Title Page
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Site Location:
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Date:
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Auditor(s):
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Role:
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Project Manager:
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Client:
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Site Manager:
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Number of Workers on Site:
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Contract DOCS, Site File:
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SSoW on site & Briefed:
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SSoW review Date:
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SSoW:
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COSHH Assessments & MSDS on-site & Briefed (If Applicable):
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Toolbox Talks on-site/Tablet & Briefed:
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Toolbox Talks:
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Point of Work Risk Assessment completed:
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Point of Work Risk Assessment:
Welfare
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Welfare Facilities are adequate and sufficient for numbers on site?
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All Welfare Facilities are being cleaned sufficiently and regularly?
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Drinking Water provided in the canteen and on site, are being cleaned sufficiently and regularly?
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Eating Facilities, Breakout Area are being cleaned sufficiently and regularly?
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Is food being dispensed from site, do they have specialist catering on site?
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Waste containers provided?
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Changing Rooms Facilities provided and are being cleaned sufficiently and regularly?
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Welfare Facilities
First Aid and Fire
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First Aid Kits Correct Number and Type for Task (10 or 20 Man):
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Suitable Number of Fire Marshals:
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Fire Extinguishers Service - Correct number and Type for Task:
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Fire Signage Displayed - Correct number and Type for Task:
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Provisions:
Manual Handling
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All Workers trained in Manual Handling:
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Any Repetitive manual handling:
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Extent of Manual Handling Acceptable:
Working at Height
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Any working at height:
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Working at Height Risk Assessment Completed:
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Have Workers been briefed on Working at Height Tasks:
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Working At Height carried out safely:
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Ladder Pre-Use Check:
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Podium/Tower Pre-Use Check:
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MEWP Pre-Use Check:
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Pre-Use Check:
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Equipment
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Tool Tethers in use:
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Are Workers Harnessed Trained:
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Do workers have in-date IPAF/PASMA Training:
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Rescue Plan in place:
Confined Space
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Confined Space Working
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Operatives Confined Space Working Trained:
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Confined Space SSoW documented and Briefed:
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Confined Space SSoW documented:
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Equipment and Tools Intrinsically Safe:
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Tools and Equipment suitable for task?
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All Equipment undergone Pre-Use Checking and recorded?
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Suitability of Persons to do the Work, are Operatives Confined Space
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Rescue Team Available on site?
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Has Testing the Air been undertaken, and findings recorded?
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Gas Detector - Complies with EMC Directive 89/336/EEC?
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Provision of Ventilation - Impact on the rate of oxygen usage and possible build-up of toxic atmospheres
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Isolation of Equipment and Services been undertaken?
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Radio Communications - Effective communications should be established in an emergency
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Self-Rescue Emergency Escape Breathing Device (ISO23269-1:2008)
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10minute Air. Complies with EN1146:2005 and SOLAS standards
COSHH
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COSHH Items being used/Stored on-site?
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COSHH Assessment on-site, read and understood and Signed?
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Correct PPE for the Task (Refer to the MSDS)?
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COSHH
Permits
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Confined Space Permit (PTW)
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Restricted Space Permit
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Hot Works Permit
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Works Permit
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Working at Height Permit
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Electrical Working Permit
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Isolation Permit
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Key Permit
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Other Type of Permit:
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Permits
Occupational Health
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Any Medical Issues?
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HAVS Recorded?
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Fatigue being monitored?
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Staff/Operatives Face Fit Tested?
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Asbestos present on site?
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If So, is Asbestos Register available for review?
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Occupational Health
PPE/RPE
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Hard Hat - (EN397:2012 or EN12492:2012)
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Hi-Viz Vest (tear away) or Jacket Orange in colour -(EN471:2013)
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Sponsor provided on PPE
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Hi-Viz Trousers Orange in colour - (EN471:2013)
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Is the PPE Damaged - Tears/Rips/Faded/Fluorescent
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Steel toes cap boots with steel mid sole - (ISO20345:2011 S3 WR SRA/SRC/SRB)
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Gloves General Low-Level Works - (EN388:3131 Cut Level 1 - Visitor’s to Site Only)
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Gloves Protective - (EN388:3141 Cut Level 2)
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Gloves Protective - (EN388:4343 Cut Level 3)
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Gloves Protective - (EN388:4443 Cut Level 4)
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Gloves Protective - (EN388:4532 Cut Level 5 (With Dexterity)
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Safety glasses - (EN166:1f)
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Safety Goggles - (EN166:1b)
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Ear protection - (EN352-2:2002 - Hearing protectors - Ear Plugs. Filters)
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Ear protection - (EN 352-5:2002 - Hearing protectors - Active Noise Filters)
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Ear protection - (EN 352-3:2002 - Hearing protectors - Ear muffs attached to Filters)
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PPE
Work & Site Equipment
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All in Good Working Order - Clean/Maintained etc…
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All Equipment Calibrated/Serviced - Check Certificate
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Barriers in place (Segregation)
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Correct Signage Displayed
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Correct Lighting/Task Lighting/Helmet Torches?
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Equipment under PUWER - Inspected, Maintained, Serviced and Calibrated?
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Equipment under LOLER - Inspected, Maintained, Serviced and Calibrated?
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All Equipment complete - Mobile Towers - Horizontal Brace, Rung Ladder
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Out Riggers/Stabiliser, Casters with Brakes
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Frame, Kick/Toe Board, Platform Trap Door, Diagonal Brace, Span Frame,
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Equipment HAVS Marked
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PAT Testing Carried out on all relevant equipment?
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Manufacturers instructions available?
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Work & Site Equipment