016a Pre-Worksite Safety Inspection Form

• 016a Pre-Worksite Safety Inspection Form

• Site/Project

• Site/Project description

• Job No.

• Conducted on

  Date

• Prepared by

• Location
  Address

1 Site Photos

• Site Photos

  Media

2 Offices & Administration

• Are there office facilities?

  Yes

  No

  Shortfalls

  N/A

• Is there sufficient furniture?

  Yes

  No

  Shortfalls

  N/A

• Is the condition of the furniture acceptable?

  Yes

  No

  Shortfalls

  N/A

• Is there sufficient lighting?

  Yes

  No

  Shortfalls

  N/A

• Is building electrics in date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Other comments:

3 Workshops

• Are cranes in date for LOLER inspection?

  Yes

  No

  Shortfalls

  N/A

• Are fixed machines serviceable and in date for annual inspection?

  Yes

  No

  Shortfalls

  N/A

• Are Local Exhaust Vents serviceable and in date for 14 monthly inspection?

  Yes

  No

  Shortfalls

  N/A

• Are in date certificates/documents provided for all site equipment?

  Yes

  No

  Shortfalls

  N/A

• Are winches serviceable and in date for annual inspection?

  Yes

  No

  Shortfalls

  N/A

• Where lighting is provided, is it functional and sufficient?

  Yes

  No

  Shortfalls

  N/A

• Is the intended workforce trained and competent to use resident equipment & machinery?

  Yes

  No

  Shortfalls

  N/A

• Other comments:

4 Welfare Facilities

• Does the site have toilets and washroom facilities?

  Yes

  No

  Shortfalls

  N/A

• Are on site toilets and wash room facilities sufficient for the size of the workforce?

  Yes

  No

  Shortfalls

  N/A

• Is there hot & cold running water on site?

  Yes

  No

  Shortfalls

  N/A

• Is the fresh water system regularly maintained and monitored for the Legionella bacteria? i.e. regular temperature checks!

  Yes

  No

  Shortfalls

  N/A

• Is there an area to setup a First Aid station?

  Yes

  No

  Shortfalls

  N/A

• Is there an area identified for skips to be located?

  Yes

  No

  Shortfalls

  N/A

• Our work processes will not affect neighbouring businesses/residential properties?

  Yes

  No

  Shortfalls

  N/A

• Other comments:

5 Yard

• Is there sufficient space for goods in/out, area for lorries to turn, etc?

  Yes

  No

  Shortfalls

  N/A

• Is there a safe area for gas bottle storage?

  Yes

  No

  Shortfalls

  N/A

• Is there space for parking vehicles?

  Yes

  No

  Shortfalls

  N/A

• Is there a Galvanized metal bin with lid, provided for Oily Rags?

  Yes

  No

  Shortfalls

  N/A

• Other Comments:

6 Fire Safety

• Are Fire Escapes, including lighting, sufficient and well maintained?

  Yes

  No

  Shortfalls

  N/A

• Are portable fire fighting appliances sufficient, of the type required, serviceable and in date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Is there an evacuation muster point identified, and is there a sign displayed?

  Yes

  No

  Shortfalls

  N/A

• Is site signage sufficient and does it cover the intended works?

  Yes

  No

  Shortfalls

  N/A

• Is there sufficient access for the Emergency Services?

  Yes

  No

  Shortfalls

  N/A

• Other comments:

7 Security

• Is there sufficient security for controlling access / egress to the site?

  Yes

  No

  Shortfalls

  N/A

• Is there adequate signage for site safety covering: Evacuation muster point, PPE, restricted access, forklift operations, parking, etc?

  Yes

  No

  Shortfalls

  N/A

• Other comments:

8 Hazards

• Are there no falls from height hazards present?

  Yes

  No

  Shortfalls

  N/A

• Are there no electrical hazards present and is the building electrics in date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Are there no falls in to water hazards present?

  Yes

  No

  Shortfalls

  N/A

• Are there no uneven ground hazards present?

  Yes

  No

  Shortfalls

  N/A

• Are there no hazards to general public such as noise, dust & fumes, arc eye, falling objects, forklift operations etc?

  Yes

  No

  Shortfalls

  N/A

• Are there no overhead hazards present?

  Yes

  No

  Shortfalls

  N/A

• If Asbestos is present within the building/site, are Asbestos warning signs in place and is the material condition acceptable?

  Yes

  No

  Shortfalls

  N/A

• Is there an Asbestos Register available for the building/site?

  Yes

  No

  Shortfalls

  N/A

• Other comments:

9 General

• Overall Observations:

• Things to consider:
  Where are the drains and what type are they, storm or effluent?
  Is there an area for smokers?
  Will spill kits be required?
  Is there an area for COSHH?
  Is there a quarantine area?
  

• Personnel present