001 - Site Safety Report HSE

• Company Name:

• Conducted on

  Date

• Prepared by

• Location
  Address

Customer Details:

• Customer Name:

• Customer Address:

Site Details:

• Site Manager

• Project Manager

• Site Tel No.

• Works that are in Progress..?

Assessment Details

• Assessment Date:

  Date

• Assessment Undertaken By:

• Contact Tel No:

• E-mail

Audit Overview

• 1. Documentation
  2. Signage
  3. General Housekeeping
  4. Access Conditions
  5. Welfare Arrangements
  6. PPE
  7. Protection Against Falls/Working at Height
  8. Fire
  9. Electrics
  10. Plant and Equipment:
  11. Scaffolds
  12. Excavations
  13. Site Waste Management

001 - Documentation

• Documentation Applicable..?

  Yes

  No

• Details:

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• Photos:

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002 - Signage

• Signage Applicable..?

  Yes

  No

• Details:

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003 - General Housekeeping

• General Housekeeping Applicable..?

  Yes

  No

• Details:

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004 - Access Conditions

• Access Conditions Applicable..?

  Yes

  No

• Details:

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005 - Welfare Arrangements

• Welfare Arrangements Applicable..?

  Yes

  No

• Details:

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006 - PPE

• PPE Applicable..?

  Yes

  No

• Details:

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• Hard Hats - On almost all construction sites the risks of head injury are such that the law requires head protection to be worn.
  - To ensure 'Head Protection 'is worn this should be made a 'Site Rule'

007 - Protection Against Falls/Working at Height

• Protection Against Falls/Working at Height Applicable..?

  Yes

  No

• Details:

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008 - Fire

• Fire Applicable..?

  Yes

  No

• Details:

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009 - Electrics

• Electrics Applicable..?

  Yes

  No

• Details:

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010 - Plant and Equipment

• Plant and Equipment Applicable..?

  Yes

  No

• Details:

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011 - Scaffolds

• Scaffolds Applicable..?

  Yes

  No

• Details:

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012 - Excavations

• Excavations Applicable..?

  Yes

  No

• Details:

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013 - Site Waste Management

• Site Waste Management Applicable..?

  Yes

  No

• Details:

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• Any Outstanding Issues..?

  Yes

  No

• Details:

• Have the outstanding Issues been managed..? e.g - Control Measures put in Place, Risk Eliminated etc..?

  Yes

  No

• Corrective Action Needed - Work may need suspending depending on Severity of Risk

Corrective Action

• Reference No.

• Recommended Actions :

• Implementation By :

  Date

• Any Concerns Raised..?

  Yes

  No

• Complete below Corrective Action Form

Corrective Action

• Reference No.

• Recommended Actions :

• Implementation By :

  Date

• Site Score..?

• Site Auditor Signature

  Sign

Scoring System

• 10 - Categories that the Inspector is certain cannot be improved upon
  9 - Categories that lack a minor detail that is NOT likely to cause injury, harm or damage
  8 - Corrective action is needed - The non-compliance is unlikely to lead to harm, injury or
  damage but is contrary to the law, industry best practiceor Clients safety standards
  7 - Corrective action is needed - The non-compliance could lead to harm, injury or damage.
  Also used when there is significant non-compliance with the industry best practice
  6-1 - Corrective action is needed - A significant risk is proposed or the category is seriously short of the legal requirement or industry best practice
  0 - Corrective action is needed - Where there is nothing positive or correct about that category

Notes

• PPE -
  Hard Hats - On almost all construction sites the risks of head injury are such that the law requires head protection to be worn.
  - To ensure 'Head Protection 'is worn this should be made a 'Site Rule'
  Safety Footwear - Construction workers are expected to wear protective footwear whilst on site and doing heavy work.
  - Steel Toecaps (or equivalent) protect against dropped objects. Midsole Protection (usually a steel plate) protects against puncture or penetration if you tread on a nail.
  - 'Rigger Boots' are much more likely to suffer twisted or sprained ankle injuries. Rigger Boots are a looser fit and the wearer is less able to prevent the foot from twisting to the side on uneven ground.