Submit
Service Avoidance Audit Inspection Form
Team Names:
Supervisor:
Location:
Date:
Time:
Standard Requirement
Comments
Remedial Actions Rectified
Required Standard Met
1.
All 5-point PPE worn as required by company standards
Are all Digging Operatives in arc proof clothing/overalls
Y/N
2.
Area (& extended area) assessed for hazards, site specific risk assessment, permits completed and briefed
Y/N
3.
Cable location equipment checked for calibration and service date
CAT calibration date:
Genny calibration date:
4.
Equipment is safe and fit for use including tools for carrying out excavation
All hand tools insulated
Y/N
5.
Utility plans available and used, are they legible and did you understand the plans
HV Electric
Y/N
LV Electric
Y/N
GAS
Y/N
WATER
Y/N
SEWAGE
Y/N
BT
Y/N
TELECOMMS
Y/N
Other comments
6.
Visual assessment of the area carried out for indications of services (EG: Scarring) or hazards
Y/N
7.
Genny used appropriately (direct connection and induction modes)
Was Genny connected to nearest lamp post during visit?
8.
Full CAT scan of the area using all modes and marked clearly to the edge and across the area of dig
Crayon
Chalk
Spray Paint
9.
Download CAT and give relevant feedback
Usage (seconds)
POWER
RADIO
GENNY
AVOIDANCE
10.
What tools have been selected to carry out excavation and why?
11.
What frequency is the periodic monitoring of the excavation?
Rescanning
12.
If a cable encased in concrete or an electric warning tile is found what is the next step?
Y/N/NA
13.
Have all utilities in the excavation been positively identified
Y/N
14.
List all utilities found in the excavation
Y/N
15.
Are safe digging practices being adopted?
Y/N
16.
When was the last Service Avoidance training course attended?
Ticket/Certification shown
Date
Date
Date
Supervisor Comments:
Feedback from Team
Team Leader Signature
Date
Supervisor Signature
Date