Title Page
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Cluster ID/ Project:
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Location:
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Inspection Date:
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Inspected By:
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Workers/ Subcontractors Inspected:
SAFETY:
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Work pack or task instruction is readily accessible, on site and up to date with information?
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Workers are wearing the appropriate Personal Protective Equipment (PPE) including but not limited to steel cap boots, full hi-vis clothing, safety glasses, gloves and hard hat?
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Specialist PPE is being used appropriately and according to hazardous task and SHEWMS (ie: Working in confined spaces)?
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PPE is fit for purpose and in good condition?
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All workers are trained on how to use PPE?
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Materials in vehicles are stored adequately?
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Site and/or pathways clear of slip / trip hazards?
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Has the risk assessment been filled in correctly? Have you signed on as a visitor and been made aware of additional hazards on site?
INDUCTIONS
Induction Training / Certificates
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Have all persons on site undertaken the appropriate induction training?
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Are personnel appropriately qualified and competent? Do they have their NOPS cards?
SECURITY
Site Security & Public Protection
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Is the site secure from entry by members of the public?
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Are movements of people on and off site controlled?
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Is task lighting sufficient when working in low light?
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Do pedestrians have safe passage?
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Please upload any additional hazards to site security?
WORKING AT HEIGHT
Working at Heights
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Are all fall hazards identified and controls in place?
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Is SLG in place to increase site presence whilst working at height?
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Are all personnel required to work at heights trained and competent to do so?
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Is there a rescue plan in place and operatives aware of the procedure in case of an incident or accident?
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Are there exclusion zones established around any work at height? And have these been identified prior to works commencing?
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For pole work, has the pole been tested and pre climb label installed?
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Harnesses, lanyards and other fall arrest equipment have been inspected prior to use in accordance with RAMS?
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Has a drop zone been established around the working area?
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Has the drop zone area been correctly guarded and controlled?
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Do pedestrians have safe passage in proximity to the identified drop zone?
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Please upload any additional hazards to the working area?(i.e. windows, flue, balconies, air conditioning unit?)
LADDER CHECKS
Ladders
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Ladders inspected and in good condition?
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Ladders properly secured top and bottom?
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Is the ladder deployed within its 4:1 ratio?
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L7EQ 3 Stage Fiberglass ladder in use?
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Have the ladders been tagged with the relevant inspection information?
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Have additional ladder support systems been implemented where practicable? i.e.(ladder mats, TETRA, URAT)
EMERGENCY MANAGEMENT
Emergency Management
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Telephone numbers and locations of nearby hospitals are available and known?
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Evacuation point is established, in a safe location and known to workers?
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Are there a sufficient number of trained first-aid staff on-site?
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Are a sufficient number of first aid kits available and are they properly stocked?
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Are operatives familiar with MDU emergency procedures? (i.e. Fire exits, Alarms, Fire Extinguishers?)
MEWP INFORMATION
MEWP
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Is MEWP in date for its LOLER inspection?
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Has the MEWP pre-use inspection report been filled in and signed by operative?
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Are the operatives aware and signed the IPAF emergency rescue plan?
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All outriggers are deployed on firm surface / supported as per manufacturers’ and is the boom protected from traffic? Is SLG sufficient for the scope of works?
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HotJobs identified when working in vicinity of HV? Correct exclusion zone in place?
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Is the operative clipped onto the strongpoint in the bucket with fall restraint lanyard?
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All warning and information signs visible on the vehicle?
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All equipment properly lubricated and maintained?
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Bucket clear of any debris and tools?
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Are the outriggers deployed on base plates to avoid damage to existing infrastructure?
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Please add any additional photos regarding the MEWP:
QUALITY OF WORKS
Quality
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Has the work been completed to the required standards?
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Please provide additional photos of installation works:
FIRE AWARENESS
Fire Prevention
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Portable Fire Fighting Equipment in vehicles?
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Training in Fire Fighting procedures?
VEHICLE INFORMATION
MOTOR VEHICLES
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Regular inspections and maintenance carried out?
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All personnel are appropriately licensed?
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Brakes, lights and warning devices operative?
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Weight limits and load sizes controlled/ stored correctly?
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Glass in good condition?
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Parking of vehicles observed correctly?
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Has the vehicle defect log been filled in prior to driving the vehicle? Have all defects been logged and supervisor made aware?
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Please upload pictures of any defects regarding the vehicles:
TRAFFIC MANAGEMENT
TM
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Is TM required on site for the scope of the work?
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Traffic management signs, including speed restriction and advanced warning signage is legible and positioned in accordance with plans and Regulations?
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Are traffic control measures maintained by an accredited traffic controller?
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Are there sufficient Traffic Management operatives to control the site?
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Traffic management company is accredited with the relevant authority?
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Traffic management controls offer adequate protection to workers and the public?
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Please upload any additional photos relating to TM:
WORKING IN THE HEAT
Working In Hot Conditions
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There are adequate amounts of water on site to drink?
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Workers have the appropriate PPE + Sunscreen?
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There are adequate places for operatives to rest in the shade?
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Work / rest ratios are adequate to allow workers to recuperate in extreme heat?
WORKING IN THE COLD
Working In The Cold
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There is adequate clothing available for the conditions?
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There is the availability of shelter with adequate heating?
ISOLATED LOCATIONS
Isolated Working
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There is adequate communication available on site?
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Emergency procedure understood? Use of W3W?
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Food and water available for the duration of task?
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Supervisor check in procedure? Communication to management observed?
WELFARE
Welfare
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Do you have adequate food and water?
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Do you know where the nearest toilet facility is located?
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Do you have an adequate cleaning facility or cleaning materials to ensure you can clean yourself on completion of works?
WASTE MANAGEMENT
Waste Management
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Bins are available for work site waste, recycled material, scrap, etc.?
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All site areas are kept tidy with litter removed from site and disposed of appropriately?
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Prescribed waste (contaminated water/soil, sharps), oils and greases and associated containers are being disposed of appropriately?