Title Page
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Conducted on
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Prepared by
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Location
General Safety
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Competent Supervisors/Operatives
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Inductions
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Critical Plans in Place
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Critical Plans Revised/Updated
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Asbestos Management
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Statutory Signs & Notices
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Incident/Near Miss Reporting
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Monitoring (Weekly Checks)
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Toolbox Talks
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Registers & Permits
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Traffic Management in Place and sufficient
Emergency Response Provisions
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Qualified First Aider[s]
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First Aid Provisions
Welfare
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Toilets & Washing Facilities
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Drinking Water
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Changing Rooms & Lockers
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Facilities for Rest
COVID-19 Controls
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Measures in place to ensure social distancing
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Hand Washing/Sanitising Stations
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Welfare Well Provisioned
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Increased Cleaning in Place
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COVID Literature/Signage Sufficient
Fire
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Fire Plan
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Fire Exit Signage
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Fire Points & Alarm
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Means of Escape
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Hot Works Managed
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Fire Load
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Smoking
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Flam store/box
Electrical Safety
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Safe Working Voltages
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Temporary Electrics & Certificate
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PA Testing
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RCD in Place
Working at Height Access Equipment
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Suitable for Works
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Suitable Condition
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In Use Safely
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Stored Safely
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Weekly Inspection
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MEWP - IPAF Trained Operatives
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MEWP - Thorough Examination Certificates
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Mobile Towers - PASMA Qualified Installers
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Mobile Towers - Correctly Erected
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Pecolifts - Thorough Examination Certificates
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Ladders - EN131
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Ladder Permits in Place
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Podiums Erected Correctly
Other - Working at Height
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Protection Against Falls/Materials
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Barriers/Warnings
Lifting Operations
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Qualified Operatives
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Equipment & Accessories
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LOLER Inspection
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Thorough Examination Certificate
Vehicles, Plant & Equipment
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In Use Safely
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Safety Features
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PUWER Inspections
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Trained Operative (CPCS)
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Vehicles Chapter 8 Compliant
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Segregation
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Signage
Hazardous Substances (COSHH)
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In Use Safely
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Storage Suitable
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Risk Assessment in Place
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SDS on Site
Gas & Fuel
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Storage Suitable
Work Environment
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Dust
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Lighting
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Access & Egress
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Site Security
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Slips, Trips & Falls
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Site Tidiness
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Storage of Materials
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Waste Management
Occupational Health
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Noise
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Vibration
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Manual Handling
PPE
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PPE in Place
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Task Specific Worn Where Required
Environmental
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Provisions for Safe Handling of Materials
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Fuel Containers Fit for Purpose and Labelled Correctly
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Spill Kits Present and Fit for Purpose
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Operatives Working in Accordance with Environmental Considerations
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Secondary Containment Available (110% Drip Trays)
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Waste Segregated
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Waste Transfer Notes Filled Out Correctly
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Hazardous Waste Consignment Notes Filled Out Correctly
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Surface Water Drains Covered Correctly
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Excessive Noise Controlled Effectively
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Excessive Dust Controlled Effectively
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Vibration Controlled Effectively
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Works Carried out During Work Hours
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Environmental Champion Nominated
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Environmental Planning
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Environment Considered in Risk Assessment
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Environmental Training
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Targets & Objectives Set
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Environmental Moinitoring
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Regulatory Activity (EQ/SEPA/LA)
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Policy in Date
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Environmental Legislation Register
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Environmental Incidents Recorded/Reported
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Permits in Date
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Environmental Aspects & Impacts
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Chemical Storage (Away from drains and watercourses)
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Drains & Outflows Identified
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Wheel Wash/Concrete Wash Out Areas
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Evidence of Water Use/Leaks/Wastage
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Local Air Quality
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Exhaust Fumes
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CFC's Usage
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Extract Ventilation Discharges Clear
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Use of Solvents/Paints
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Leaking Equipment
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Fuel Filling Points
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Contaminated Land Identified
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Drip Trays in Use
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Evidence of Spills
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Remediation Measures
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Waste Carriers Licence
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Transfer Notes Retained and Checked
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Waste Segregation
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Waste Disposal Condition
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Recycling of Waste
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Final Disposal of Waste Identified and Licenced
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Waste Minimisation Practices
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Waste Protection (Weather/Arson)
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Evidence of Fly Tipping
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Site Waste Management Plans
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Chemical Management
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Hazardous Waste Segregation
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Consignment Notes Management
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Odour
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Mud on Highways
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Dealing with Complaints
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Vehicle Selection
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Vehicle Usage
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Vehicle Maintenance & Upkeep
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Mileage Monitoring
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Energy Tarriff Correct
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Energy Savings Identified
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Archaeological Issues Identified
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Contact with Invasive Plants
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Tree Protection Measures
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Conservation Issues Identified
Other
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Any Other Issues
Summary
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Sign-Off
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H&S Inspector
