Title Page
-
Site conducted
-
Main Contractor and site
-
Date & Time Started
-
Prepared by
-
Location
Site Diary
MONDAY
-
Weather conditions
-
Labour on site
-
Tasks and Duration (including measured works)
-
Variations
-
Delays/issues on site - (Photographs MUST be taken to record progress issues)
TUESDAY
-
Weather conditions
-
Labour on site
-
Tasks and Duration (including measured works)
-
Variations
-
Delays/issues on site - (Photographs MUST be taken to record progress issues)
WEDNESDAY
-
Weather conditions
-
Labour on site
-
Tasks and Duration (including measured works)
-
Variations
-
Delays/issues on site - (Photographs MUST be taken to record progress issues)
THURSDAY
-
Weather conditions
-
Labour on site
-
Tasks and Duration (including measured works)
-
Variations
-
Delays/issues on site - (Photographs MUST be taken to record progress issues)
FRIDAY
-
Weather conditions
-
Labour on site
-
Tasks and Duration (including measured works)
-
Variations
-
Delays/issues on site - (Photographs MUST be taken to record progress issues)
SATURDAY
-
Weather conditions
-
Labour on site
-
Tasks and Duration (including measured works)
-
Variations
-
Delays/issues on site - (Photographs MUST be taken to record progress issues)
TOOLBOX TALK REGISTER
-
Toolbox Talk Subject (Photo of subject and sign off sheet)
All attendees names must be added here
-
Name
HAND ARM VIBRATION RECORD
- Individual Operative Exposure Record
-
Item Model / Manufacturer / Serial number / I.D. (4 x photos here)
-
Duration of work allowed (Hours and Minutes)
-
Vibration Magnitude level Rate (M/S2)
-
Actual duration that operative worked with the equipment (Hours and Minutes)
-
Signature (Operative)
-
SUPERVISOR STATEMENT - These are a true and accurate record of works carried out of individual(s) above. Signature
-
Date & Time
PUWER
-
All items of Plant / Equipment must be inspected weekly, recorded on this PUWER document, and submitted with Friday packs: Ensure ALL SECTIONS are completed.
Record Equipment Inspection Here
-
PHOTO OF EQUIPMENT / PLANT INSPECTION BOOK ENTRY
-
Item Model / Manufacturer / Serial number / I.D. (4 x photos here)
-
DATE OF INSPECTION
-
COMMENTS
- Good working order at time of inspection
- Good visual order at time of inspection
- Requires attention
- Faulty out of use
-
OFF HIRED
-
INSPECTED BY
LOLER
-
WEEKLY INSPECTION OF: EXCAVATORS USED FOR LIFTING OPERATIONS, MOBILE ELEVATED WORK PLATFORMS (MEWPs), FORK LIFTS/TELESCOPIC HANDLERS, HOISTS, WINCHES, GIN WHEELS, ROPES, CHAINS, STRAPS / STROPS, DIESEL BOWSER, CONCRETE SKIPS, ETC
Record Lifting Equipment Inspection Here
-
Item Model / Manufacturer / Serial number / I.D. (4 x photos here)
-
Safe Working Limit (SWL)
-
DATE & TIME OF INSPECTION
-
COMMENT
- Good working order at time of inspection
- Good visual order at time of inspection
- Requires attention
- Faulty out of use
-
INSPECTED BY
PLANT HIRE - IN/OUT SHEET
-
PLANT ITEM
-
SUPPLIER (PHOTO OF TICKET)
-
PHOTO OF ITEM
-
CONTRACT NO.
-
DATE IN
-
ACCEPTED BY (name)
-
MANUAL ENCLOSED?
-
FULL INSPECTION CARRIED OUT PRIOR TO USE?
-
DATE OUT
-
COLLECTED BY
EXCAVATION INSPECTION REPORT
-
NAME OF PERSON REQUIRING THE REPORT
-
POSITION
-
LOCATION AND DESCRIPTION OF WORKPLACE INSPECTED
-
IS THE AREA SECURE, PARTICULARLY WITH REGARD TO CHILDREN?
-
ALL UTILITIES HAVE BEEN CHECKED AND LOCATED?
-
ADEQUATE SHORING IS AVAILABLE AND BEING USED?
-
SUITABLE LADDERS IN GOOD CONDITION ARE BEING USED?
-
THE STABILITY OF OTHER STRUCTURES ADJACENT TO THE EXCAVATION HAS BEEN CONSIDERED AND SUITABLE PRECAUTIONS HAVE BEEN TAKEN?
-
THE EXCAVATION IS PROPERLY GUARDED, WITH LIGHTS AT NIGHT IF IN A LOCATION WHERE VEHICLES OR PUBLIC HAVE ACCESS?
-
GUARD RAILS AND TOE BOARDS WHERE APPROPRIATE TO PREVENT FALLS INTO THE EXCAVATION?
-
MATERIALS ARE NOT DEPOSITED CLOSE TO THE EXCAVATION?
-
ADEQUATE STOP BLOCKS ARE PROVIDED AND SECURELY TIED BACK?
-
PUMPS ARE AVAILABLE AND IN WORKING CONDITION IF AVAILABLE?
-
PERSON ARE NOT ALLOWED TO WORK ALONE IN A EXCAVATION?
-
ALL WORK AREAS ARE CHECKED DAILY BEFORE WORK COMMENCES AND AFTER?
-
ANY HEALTH OR SAFETY RISKS AND ACTION TAKEN?
-
CAN WORK CONTINUE SAFELY?
-
DATE AND TIME OF INSPECTION
-
PERSON MAKING THE REPORT
-
COMMENTS
DELIVERY TICKETS
-
Add media
-
Notes section
PPE WEEKLY CHECK REGISTER (This section applies to all operatives listed in the diary above - any damaged or replacements must be reported to Head office).
-
Operative PPE Inspection
-
NAME OF OPERATIVE
-
FOOT PROTECTION
-
HIGH VISIBILITY VEST
-
SAFETY HELMET
-
GLOVES
-
EYE PROTECTION
-
EAR DEFENDERS
-
R.P.E/DUST PROTECTION
-
OTHER
-
SUBCONTRACTOR
-
SUPERVISOR