Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Supervisor Name
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Operative Name 1
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Operative Name 2
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Operative Name 3
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Operative Name 4
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Vehicle Registration Number
Administration
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Job pack on site? If not, why?
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Is Construction Phase Plan available? (where applicable)
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Is CPP current and up to date? (where applicable)
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F10 available and up to date? (where applicable)
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Site specific risk assessment completed for site and briefed to the team(s)? If no, stop job until completed.
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Generic risk & method statements available on site?
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All COSHH substances identified and assessment available on site?
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Have all operatives been inducted?
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Operatives hold relevant training for works being carried out?
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Qualified first aider on site/in team?
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Regular toolbox talks/communications issued?
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HAVS monitoring recorded correctly?
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Notes Section - Good practices, bad practices
Site Safety
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First aid kit available and fit for purpose (in date)?
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Eye wash available and fit for purpose (in date)?
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Fire extinguisher available and fit for purpose (in date)?
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Welfare - hand washing/wipes and sufficient drinking water available?
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Hi-visibility clothing worn and sufficient for works carried out?
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Hearing protection available for every team member?
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Eye protection available for every team member?
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Hard hat available for every team member?
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Dust masks available for every team member?
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Safety footwear (mid sole, steel toe cap, ankle support, good condition) worn by every team member?
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Notes Section - Good practices, bad practices
Signing & Guarding
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Is the site well maintained? Good housekeeping practices followed.
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Does signing, lighting & guarding meet chapter 8 requirements?
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Signs, barriers and cones free from defects?
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Have vehicle movements been appropriately controlled?
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Qualified NRSWA operative on site? If not, record who is responsible for overseeing traffic management on site
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Are traffic flow control systems in place and satisfactory?
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Has consideration been given to pedestrian safety?
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Footway board & road plates in placed and used correctly?
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Is access & egress to properties safely maintained?
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Are courtesy board displayed on site? If not, have you actioned this?
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Permit number available and displayed? (where applicable)
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Notes Section - Good practices, bad practices
Excavations
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Area marked up and CAT scanned on the day of works?
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CAT in date?
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Genny in date?
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User trained to use CAT4+?
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Notes Section - Good practices, bad practices
Plant, Tools, Equipment & Vehicles
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Correct plant, tools and equipment being used?
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Operative(s) trained in use of plant, tool, equipment being used?
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Plant checks completed daily? Defects reported?
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Water suppression bottle working correctly?
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Vehicle checks completed daily? Defects reported?
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Vehicles maintained in a clean and tidy condition?
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Evidence of smoking inside company vehicle? No smoking sign displayed?
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All mirrors/windscreen/indicators/lights in a good condition?
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Chapter 8 displayed correctly on vehicle?
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Notes Section - Good practices, bad practices
Environmental
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Spoil/waste segregated?
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Drains covered/protected?
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Plant and equipment free from leaks?
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Spill kit available and fit for purpose?
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Are team aware of disposal procedure?
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Contaminated land/water controls in place?
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Liquid containers correctly labelled and stored?
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Drip trays available for refuelling?
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Is noise being adequately controlled?
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Are dust, odours and fumes adequately controlled?
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Tree protection measures followed?
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Protected species identified/discovered/disturbed?
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Fuel adequately stored, in approved containers and upright?
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Notes Section - Good practices, bad practices
Actions & Sign off
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Inspector sign off
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Stop works notice issued?
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Detail the corrective actions
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Corrective action issued to (name)