ASHABSKYBHSFIR

Team name her Department name here Inspection report name here

• Business

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Region

  North

  Midlands

  South

• Inspected by

  BC

  BK

  RD

• Worker name

• Vehicle Registration

• Site ID

• Add location
  Address

• Signature ~ Inspected. By

  Sign

• Signature ~ Worker

  Sign

• Inspection Date

  Date

Site Tidiness ~ First impressions

• Is the site tidy and well controlled with no rubbish lying around?

  Yes

  No

  N/A

• Is the equipment (ladders etc.) stored safely?

  Yes

  No

  N/A

• Are trip hazards etc. avoided for staff or members of the public?

  Yes

  No

  N/A

Vehicle Tidiness

• Is the drivers area neat, tidy and clean etc. - fit for use to eat and drink in if necessary?

  Yes

  No

  N/A

• Is the vehicle storage area kept neat and tidy with stock and equipment laid out neatly?

  Yes

  No

  N/A

Risk Assessment (RA) And Safe Systems Of Work (SSoW) Availability

• Is a copy of the risk assessment available?

  Yes

  No

  N/A

• Is a copy of the safe systems of work available?

  Yes

  No

  N/A

Risk Assessment And Safe Systems Of Work Documentation Quality

• Is a risk assessment filled out for the install in question and does it relate well?

  Yes

  No

  N/A

• Does the safe systems of work relate to the work carried out on the install?

  Yes

  No

  N/A

Asbestos

• Does the risk assessment or safe systems of work mention asbestos?

  Yes

  No

  N/A

• Have the engineers been trained specifically to identify asbestos?

  Yes

  No

  N/A

Health & Safety Equipment Storage

• Is the H&S equipment stored or contained away from potential damage?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Was the appropriate PPE worn for the work being carried out?

  Yes

  No

  N/A

• List what items were missing

  Select Hard Hat Hi Viz Boots Gloves Goggles Dust Masks

  • Hard Hat
  • Hi Viz
  • Boots
  • Gloves
  • Goggles
  • Dust Masks

• Type of work

Ladder Condition

• Are the ladders in good condition with no dents etc. that could affect their integrity?

  Yes

  No

  N/A

• Make notes on what damage and where

Fall Arrest Harness Condition

• Is the harness on good condition with no tears, nicks or broken stitching?

  Yes

  No

  N/A

• Make notes on what damage and where

• When worn is it worn correctly?

  Yes

  No

  N/A

Rope Condition

• Is the rope in good condition with no nicks, frayed areas etc.?

  Yes

  No

  N/A

• Make notes on what damage and where

Other Health & Safety Equipment Condition ~ Microlite, Laddermate, Rope Grab etc.

• What other equipment is available?

  Select Laddermate Microlite Rope Grab Cows Tail Gravel Bag Leg extensions Barriers Cones Signs N/A

  • Laddermate
  • Microlite
  • Rope Grab
  • Cows Tail
  • Gravel Bag
  • Leg extensions
  • Barriers
  • Cones
  • Signs
  • N/A

• Is there anything not included on the list supplied?

  Off

  On

• Additional Equipment 1

• Additional Equipment 2

• Additional Equipment 3

• Additional Equipment 4

• Is the laddermate in good condition?

  Yes

  No

  N/A

• Is the Microlite in good condition?

  Yes

  No

  N/A

• Is the rope grab in good condition?

  Yes

  No

  N/A

• Is the cows tail in good condition?

  Yes

  No

  N/A

• Is the gravel bag in good condition?

  Yes

  No

  N/A

• Are the leg extensions in good condition?

  Yes

  No

  N/A

• Are the barriers in good condition?

  Yes

  No

  N/A

• Are the cones in good condition?

  Yes

  No

  N/A

• Are the signs in good condition?

  Yes

  No

  N/A

Ladder Setup

• If ladders are required, are they setup in accordance with the SSoW?

  Yes

  No

  N/A

Fall Arrest System Setup

• If the fall arrest system is required, is it setup in accordance with the SSoW?

  Yes

  No

  N/A

Lifting Equipment To Height

• Is there evidence that the materials are being lifted to height using a safe method?

  Yes

  No

  N/A

Equipment Used At Height

• Is there evidence that the tools and equipment are being used at height safely?

  Yes

  No

  N/A

Work On Flat Roofs

• If there is any work on flat roofs is there adequate edge protection?

  Yes

  No

  N/A

• If no edge protection, are precautions in place to prevent persons reaching the edge?

  Yes

  No

  N/A

Manual Handling

• Are the engineers on site trained in manual handling?

  Yes

  No

  N/A

Photographs

• Photograph 1

  Media

• Photograph 2

  Media

• Photograph 3

  Media

• Photograph 4

  Media

Escalations

• Were there any escalations required?

  Yes

  No

• Whom to?

  Select Engineer Manager Business Owner QA Team Health and Safety

  • Engineer
  • Manager
  • Business Owner
  • QA Team
  • Health and Safety

• Outcome of escalation

  Select investigation discussion with engineer discussion with kermit the frog umpa lumpa diggity d'oh

  • investigation
  • discussion with engineer
  • discussion with kermit the frog
  • umpa lumpa
  • diggity
  • d'oh

Additional Information

• Comments or Observations