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ACS HSEQ Site Inspection Template 2018
ACS HSEQ Site Inspection Template 2018
Andy McMillan

ACS HSEQ Site Inspection Template 2018

Version 2018 (Under Const.)

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Free ACS HSEQ Site Inspection Template 2018 Checklist

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Title Page

  • Document No.

  • Site number and location

  • Site Address

  • Client

  • Conducted on

  • Inspector name

  • Site ganger

  • Contracts Manager

Corrective Actions

Corrective Actions

  • Are there any actions outstanding from previous audit?

  • Are there any actions from this audit?

1. Project/site management requirements

  • Are ACS Principle Contractor?

  • is the F10 on display in a prominent position?

1.1. Site arrangements

  • Are site arrangements compliant?<br><br>- Is the site secure from unauthorised access?<br>- Is safe access and egress provided?<br>- Is adequate safety signage provided?<br>- Are adequate welfare facilities provided and maintained?<br>- Are all sub contractors vetted for addition to the Approved Contractors Register?<br>- Is there adequate provision for vehicle/pedestrian segregation<br>- Are walkways and vehicle routes in good condition and maintained?<br>- Are people wearing mandatory and applicable PPE?<br>- Of the PPE checked, was it in good condition?<br>- Is housekeeping in ACS work areas satisfactory?<br>

  • 1.1.1. Is the site secure from unauthorised access?

    • YES
    • NO - Fencing unsecured
    • NO - Gates left open
    • NO - Subject to Vandalism
    • NO - Other response
    • N/a

  • 1.1.2. Is safe access and egress provided?

  • 1.1.3. Is adequate safety signage provided?

  • 1.1.4. Are adequate welfare facilities provided and maintained?

    • Yes
    • NO - No facilities in place
    • NO - Insufficient facilities
    • NO - Poorly maintained facilities
    • NO - Other response
    • N/a

  • 1.1.5. Are all sub contractors vetted for addition to the Approved Contractors Register?

  • 1.1.6. Is there adequate provision for vehicle/pedestrian segregation

  • 1.1.7 Are walkways and vehicle routes in good condition and maintained?

  • 1.1.8. Are people wearing mandatory and applicable PPE?

  • 1.1.9. Of the PPE checked, was it in good condition?

  • 1.1.10. Is housekeeping in ACS work areas satisfactory?

1.2. Documentation

  • Is documentation in place and in date?<br><br>- Construction Phase Plan in place and in date?<br>- Have all personnel received site induction?<br>- Are Toolbox Talks being held at least once a fortnight?<br>- Is there a Traffic Management Plan in place?<br>- Are safe systems of work (RAMS) in place for the range of activities taking place?<br>- Are maintenance and servicing records readily available?<br>- Are registers and records being completed and up to date?

  • 1.2.1. Construction Phase Plan in place and in date?

  • 1.2.2. Have all personnel received site induction?

  • 1.2.3. Are Toolbox Talks being held at least once a fortnight?

  • 1.2.4. Is there a Traffic Management Plan in place?

  • 1.2.5. Are safe systems of work (RAMS) in place for the range of activities taking place?

  • Are there RAMS on site?

  • Are the RAMS in date?

  • Are the RAMS correct /applicable?

  • Are Subcontractor RAMS not on site?

  • 1.2.6. Are maintenance and servicing records readily available?

  • 1.2.7. Are registers and records being completed and up to date?<br><br>- mobile plant daily checks<br>- PUWER weekly register<br>- LOLER weekly register<br>- weekly excavation records<br>- HAVS register

  • Are mobile plant daily checks up to date?

  • Are HAVS registers up to date?

  • Are LOLER registers up to date?

  • Are PUWER registers up to date?

  • Are excavation records kept up to date?

1.3. Emergency Arrangements

  • Are emergency arrangements satisfactory?<br><br>- Are there adequate Fire and Emergency resources in place? <br>- Are there adequate 1st aid personnel and resources on site?

  • 1.3.1. Are there adequate Fire and Emergency resources in place?

  • Is there a sufficient quantity fire extinguishers?

  • Is there a fire warden?

  • Is the fire assembly point and route clear and sign posted?

  • 1.3.2. Are there adequate 1st aid personnel and resources on site?

  • Are there sufficient 1st aid personnel?

  • Are there sufficient 1st aid resources?

2. Excavators

2.1. Excavator Safety

  • Are excavators provided, used and maintained in a safe condition?<br><br>- Are certificates of thorough examination readily available?<br>- Is there provision for the operator to have all round vision?<br>- Is there a sign for the type of quick hitch and safety pin requirements displayed on the dipper arm?<br>- Is the flashing beacon working and being used?

  • 2.1.1. Are certificates of thorough examination readily available?

  • 2.1.2. Is there provision for the operator to have all round vision?

  • 2.1.3. Is there a sign for the type of quick hitch and safety pin requirements displayed on the dipper arm?

  • 2.1.4. Is the flashing beacon working and being used?

2.2. Lifting Operations

  • If used for lifting operations, are arrangements in place to plan and carry out the task safely?<br><br>- Is there a lift plan in place for the activity?<br>- If lifting in excess of 1tonne are there boom hose burst check valves fitted?<br>- SWL display on dipper or in cab?<br>- Do people involved in the lifting operation carry the correct competences? (ie Lifting ops, slinger - If no mark in training section.)

  • 2.2.1. Is there a lift plan in place for the activity?

  • 2.2.2. If excavator used for lifting operations in excess of 1tonne are there boom hose burst check valves fitted?

  • 2.2.3 Is SWL on display on dipper arm or in cab?

  • 2.2.4 Do people involved in the lifting operation carry the correct competences? (ie Lifting ops, slinger - If no mark in training section.)

3. Dumpers/Ride On rollers

  • Are dumpers/rollers provided, used and maintained in a safe condition?<br><br>- Is roll over protection bar upright and locked in position?<br>- Are all lights functional (headlights, brake, tail, reversing and flashing amber lights)?<br>- Is seat belt functional and being used by operator when driving?<br>- Is drivers seat secure and adjuster functioning?<br>- Are wheels and tyres fit for use (treads, pressures, side walls, wheels and wheel nuts)?<br>- If none in use, are you satisfied that there is no sign of seat belt not being used? (ie seatbelt clipped in whilst parked up)

  • 3.1.1. Is roll over protection bar upright and locked in position?

  • 3.1.2. Are all lights functional (headlights, brake, tail, reversing and flashing amber lights)?

  • 3.1.3. Is seat belt functional and being used by operator when driving?

  • 3.1.4. If not in use, are you satisfied that there is no sign of seat belt not being used? (ie seatbelt clipped in whilst parked up)

  • 3.1.5. Is drivers seat secure and adjuster functioning?

  • 3.1.6. Are wheels and tyres fit for use (treads, pressures, side walls, wheels and wheel nuts)?

4. Hand held power tools

  • Are hand held power tools provided, used and maintained in a safe condition?<br><br>- Are daily/before use checks carried out by operatives?<br>- Is the equipment fit for purpose (worn abrasive wheels, chisels, bits, plates etc.)?

  • 4.1.1. Are daily/before use checks carried out by operatives?

  • 4.1.2. Is the equipment fit for purpose (worn abrasive wheels, chisels, bits, plates etc.)?

5. Excavations

5.1. Excavation Safety

  • 5.1.1. Are Excavations safe?<br><br>- measures to prevent collapse<br>- measures to prevent falls from height<br>- temporary works<br>- measures to prevent water build up

  • Are there suitable measures are not in place to prevent excavation wall collapse (batters, steps, shoring, boxes etc.)?

  • Is there anything in place to prevent water build up to trench floors (covers, sumps, pumping etc.)?

  • Are elements of excavation works which are classified as temporary works being managed appropriately (Temporary works co-ordination, design brief, design, design checks, permit to erect/dismantle, Temporary works supervisor etc.)?

  • Are there measures in place to prevent people and/or plant from falling into the excavation (covers, road plates, barriers, blocks etc.)?

5.2. Buried services

  • 5.2.1. Have the Golden Rules been followed?<br><br>- excavation work compliant with HSG 47

  • Has G been followed? G Gather the relevant information from Statutory Providers service drawings, carry out visual survey to see if there’s anything missing on the drawings. SPEN/SGN must be contacted and invited to site whenever we will be working near HV cables or Medium/High pressure gas pipes

  • Has O been followed? O Obtain and assess competence of the people doing the work?

  • Has L been followed? L Locate services using CAT and Genny

  • Has D been followed? D Demarcate all services found with paint or markers on the ground

  • Has E been followed? E Ensure ACS or Client Permit to dig/excavate/break ground and relevant RAMS are in place before you to commence any further. The site supervisor must brief the Safe System of Work to all involved in the work

  • Has N been followed? N Now hand dig enough trial holes to confirm location and depth of identified services

  • Has R been followed? R Review service drawings to confirm that all services marked have been found and located

  • Has U been followed? U Use safe digging practices at all times, CAT scan every 200mm of digging to ensure there’s nothing else in the ground that wasn’t originally found.

  • Has L been followed? L Leave at least 500mm distance between mechanical plant and any live service

  • Has E been followed? E Ensure the works are supervised by a competent person at all times. If supervisor has to leave site for any reason then stop works.

  • Has S been followed? S Stop digging if you find anything unexpected i.e. concrete encased cables. Carry out a Point of Work Risk Assessment and decide on the safest way forward before recommencing.

  • 5.2.2. Are there correct hand tools available for safe digging to take place?

6. Confined Spaces

  • 6.1. Is confined space working safe?<br><br>- trained persons<br>- Risk assessment in place and briefed<br>- Permit to enter confined space in place<br>- Gas/oxygen testing and monitoring in place<br>- Emergency rescue equipment in place<br>- Emergency 1st Aider present

  • Have Personnel have had confined space training?

  • Is there Risk assessment in place and briefed?

  • Is there a Permit to enter confined space in place?

  • Is there Gas/oxygen testing and monitoring in place?

  • Is there Emergency rescue equipment in place?

  • Is there an Emergency 1st Aider present?

7. COSHH

7.1. Use of Substances

  • Are workers protected from substances hazardous to health?<br><br>- Are COSHH assessments available for all hazardous substances used on site?<br>- Have all personnel likely to be exposed to hazardous substances been briefed on the COSHH Assessments and controls?<br>- Have all operatives working with COSHH items been provide with specific and suitable PPE?<br>- Are flammable liquids and gases stored securely and away from sources of ignition?

  • 7.1.1. Are COSHH assessments available for all hazardous substances used on site?

  • 7.1.2. Have all personnel likely to be exposed to hazardous substances been briefed on the COSHH Assessments and controls?

  • 7.1.3. Have all operatives working with COSHH items been provided with specific and suitable PPE?

  • 7.1.4. Are flammable liquids and gases stored securely and away from sources of ignition?

7.2. Dust

  • Are people protected from dust?<br><br>- measures been taken to avoid the creation of dust (guillotines, pre cut slabs/ blocks/kerbs/bricks etc.)?<br>- personnel been briefed on the risks and controls of general dust and Respirable Crystalline Silica?<br>- Are suitable water suppression units provided and used (avoid the use of gravity fed water containers)?<br>- Is suitable respiratory protection provided and used ( FFP 3 disposable or half face masks)?<br>- Have all operatives at risk been face fit tested for the RPE being used?<br>- Are all operatives using RPE clean shaven?<br>- Is the correct additional PPE worn for use of Stihl Saw? (ie. Safety goggles (not glasses) and hearing protection)

  • 7.2.1. Have all measures been taken to avoid the creation of dust (guillotines, pre cut slabs/ blocks/kerbs/bricks etc.)?

  • 7.2.2. Have all personnel been briefed on the risks and controls of general dust and Respirable Crystalline Silica?

  • 7.2.3. Are suitable water suppression units provided and used (avoid the use of gravity fed water containers)?

  • 7.2.4. Is suitable respiratory protection provided and used ( FFP 3 disposable or half face masks)?

  • 7.2.5. Have all operatives at risk been face fit tested for the RPE being used?

  • 7.2.6. Are all operatives using RPE clean shaven?

  • 7.2.7. Is the correct additional PPE worn for use of Stihl Saw? (ie. Safety goggles (not glasses) and hearing protection)

8. Vibration

  • Are workers protected from vibration?<br><br>- Does the vibrating tool in use have the lowest vibration magnitude available?<br>- Is the use of vibrating tools the safest method to carry out the task?<br>- Have all personnel been briefed on early signs and symptoms of HAVS and control measures to prevent over exposure?<br>- Are vibration emissions marked on vibrating tools?<br>- Are all operatives aware of vibration data and acceptable trigger times for vibrating tools they are using?

  • 8.1.1. Does the vibrating tool in use have the lowest vibration magnitude available?

  • 8.1.2. Is the use of vibrating tools the safest method to carry out the task?

  • 8.1.3. Have all personnel been briefed on early signs and symptoms of HAVS and control measures to prevent over exposure?

  • 8.1.4. Are vibration emissions marked on vibrating tools?

  • 8.1.5. Are all operatives aware of vibration data and acceptable trigger times for vibrating tools they are using?

9. Manual Handling

  • 9.1 Are manual handling activities carried out safely?<br><br>- Mechanical handling equipment available and in use?<br>- carried out taking cognizance of T.I.L.E (Task, Individual, Load, Environment)

  • 9.1.1. Mechanical handling equipment available and in use?

  • 9.1.2 Are tasks being carried out taking cognizance of T.I.L.E (Task, Individual, Load, Environment)

10. Noise

  • 10.1 Are people protected from noise?<br><br>- Does equipment have noise emission data or warnings marked or labelled?<br>- Are people are wearing mandatory and applicable PPE?

  • 10.1.1 Does equipment have noise emission data or warnings marked or labelled?

  • 10.1.2. Are people are wearing mandatory and applicable PPE?

11. Training

  • 11.1. Have all training requirements been met?

  • Is there SMSTS/SSSTS?

  • Is there Temporary Works?

  • Is there Confined Spaces?

  • Is there Dumper/Roller?

  • Is there First Aid?

  • Is there Cat & Gen?

  • Is there CPCS/CSCS?

  • Is there Lifting operations?

  • Is there Quick Hitch?

  • Is there Slinger/Banksman?

  • Is there Street Works?

  • Is there Face Fit Testing?

  • Is there Abrasive wheels?

  • Manual Handling?

12. Environment

12.1. Waste

  • Is waste management compliant?<br><br>- waste plan in place<br>- waste segregated<br>- WTN's/consignment notes compliant for waste removed from site<br>- waste carriers/transfer stations/landfill tips licensed

  • 12.1.1. Is there a waste plan in place?

  • 12.1.2. Is waste segregated?

  • 12.1.3. Are WTN's/consignment notes compliant for waste removed from site?

  • 12.1.4. Are waste carriers/transfer stations/landfill tips licensed?

12.2. Pollution Prevention and Control

  • Is PPC measures compliant?<br><br>- measures suitable and sufficient<br>- spill prevention/containment measures in place<br>- requisite licenses, registrations, exemptions in place

  • 12.2.1. Are pollution prevention measures suitable and sufficient

  • 12.2.2. Are there adequate spill prevention measures in place?

  • 12.2.3. Are requisite licenses, registrations, exemptions in place?

13. Other

  • 13.1. Are there any issues posing an immediate significant risk to health and safety? (If yes, what immediate action has been taken?) (Note : 'yes' subtracts 10 from score)

  • 13.2 Are there any other issues which may result in non compliance or non conformance and which do not carry a significant risk to health and safety?

  • Item 1

  • Item 2

  • Item 3

  • 13.3. Were there any items identified on the site in general and discussed with Site Management? (non ACS)

  • 13.4 During safety conversations with operatives on site, were there any concerns or deficiencies raised which may require action or attention?

  • Additional comments

  • Additional photographs

  • Were there any good practices or 'above the line' behaviors noted?

Audit end

  • H&S signature

  • Ganger signature

ACS HSEQ Site Inspection Template 2018
Andy McMillan

ACS HSEQ Site Inspection Template 2018

Version 2018 (Under Const.)

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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