001 SRBS Ltd H&S Registers Copy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Lead Operative

LOLER Description.

• Cranes and other lifting equipment (Lifting Operations and Lifting Equipment Regulations 1998)
  Please acknowledge:
  Reports of the results of every inspection made in pursuance of Regulation 9(3)b and 10(2)b of the Lifting Operations and Lifting Equipment Regulations.
  Inspection period every 7 days
  Lifting equipment includes: Mobile Cranes, lifting frames, goods lifting cage, brick forks, Lorry loaders, gin wheels, fork lifts, trucks and ropes used for access.

Equipment:

• Add Equipment:

Equipment:

• Description of work equipment and identification number.

• Picture of equipment:

  Media

• Result of inspection: State appropriate findings including defects

PPE Register

• Add Operative:

Operative:

• PPE Issued:

  Select Hard Hat Boots Gloves Hi-Vis Ear Defenders Safety Glasses Coveralls

  • Hard Hat
  • Boots
  • Gloves
  • Hi-Vis
  • Ear Defenders
  • Safety Glasses
  • Coveralls

• Date Issued

  Date

• Date Returned

  Date

• Operative name and signature:

  Sign

PUWER Description:

• Inspection of work equipment:
  Please Acknowledge:
  Reports of the results of every inspection made in pursuance of Regulation (1) (a) (b) 2 (a) (b) & (3) of the provision and use of work equipment.
  Inspection period every 7 days
  Work Equipment Includes: Spams, Mixers, Dumper Trucks, Abrasive Wheels, Electric Wheels, Electric Drills, Asphalt Cauldrons & Bitumen Boilers

• Add Equipment:

Equipment 1:

• Description of work equipment and identification number.

• Picture of equipment:

  Media

• Result of inspection: State appropriate findings including defects

Tool Box Talks

• Tool box talk briefing register: CITB No: 3215901

• Tool box talk subject:

• Start Time:

  Date

• End Time:

  Date

• Add Operative:

Operative:

• Operative name and signature:

  Sign

• Tool box talk provider:

  Sign

Site Review Sheet & Contract Report Sheet

• Details of area inspected:

The following matters require immediate attention:

• Add Matters:

Matter:

• Description:

• Photo:

  Media

• Resolution Method:

• Resolution Date:

  Date

Further details of area inspected:

• Check exterior of property for damage e.g. Fence, Windows.

• Cleared?

• Clearance of snagging list items

• Cleared?

• All Rubbish cleared from site?

• Cleared?

• Further matters of consideration?

• Cleared?

Fire Inspection Control Items:

• All combustibles and rubbish being removed regularly from work areas?

  YES

  NO

  N/A

• Fire procedures included in the safety plan. Fire and emergency procedures displayed?

  Select YES NO N/A

  • YES
  • NO
  • N/A

• Fire extinguishers locations correctly signed and extinguishers stored in the correct locations?

  YES

  NO

  N/A

• Fire extinguishers in good condition and services in last 12 months?

  YES

  NO

  N/A

• Appropriate number of fire extinguishers?

  YES

  NO

  N/A

• Fire extinguishers being inspected weekly for damage?

  YES

  NO

  N/A

• Fire marshals appointed and fire procedure induction completed?

  YES

  NO

  N/A

• Fire escapes and emergency routes correctly signed?

  YES

  NO

  N/A

• Employees trained in the use of fire extinguishers?

  YES

  NO

  N/A

• Fire doors open outwards and unobstructed both sides?

  YES

  NO

  N/A

• Fire escape routes kept clear and adequately illuminated?

  YES

  NO

  N/A

• No smoking and similar warning signs displayed in areas of flammable material storage?

  YES

  NO

  N/A

Remedial Actions:

• Remedial actions required:

• Remedial Action Completion Date:

  Date

Fire control media:

• Add Photo:

Fire Extinguisher

• Fire extinguisher

  Media