3 Has there been a survey completed on the job pack?*
4.4 Is the asbestos register available, if NO, stop work and contact your manager?*
4.5 If asbestos has been highlighted within the register, are the correct control measures in place. (If unsure, stop work and contact your manager immediately)? *
4.6 WAH Equipment used (LIST IN THE BOX- ie. Ladder, Step-ladder, Pop-up etc.)?*
4.7 Has all WAH equipment been inspected prior to use and tagged with correct colour *
4.8 If drilling is utilised within the building, has drill and associated equipment been inspected prior to use and PA Tested/Calibrated (If NO, contact your manager)?*
4.9 Are all clips, screws, fire boards and sealant used to the correct fire regulatory specifications and fire restraint products available to seal holes/voids after works (If NO, contact your manager)?*
4.10 Have basements, risers and other areas where utilities are found been tested for gaseous vapours, If the gas test is positive stop work and follow Map Group uk positive gas test procedures?*
4.11 Is all equipment used on site suitable for the activity, maintained and serviced?*
4.12 Are hand tools being used and the correct tools available for the task. (All tools insulated)?*
4.13 If COSHH materials have been used on site, has the COSHH spreadsheet been referred to and controls applied? *
4.14 Is there the required accreditation and training available on site to work on all streets and roads? (Minimum requirement is NRSWA Streetworks unit 2) If no, STOP work and contact manager immediately? *
4.15 Have you identified the speed of the road you are working on?*
4.16 If the road is less than 50mph speed limit and a single carriageway or 40mph and a dual carriageway, is there NRSWA Streetworks Unit 2 accreditation on site, correct PPE and relevant Sign, Lighting, Guarding (SLG) so work can continue? **
4.17 If the road is 50mph speed limit or above? Is there additional traffic management accreditation on site. If the additional accreditation is not available then work must STOP and referred back to the manager for Traffic Management (TM) provisions? **
4.18 Suitable Sign, Lighting, Guarding (SLG) used on site to protect the opertives and the public, inc. internal works signs?*
4.19 Suitable PPE available and used correctly when undertaking Street works activities. (Minimum PPE requirements are Safety Boots, Gloves, Helmet with chin strap and Hi-Viz clothing- Short Sleeve is acceptable on roads under 50 mph, Long sleeved must be worn on roads 50 mph and above. Note- If working in Scotland Long Sleeve is mandatory on ALL roads?*
4.20 When Traffic Management is required, is all TM set up correctly by a trained person/team/contractor before work is started. If TM is not set up DO NOT start work?*
4.21 Have you been briefed on the buildings fire evacuation procedures and aware of the closest fire exit- If NO, contact your manager to discuss before continuing work?*
4.22 Are you aware of the closest welfare facilities, if NO, contact manager?*
4.23 Has all waste been removed correctly, according to procedure and disposed of using licenced waste carriers?*

Section-5 Site/Equipment Photographs
Optional Photo 1
Optional Photo 2
Optional Photo 3
Optional Photo 4
Optional Photo 5
Technician Signature

Clear
Risk Assessment Score
Yes
No
Score
Please verify that you are human*

Should be Empty:

Map Group (UK) Daily Site Risk Assessment