Title Page
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Client:
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Location:
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Project Type:
- New Build
- Demolition
- Refurbishment
- Car Park Extension
- Highways
- New Store & Demolition
- Fit-Out
- New Build Fit-Out
- Strip-Out
- Extension
- Sewer Diversion
- Small Works Project
- RDC Refurbishment
- RDC New Build
- RDC Extension
- DRS
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Principal Contractor:
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Date:
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Completed by:
SAFETYFORM SITE SAFETY INSPECTION SCORING GUIDE
The following sets out the scoring criteria that will be used on all Lidl site inspections.
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COMPLIANT - A category will be scored as "Compliant" where the contractor can demonstrate they are fully compliant with the requirements of relevant applicable legislation, guidance and/or industry best practice.
A score of 5 is awarded for a Compliant score.
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OPPORTUNITIES - A category will be scored as "Opportunities" where the contractor cannot demonstrate they are fully compliant with the requirements of relevant applicable legislation, guidance and/or industry best practice, but the breach is such that it would not attract a Prohibition Notice, but could attract a Fee For Intervention (FFI).
A score of 3 is awarded for an Opportunities score.
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NON-COMPLIANT - A category will be scored as "Non-Compliant" where the contractor is in breach of the requirements of relevant applicable legislation and where a HSE inspector would issue enforcement action in the form of a Prohibition Notice.
A score of zero is awarded for a Non-Compliant score.
PROJECT DETAILS
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Principal Contractor:
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Site Manager:
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Site Manager Email:
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Site Tel No:
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Notifiable or Non-Notifiable:
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Week No:
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No's on site:
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Works in Progress at time of Inspection:
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Please indicate planned completion date:
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No of Accidents:
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Please provide brief details of the accident(s) to include date, injury, if reportable under RIDDOR.
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No of Incidents:
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Please provide brief details of the incident(s) to include date, injury, if reportable under RIDDOR.
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No of over 7 day injuries:
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Please provide brief details of the Over 7 day injuries to include date, injury, if reportable under RIDDOR.
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No of HSE inspections:
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What actions were taken during the HSE inspection?
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Please provide brief details of the issues raised by the HSE?
1. DOCUMENTATION
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Overall Documentation Score:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Is there a copy of the Construction Phase Plan on site and is it being updated as the works progress?
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Are site specific risk assessments and method statements available for Principal Contractor and sub-contractors and are they signed for acceptance by all operatives working on the site?
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Have all operatives and visitors signed into the site and received and signed for, a site safety induction with records available for inspection?
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Is other documentation available on site such as permits to work, operator competence certificates/licences and records of toolbox talks undertaken on a regular basis?
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Are there any other breaches of documentation requirements not listed above?
2. SITE MANAGEMENT
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Overall Site Management Score:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Does the site manager hold a current Site Managers Safety Training Scheme Card (SMSTS)?
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Does the site manager demonstrate the expected leadership qualities in terms if skills, knowledge, experience and assertiveness to manage the site effectively?
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Does the site manager appear to be proactive in their approach to H&S and does this emanate in the overall culture of H&S across the site?
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Is the site manager aware of the current HSE initiatives for reducing risks on site?
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Are there any other breaches of site management requirements not listed above?
3. PROTECTION AGAINST FALLS / WORK AT HEIGHT
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Overall Protection Against Falls / Work at Height Score:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Where works at height are being undertaken, is the most appropriate form of work equipment being used (i.e. towers instead of steps) and is suitable fall protection provided to reduce the risk of falling from height?
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Are risk assessments and method statements provided for all works at height and are operatives working in line with the safety controls listed within?
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Where work equipment is used for works at height, are operatives appropriately trained in it's use with copies of training certification held on their person or within the site office?
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Where work at height is being undertaken at height without using MEWPS or tower scaffolds, is suitable access provided to allow safe access and egress for operatives and materials (remember a MEWP should not be used as access equipment)?
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Are there any other breaches of protection against falls or working at height requirements not listed above?
4. EXCAVATIONS
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Overall Excavations Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Do all excavations on the site have barriers to protect against unauthorised or accidental entry by trespasser's, site operatives and construction site vehicles and are they all erected securely around the excavation with no breaches?
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Where required, are systems in place to prevent collapse of an excavation (i.e. shoring, battered back or stepped sides)?
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Where required due to their depth, is safe access and egress to and from the excavation provided (such as a ladder or steps carved into the sides)?
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Is suitable safety signage displayed on all excavation barriers warning of the presence of deep excavations?
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Are there any other breaches of excavations requirements not listed above?
5. PLANT & EQUIPMENT
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Overall Plant & Equipment Scores
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Is there a register which lists all plant & equipment present on site which are required to undergo a weekly inspection and are weekly inspections undertaken and recorded?
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Does plant & equipment used on site, appear in good order and fit for purpose with guards fitted where required and lights, beacons and mirrors all working?
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Where site operatives are observed operating "ride-on" plant or equipment, are they wearing the seat belts provided to reduce the risks of falling off and wearing suitable PPE to reduce other risks resented by their use?
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Are site operatives training records/licences available for inspection and are they within date?
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Are there any other breaches of plant & equipment requirements not listed above?
6. ELECTRICS
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Overall Electrics Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Where temporary electrics are present on site, have they been suitably installed by a competent electrician with a temporary electrical test certificate issued to site which is available for inspection?
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Where possible, are electrical tools and extension leads used on site of 110 volts or where 240 volts equipment or leads are used, are they fitted with residual circuit breakers or other controls measures which cut the supply in the event of a fault?
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Where cables are run from drop boxes or extension leads are used, are they suitably routed to reduce the risk of tripping people over or being damaged by plant or machines running over them (i.e. at height or around perimeters)?
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Where any type of electrical works are being undertaken, are procedures in place for control panel "lock-off" and are all electrical works suitably segregated from all other works on site where required/possible?
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Are there any other breaches of electrical works requirements not listed above?
7. ACCESS
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Overall Access Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Is there a suitable full height hoarding or heras fencing erected around the site to prevent unauthorised access by unauthorised persons both when the site is operational and when unattended?
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Is there suitably segregated access for pedestrians from vehicles entering the site and internally around the site in the form of pedestrian walkways?
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Are all work areas both inside and outside the site easily accessible and free from obstructions so as to carry out the works safely?
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Where access to the site for vehicles and pedestrians is provided, are vehicle and pedestrian access gates kept locked shut when not in use and vehicle access gates manned when vehicles are accessing or egressing the site?
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Are there any other breaches of access requirements not listed above?
8. SCAFFOLDS
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Overall Scaffolds Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Where fixed scaffolds are erected on site, are they inspected on a weekly basis by a competent person with records kept of the inspections and has a scaffold handover certificate been issued from the scaffolding contractor who installed it and is available for inspection?
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Where fixed scaffolding is erected is suitable access in the form of a ladder which is tied, edge protection with intermediate guards rails and toe boards provided where required?
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Where tower scaffolds are used on site, have they been erected by competent persons and in line with manufacturers instructions and fitted with a suitable access ladder (where required), edge protection, intermediate guard rails, toe boards and outriggers (where required) with the wheels locked when in use?
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Are tower scaffolds signed off as being fit for purpose by the person who erected it?
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Are there any other breaches of scaffolding requirements not listed above?
9. FIRE
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Overall Fire Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Has a suitable and sufficient fire risk assessment been carried out for the site which identifies the risks associated with fire and is available for inspection?
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Has a fire plan been developed and displayed on site which highlights all fire point locations, all fire exits, all fire escape routes and the fire assembly point(s) and is communicated to all operatives and visitors at induction?
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Have all fire points been provided with a means of raising the fire alarm and a suitable provision for fighting a small fire?<br>(i.e. fire extinguishers of the type required for the type of fire likely to occur)?
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Are all fire escape routes, fire exits and access to fire point locations kept free from obstructions at all times to allow for a safe escape?
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Are there any other breaches of fire safety requirements not listed above?
10. PERSONAL PROTECTIVE EQUIPMENT (PPE)
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Overall Personal Protective Equipment Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Are all site operatives and visitors adhering to the site requirements for PPE?
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Are suitable signs erected for areas where additional PPE may be required (i.e. in high noise areas)?
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Is replacement PPE available in the event PPE may be damaged or mislaid?
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Where RPE is used, have operatives been face fitted with records of face fitting available for inspection?
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Are there any other breaches of PPE requirements not listed above?
11. SAFETY SIGNAGE
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Overall Safety Signage Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Is statutory safety signage being displayed externally, warning of construction works in progress and restricted access to site?
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Is there a Health & Safety notice board being displayed on site and is it populated with the required safety signs as per statutory requirements?
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Are statutory notices such as the F10, H&S law poster, employers insurance details and site rules being displayed?
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Are other safety notices being displayed around the site where required such as High Noise Areas, PPE Requirements, fist aiders details and nearest accident & emergency department?
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Are there any other breaches of safety signage requirements not listed above?
12. WELFARE PROVISIONS
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Overall Welfare Provisions Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Have suitable welfare facilities been provided in line with the requirements of Schedule 2 of CDM 2015?
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Are welfare facilities kept in a clean and tidy condition at all times and facilities for washing and drying plates and utensils provided?
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Have toilets been provided for use by both male and female operatives / visitors (where required) and have a supply of soap for washing hands and face, disposable hand towels for the drying of hands and face and a supply of toilet rolls?
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Have adequate provisions been provided for administering first aid with a nominated first aider and a fully stocked first aid kit available?
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Are there any other breaches of welfare requirements not listed above?
13. HOUSEKEEPING
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Overall Housekeeping Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Are housekeeping standards kept to a good standard across the site with waste kept to a minimum and materials stored in designated storage locations?
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Are redundant materials removed to skips as soon as practicable to avoid the increased risk of contributing to slips, trips an falls (i.e. banding wire and plastics) and the increased risk of arson (i.e. cardboards and packagings)?
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Are all walkways free from slip, trip and fall hazards to allow safe access around the site?
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Are waste skips provided on site for the segregation of waste products and replaced on a regular basis?
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Are there any other breaches of housekeeping requirements not listed above?
14. TRAFFIC MANAGEMENT
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Overall Traffic Management Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Has a suitable traffic management plan been developed and displayed on site detailing all safe traffic routes and site speed limit(s) which has been communicated to all operatives and visitors at induction?
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Is traffic managed when entering and leaving the site by a suitably trained banksman to ensure safe passage into and out of the site?
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Is suitable safety signage displayed relating to traffic management requirements both outside and inside the site?
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Are designated safe traffic routes provided around the site for the safe movement of on-site traffic such as dumpers, excavators etc?
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Are there any other breaches of traffic management requirements not listed above?
15. HEALTH MANAGEMENT
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Overall Health Management Scores:
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The below questions are a representative example of what is assessed within this category during the inspection by the Safetyform consultant. This list is non-exhaustive.
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Are proactive measures in place to protect operatives, visitors and others who may be affected, from exposure to dusts or other airborne particles which may be hazardous to health?
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Are suitable controls in place to protect against high noise & vibration activities to operatives and others who may be affected by them?
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Are suitable controls in place, in line with government guidance, to reduce the spread of COVID-19 across the site as a whole and are they being complied with (i.e. face coverings worn where 2m distancing cannot be achieved)?
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Has the risk of exposure to asbestos been considered and are control measures in place to reduce such risks?
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Are there any other breaches of health management requirements not listed above?
REPORT SIGNATORIES
Report Signatories:
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Site Managers Signature:
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Safetyform Consultant Signature:
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Date of Signature:
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What is the Inspection Score?
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Low Score Alert - Call the Office Immediately to escalate
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Any Other Comments:
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Other Comments: