Appendix A: Safety, Health & Environment Inspection Checklist

Management Health and Safety Inspection Record

• Site conducted

  Select

• Location inspected:

• Responsible (Site) Manager

• Date of inspection

  Date

• Previous inspection Date

  Date
• Address
  Address

A. Arrival

• A1. Visitor's/Contractors Inducted

  ✔

  ✖

  N/A

• A2. Staff inducted

  ✔

  ✖

  N/A

S. Site Security

• S1. Site Security Review<br>Note site review date

  ✔

  ✖

  N/A

WT. Workplace Transport

• WT1. Traffic Management / Signs

  ✔

  ✖

  N/A

• WT2. Reverse Parking

  ✔

  ✖

  N/A

• WT3. Unloading areas etc

  ✔

  ✖

  N/A

• WT4. Segregations of people & plant

  ✔

  ✖

  N/A

• WT5. Speed limits clear

  ✔

  ✖

  N/A

• WT6. Seatbelts in use

  ✔

  ✖

  N/A

W. Workplace Welfare Standard

• W1. Mess & Locker Rooms hygienic

  ✔

  ✖

  N/A

• W2. Drinking water available

  ✔

  ✖

  N/A

• W3. WC showers/washing facilities

  ✔

  ✖

  N/A

• W4. Housekeeping I Walkways clear

  ✔

  ✖

  N/A

• W5. Lighting / Temperature / Air

  ✔

  ✖

  N/A

• W6. No Smoking area compliance

  ✔

  ✖

  N/A

P. PPE/RPE (Worn correctly)

• P1. Bump caps / Hard hats in date

  ✔

  ✖

  N/A

• P2. Ear / Eye protectors available

  ✔

  ✖

  N/A

• P3. Required PPE available

  ✔

  ✖

  N/A

WE. Work Equipment

• WE1. Used and stored correctly

  ✔

  ✖

  N/A

• WE2. Guards and warnings in place

  ✔

  ✖

  N/A

• WE3. Competence of Users

  ✔

  ✖

  N/A

• WE4. Abrasive wheels checked<br>Below wear limits or chipped

  ✔

  ✖

  N/A

• WE5. Inspections in date<br>Compressed gas/lifting equip.

  ✔

  ✖

  N/A

• WE6. Condition of Tools

  ✔

  ✖

  N/A

ST. Stores

• ST1. Stores tidy and stacked safely

  ✔

  ✖

  N/A

• ST3. Detonator storage secure

  ✔

  ✖

  N/A

• ST4. Designated storage area<br>Compressed gas

  ✔

  ✖

  N/A

• ST5. Quarantine arrangements

  ✔

  ✖

  N/A

A. Accident Reporting

• A1. Reports &forms available

  ✔

  ✖

  N/A

F. Fire

• F1. Fire Extinguishers (in date)<br>Accessible

  ✔

  ✖

  N/A

• F2. Fire Assembly Point clear

  ✔

  ✖

  N/A

• F3. Means of Escape clear

  ✔

  ✖

  N/A

• F4. Fire action notices

  ✔

  ✖

  N/A

• F6. Fire Log Book/Alarm Tests<br>Alarms, evacuations, tests etc,

  ✔

  ✖

  N/A

• F7. Emergency Lighting

  ✔

  ✖

  N/A

• F8. Storage of Flammables

  ✔

  ✖

  N/A

FA. First Aid Provision

• FA1. First Aid coverage in area

  ✔

  ✖

  N/A

• FA2. First aid kits/bags checked

  ✔

  ✖

  N/A

• FA3. First aid notices

  ✔

  ✖

  N/A

B. Building

• B1. General Safety of Structure

  ✔

  ✖

  N/A

• B2. Asbestos Check<br>Record on Share point

  ✔

  ✖

  N/A

• B3. Legionella Check<br>Review & update RA

  ✔

  ✖

  N/A

RA. Risk Assessment & SSOW

• RA1. Undertaken for all tasks

  ✔

  ✖

  N/A

• RA2. Describes process / activity

  ✔

  ✖

  N/A

• RA3. Identifies significant risks

  ✔

  ✖

  N/A

• RA4. Identifies groups at risk

  ✔

  ✖

  N/A

• RA5. Identifies assessor

  ✔

  ✖

  N/A

N. General Notices

• N1. H&S Board Populated<br>Policy Statements, EUPL Insurance, Accreditations, H&S Law Poster

  ✔

  ✖

  N/A

• N2. Walking routes displayed

  ✔

  ✖

  N/A

E. Electrical

• E1. Portable appliances PAT date

  ✔

  ✖

  N/A

• E2. Fixed Wiring in Date<br>3 or 5 years

  ✔

  ✖

  N/A

• E3. Unauthorised appliances

  ✔

  ✖

  N/A

CO. COSHH

• CO1. Inventory list

  ✔

  ✖

  N/A

• CO2. First Aid Notice Displayed

  ✔

  ✖

  N/A

• CO3. Correct Assessments Held

  ✔

  ✖

  N/A

Sign Off

• Additional Comments to be attached if required

• Summary of Significant findings

Manager Sign Off

• Name/Signature/Date

  Sign
Other Sign Off

• Name/Signature/Date

  Sign