2018 Site S.H.E.Inspection (Non PC)

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel in attendance

1.00 - Work Environment

• Do we have our own office on site?

  Yes

  No

  N/A

• 1.01 - Do our offices look good inside and out?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Explain here the reasons for not having an office set up on site:

• Clean and tidy.

• Suitable storage for files etc.

• Free from small plant and other equipment that should be stored in a container.

• 1.02 - Is the main compound area well managed stable running surface, fenced off with materials stacked safely?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Fenced off and signed

• Ground Prepared to offer a stable running surface

• Materials stacked/stored safely with clear access (palleted materials and rings etc no more than 2 units high and no more than one high next to a pedestrian route.

• 1.03 - Adequate housekeeping and levels of cleanliness generally on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Works areas free from excess materials, offcuts/packaging.

• All works areas of the site are easily accessible by foot.

• 1.04 - Cleaning / Washing products availability. (Where applicable)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 1.05 - Law poster, F10, Insurance, Policy Statement, TM Plan, Route to hospital and all other relevant info on display.

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 1.08 - Fire extinguishers of suitable types available and in date? (No powder in enclosed spaces)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 1.09 - Means of raising alarm? (If separate from PC.)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 1.10 - Are our works areas suitably fenced off?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 1.11 - Level of general presentation of the site

2.00 - Administrative Procedures

• 2.01 - Adequate, induction for workers, contractors, visitors?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 2.02 - Adequate, supervisory arrangements?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 2.03 - CPHSP/RAMS readily available on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 2.04 - Document Knowledge Register signed by all relevant persons on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 2.05 - Adequate training, licenses, skills, experience?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 2.06 - Adequate incident notification procedures?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 2.07 - Has the site been free from accidents/incidents since last visit?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 2.08 - Is there a copy of the Current Health & Safety Policy on site?

  Yes

  No

• Person responsible for ensuring compliance.

  Sign

• 2.09 - Is there a copy of the Current Public Liability insurance document on site?

  Yes

  No

• Person responsible for ensuring compliance.

  Sign

• 2.10 - Does the Contract Particulars page need updating? E.g. change of supervisor/manager?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

3.00 - Permits and Registers

• 3.01 - Supervisors folder readily available in the site office?

  Yes

  No

• Person responsible for ensuring compliance.

  Sign

• 3.02 - 7 Day Plant Register up to date? (Include photo of current page)

  Yes

  No

• Person responsible for ensuring compliance.

  Sign

• 3.03 - 7 Day Small Plant Register up to date? (Include photo of current page)

  Yes

  No

• Person responsible for ensuring compliance.

  Sign

• 3.04 - 7 Day Bowser check list up to date? (Include photo of current page)

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 3.05 - Excavation register up to date? (Include photo of current page)

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 3.06 - LOLER inspection register up to date? (Include photo of current page)

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 3.07 - Have any of the above registers highlighted defective plant or equipment currently on site?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 3.08 - Permit to break ground in place for all required work areas and is it in date?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 3.09 - Are HAVS for all users of vibrating equipment being recorded?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 3.10 - Are all service drawings on site and still current?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 3.11 - Are the clients Permits/Registers being completed as per their required schedule?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

4.00 - Emergency Response

• 4.01 - Emergency procedures displayed at site?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 4.02 - Directions to nearest Accident & Emergency Department on display?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 4.03 - Adequate first aid kits aid equipment for site?

  Yes

  No

• Person responsible for ensuring compliance.

  Sign

• 4.04 - Access to formally trained First Aiders for all shifts?

  Yes

  No

• 4.05 - Name of the First Aider.

5.00 - Environmental Hazards

• 5.01 - Are any of our operations likely to cause excessive noise, vibration, dust or odours that could become a nuisance?

  Safe

  At Risk

  N/A

• Which of the following are currently causing a nuisance?

  Select Noise Vibration Dust Odours

  • Noise
  • Vibration
  • Dust
  • Odours

• Person responsible for ensuring compliance

  Sign

• Person responsible for ensuring compliance

  Sign

• Person responsible for ensuring compliance

  Sign

• Person responsible for ensuring compliance

  Sign

• 5.02 - Dust suppression systems availability for task specific / general site

  Safe

  At Risk

  N/A

• Person responsible for ensuring compliance.

  Sign

• 5.03 - Surrounding roads free from mud from our operations?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 5.04 - Road sweeper daily or periodic regime in place?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• 5.05 - Are measures in place to prevent solids entering the Surface Water System via gullies?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance

  Sign

• 5.06 - Is there any type of watercourse near the site? (Canal, river, stream, pond, reservoir etc.)

  Safe

  At Risk

  N/A

• Are measures in place to ensure silty surface water created from our operations isn’t deposited into the watercourse? (If yes, give details)

  Yes

  No

  N/A

• Person responsible for ensuring compliance

  Sign

• 5.07 - Are concrete wagons returning to the batching plant to wash out?

  Yes

  No

  N/A

• Is there a designated concrete washout area? (Polythene lined skip, heras fencing and signage)

  Yes

  No

  N/A

• Person responsible for ensuring compliance

  Sign

• Is the concrete wash out area situated well away from watercourses and gullies?

  Yes

  No

  N/A

• Person responsible for ensuring compliance

  Sign

• 5.08 - Are we currently pumping surface/ground water out of any excavations?

  Safe

  At Risk

  N/A

• Is the surface/ground water being treated for suspended solids / contamination prior to discharging?

  Yes

  No

  N/A

• Person responsible for ensuring compliance

  Sign

• 5.09 - Are Tree Protection Order zones (TPO’s) fenced off securely, signed and free from material/plant/equipment

  Yes

  No

  N/A

• Person responsible for ensuring compliance

  Sign

• 5.10 - Are drip trays available on site and being used? (For refuelling, generators, pumps etc.)

  Yes

  No

• Person responsible for ensuring compliance

  Sign

• Level of compliance

• 5.11 - Are mixing areas placed on polythene to prevent contaminating the ground?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance

  Sign

• 5.12 - Is our waste being segregated on site to facilitate it’s re-use, recycling or recovery in a designated area?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance

  Sign

• 5.13 - Are our waste containers clearly marked with their intended contents?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance

  Sign

6.00 - Traffic Management

• 6.01 - Traffic Management Plan (TMP) in place?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• 6.02 - Adequate controls for TMP? (physical barriers, signs, bollards, speed limits, flashing lights, spotters, etc)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• 6.03 - Are we carrying out works on the adopted highway? (Streetworks)<br>

  Yes

  No

  N/A

• Are the works fully segregated in accordance with chapter 8?

  Yes

  No

7.00 - Excavations

• 7.01 - Availability of a calibrated CAT & Genny on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.02 - Is there a CAT qualified Operative on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.03 - Site been free from any service strikes since the last inspection? If no, give details.

  Yes

  No

• 7.04 - All applicable excavations fenced off and signed adequately?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

• 7.05 - Are there excavations on site requiring support systems?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.06 - Are support systems available on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.07 - Are the support systems being used in the correct way and recorded in the excavation register?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

• 7.08 - Are handrails in place or the top of the box 950mm above ground level?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.09 - Ladder access system being used correctly?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.10 - Are ladders free from defects and fit for purpose?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.11 - Are they positioned and secured correctly?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 7.12 - Are the excavations a safe distance away from Vehicular routes?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

8.00 - Working at Heights

• 8.01 - Are falls from height on site adequately controlled? (including voids, pits, split levels and trenches)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

9.00 - Lifting Equipment

• 9.01 - Is the site free from defective lifting plant, equipment or accessories / attachments?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 9.02- Is the site free from loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 9.03 - Is all lifting equipment labelled / tagged, with SWL displayed?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Level of compliance

10.00 - Plant and Equipment

• 10.01 - Licensed Plant Operators holding approved current qualification?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 10.02 - Site free from unsafe or damaged plant/equipment? (including missing or damaged guards, mirrors or beacons)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

• 10.03 - Correct plant /equipment for job? (e.g. grinding discs for cutting)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 10.04 - Safe and compatible attachments used with plant/equipment?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 10.05 - Bucket Exchange areas in place and suitably signed/fenced and being used?

  Yes

  No

  N/A

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

• 10.06 - Are the safety test certificates for all items of plant on site available on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

• 10.07 - Is all plant being safely used I the correct way?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

11.00 - Confined Space Entry

• 11.01 - Calibrated/tested Confined Space Entry/escape equipment available on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 11.02 - 2 No. Qualified ops in attendance on site?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 11.03 - Confined Space Permit in place?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

12.00 - Protections of voids (manholes, gullies etc)

• 12.01 - Are they suitably covered with the designed cover or steel plate?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

13.00 - Manual Handling

• 13.01 - Lifting equipment and plant available on site? (examples: on job rotation, lighter loads, trolleys, lifting equipment, etc)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 13.02 - Materials which require manually handling suitably positioned for task?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

14.00 - Hazardous Chemical (including fuel and oil)

• 14.01 - Is there a designated on site fuel storage area? (Include photo)

  Yes

  No

  N/A

• 14.02 - Is the refuelling area presentable?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance

  Sign

• 14.03 - Is the tank double bunded with ground beneath protected from spills?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 14.04 - Is the bund free from excess water/fuel?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 14.05 - Safe storage location? (e.g. flammables away from ignition sources, spills kits available etc)

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 14.06 - Adequate spill containment equipment?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• Level of compliance.

• 14.07 - Emergency procedures for injury/spills/fire etc?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 14.08 - Suitable storage containers?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

• 14.09 - Other chemicals on site which require specific controls?

15.00 - Personal Protective Equipment (PPE)

• 15.01 - Adequate PPE supplies available on site including RPE?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Level of compliance.

• 15.02 - Do all PPE/RPE items on site conform to the PPE/RPE list issued by the M. Lambe SHE Department?

  Yes

  No

  N/A

• Person responsible for ensuring compliance

  Sign

• 15.03 - Is there a requirement to carry out additional Face Fit Testing for RPE?

  Yes

  No

  N/A

• Please provide names of operatives who require facefit testing:

16.00 - Previous issues

• 16.01 - Have all issues relating to the previous inspection been addressed?

  Fully compliant

  Acceptable

  Action Required

  Not Applicable

• Person responsible for ensuring compliance.

  Sign

17.00 - Toolbox Talks

• Has a toolbox talk been given in the last month?

  Yes

  No

  N/A

• 17.01 - Date of last toolbox Talk.

  Date

• 17.02 - Subject

• Where are copies filed?

  On Site Hard Copy

  On Site emailed PDF

  PDF stored at M Lambes Office

  Emailed copy to Clients HQ

  No copy left

18.00 - General Good Practice

Corrective Actions

• Enter any corrective actions that will be undertaken. Where possible agree and state a date when they will be addressed and signed off. The person responsible for the On site Representative for the site will Sign Off acceptance of these duties below.

Sign Off

• On Site Representative

  Sign

• Auditor's signature

  Sign

A. Overview

• Brief overview of inspection.

• Supporting additional images where applicable.

  Media

B. Advisory improvement areas for client

• We’re issues identified which should be detailed to the client?

  Yes

  No

  N/A

• Areas of improvement / action

• Supporting additional images where applicable.

  Media

• Clients Site Manager etc signature where topics were covered during inspection

  Sign

C. Inspection Update

• Details of actions taken post initial inspection which reflect on audit score.

• Supporting additional images where applicable

  Media

• Signature to confirm update.

  Sign