Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Supervisor Name

  • Operative Name 1

  • Operative Name 2

  • Operative Name 3

  • Operative Name 4

  • Vehicle Registration Number

Administration

  • Job pack on site? If not, why?

  • Is Construction Phase Plan available? (where applicable)

  • Is CPP current and up to date? (where applicable)

  • F10 available and up to date? (where applicable)

  • Site specific risk assessment completed for site and briefed to the team(s)? If no, stop job until completed.

  • Generic risk & method statements available on site?

  • All COSHH substances identified and assessment available on site?

  • Have all operatives been inducted?

  • Operatives hold relevant training for works being carried out?

  • Qualified first aider on site/in team?

  • Regular toolbox talks/communications issued?

  • HAVS monitoring recorded correctly?

  • Notes Section - Good practices, bad practices

Site Safety

  • First aid kit available and fit for purpose (in date)?

  • Eye wash available and fit for purpose (in date)?

  • Fire extinguisher available and fit for purpose (in date)?

  • Welfare - hand washing/wipes and sufficient drinking water available?

  • Hi-visibility clothing worn and sufficient for works carried out?

  • Hearing protection available for every team member?

  • Eye protection available for every team member?

  • Hard hat available for every team member?

  • Dust masks available for every team member?

  • Safety footwear (mid sole, steel toe cap, ankle support, good condition) worn by every team member?

  • Notes Section - Good practices, bad practices

Signing & Guarding

  • Is the site well maintained? Good housekeeping practices followed.

  • Does signing, lighting & guarding meet chapter 8 requirements?

  • Signs, barriers and cones free from defects?

  • Have vehicle movements been appropriately controlled?

  • Qualified NRSWA operative on site? If not, record who is responsible for overseeing traffic management on site

  • Are traffic flow control systems in place and satisfactory?

  • Has consideration been given to pedestrian safety?

  • Footway board & road plates in placed and used correctly?

  • Is access & egress to properties safely maintained?

  • Are courtesy board displayed on site? If not, have you actioned this?

  • Permit number available and displayed? (where applicable)

  • Notes Section - Good practices, bad practices

Excavations

  • Area marked up and CAT scanned on the day of works?

  • CAT in date?

  • Genny in date?

  • User trained to use CAT4+?

  • Notes Section - Good practices, bad practices

Plant, Tools, Equipment & Vehicles

  • Correct plant, tools and equipment being used?

  • Operative(s) trained in use of plant, tool, equipment being used?

  • Plant checks completed daily? Defects reported?

  • Water suppression bottle working correctly?

  • Vehicle checks completed daily? Defects reported?

  • Vehicles maintained in a clean and tidy condition?

  • Evidence of smoking inside company vehicle? No smoking sign displayed?

  • All mirrors/windscreen/indicators/lights in a good condition?

  • Chapter 8 displayed correctly on vehicle?

  • Notes Section - Good practices, bad practices

Environmental

  • Spoil/waste segregated?

  • Drains covered/protected?

  • Plant and equipment free from leaks?

  • Spill kit available and fit for purpose?

  • Are team aware of disposal procedure?

  • Contaminated land/water controls in place?

  • Liquid containers correctly labelled and stored?

  • Drip trays available for refuelling?

  • Is noise being adequately controlled?

  • Are dust, odours and fumes adequately controlled?

  • Tree protection measures followed?

  • Protected species identified/discovered/disturbed?

  • Fuel adequately stored, in approved containers and upright?

  • Notes Section - Good practices, bad practices

Actions & Sign off

  • Inspector sign off

  • Stop works notice issued?

  • Detail the corrective actions

  • Corrective action issued to (name)

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.