Information

  • MEMBER COMPANY ON SITE?

  • undefined

  • MEMBER COMPANY

  • SITE ADDRESS

  • CONTRACTS MANAGER

  • SITE MANAGER/SUPERVISOR

  • SITE NUMBER

  • Prepared by

  • DATE/TIME

SITE SET UP

  • RATING

  • Perimeter Fencing/Signage/Security

  • Traffic Management (Plan in place and up to date?)

  • Storage/Housekeeping

  • Other

WELFARE FACILITIES

  • RATING

  • Canteen

  • Hot/Warm Running Water

  • Hygeine/Soap/Towels etc

  • Toilets

  • Boiling Water/Heating Food

  • Other

DOCUMENTATION

  • RATING

  • Construction Phase Plan

  • Risk/COSHH Assessments/Method Statements

  • F10 (expiry date)

  • H & S Law Poster

  • Insurance Certificate

  • Notice Board (take photo)

  • Induction Records

  • Permits

  • Temporary Works (Register, Designs, Checks etc)

  • Other

WORK AT HEIGHT

  • RATING

  • Edge Protection

  • Ladders/Stepladders

  • Soft Landing Systems/Nets

  • Trestles

  • Harness/Lanyard

  • Stairwells/Openings in Floors

  • Low level access (podiums/hop ups)

  • Other

SCAFFOLD

  • RATING

  • Scaffold Access/ladders

  • Scaffold Suitability

  • Scaffold - General Condition

  • Scaffold Inspections/Handover Certificates

  • Scaffold Design

  • Scaffold Signage

  • Scaffold Ties/Stability

  • Scaffolders Competency

  • Other

MOBILE ACCESS TOWERS

  • RATING

  • Training/Competence

  • General Condition

  • Inspection/Tags

  • Other

OCCUPATIONAL HEALTH HAZARDS

  • RATING

  • Dust

  • Noise

  • Vibration

  • Asbestos/Asbestos Surveys

  • Lead

  • Manual Handling

  • Other

LIFTING OPERATIONS

  • RATING

  • Lifting Plan

  • Certification

  • Inspections

  • Competency

  • Other

ELECTRICITY/PORTABLE TOOLS

  • RATING

  • Leads/Cables/Plugs

  • PAT Testing/Inspection

  • Other

PPE

  • RATING

  • Head

  • Eye

  • Hands

  • Respiratory Protective Equipment (RPE)

  • Hearing

  • Feet

  • Hi-viz

  • Other

FIRE/EMERGENCIES/FIRST AID

  • RATING

  • Fire Risk Assessment/Action Plan

  • Escape Routes/Signs

  • Fire Extinguishers

  • Inspections (weekly checks)

  • Fire Drill

  • First Aid

  • Accident Book

  • Other

EXCAVATIONS/EARTHWORKS

  • RATING

  • Underground/Overhead Services

  • Shoring/Battering/Benching

  • Edge Protection

  • Inspections

  • Confined Spaces

  • Other

ENVIRONMENTAL ISSUES

  • RATING

  • Transfer Notes/Licences

  • Contaminated Ground/Water

  • Fuel Storage/Use

  • Spill Response/Containment/Emergencies

  • Other

MEWP'S

  • RATING

  • Operator Competence

  • Fall Prevention/Harnesses

  • Certification

  • Inspections

  • Barriers/Signage

  • Other

PLANT & EQUIPMENT

  • RATING

  • Operator Competence

  • Inspections

  • Maintenance/Certification

  • Safe Use

  • Quick Hitches

  • Other

SUBCONTRACTORS

  • RATING

  • Documentation

  • Supervision/Competence

  • Housekeeping

  • Other

MANAGEMENT & SUPERVISION

  • RATING

  • Comments

FUTURE WORKS LOOK AHEAD

  • Are there proposed works at height, temporary works, excavations or other high risk activities ?

EXAMPLES OF INNOVATIVE OR OUTSTANDING H&S PRACTICES

  • Are there any innovative or outstanding H&S Practices seen on site?

Sign off

  • I confirm I have had the contents of this report explained to me.

  • Member company Manager/Representative

  • Person conducting this inspection

  • In the event that a Member Company is investigated by or on behalf of the Health and Safety Executive, Northern Counties Safety Group will not be liable to the Member Company for the Fees for Intervention paid by the Member Company to the HSE in accordance with the Health & Safety (Fees) Regulations 2012

CLOSE OUT

  • Corrective Actions Carried Out:

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