Autograph Homes - Site Safety Inspection Report

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• Client:

• Project ID:

• Project Type:

• Principal Contractor:

• Date:

  Date

• Completed by:

  Select Joseph Hoey Iain Patrick Garry Baxter Andrew Shepherd Jim Lennox Zoe Hewer Marc Connor Derek Hillier

  • Joseph Hoey
  • Iain Patrick
  • Garry Baxter
  • Andrew Shepherd
  • Jim Lennox
  • Zoe Hewer
  • Marc Connor
  • Derek Hillier

The following sets out the scoring criteria that will be used on all Safetyform site inspections.

• 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.

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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) or an Improvement Notice.

.

• 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.

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• Project Type:

• Principal / Main Contractor:

• Site Manager:

• Site Manager Email:

• Site Tel No:

• Notifiable or Non-Notifiable:

  Notifiable

  Non-Notifiable

• Week No:

• No's on site:

• Works in Progress at time of Inspection:

• Please indicate planned completion date:

  Date

• No of Accidents:

• Please provide details of all accidents (Date, Time, Injury type etc)?

• No of Incidents:

• Please provide details of all incidents (Date, Time, Damage etc)?

• No of over 7 day injuries:

• Please provide details of all over 7 day injuries (Date, Time, Injury type, actions taken, RIDDOR Report etc)?

• No of HSE inspections:

• What actions were taken during the HSE inspection?

  Fee For Intervention

  Improvement Notice

  Prohibition Notice

• Overall Documentation Score:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Is there a copy of the Construction Phase Plan on site?

  Yes

  No

  N/A

• Are site specific risk assessments and method statements available for Principal Contractor and sub-contractors?

  Yes

  No

  N/A

• Have all operatives and visitors received and signed for, a site safety induction?

  Yes

  No

  N/A

• Are toolbox talks undertaken periodically and recorded?

  Yes

  No

  N/A

• Overall Site Management Score:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Does the site manager hold a current Site Managers Safety Training Scheme Card (SMSTS)?

  Yes

  No

  N/A

• Has the site manager contacted assessed sub-contractors RAMS, who will be working on their site later in the project?

  Yes

  No

  N/A

• Is the site manager aware of the site requirements in terms of Permits?

  Yes

  No

  N/A

• Is the site manager aware of the current HSE initiatives?

  Yes

  No

  N/A

• Overall Protection Against Falls / Work at Height Score:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Where works at height are being undertaken, is the most appropriate form of work equipment being used (i.e. towers instead of steps)?

  Yes

  No

  N/A

• Are risk assessments and method statements provided for all works at height?

  Yes

  No

  N/A

• Where work equipment is used for works at height, are operatives appropriately trained in it's use?

  Yes

  No

  N/A

• Where there is a risk of falls from height, is suitable edge protection in place?

  Yes

  No

  N/A

• Overall Excavations Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Do all excavations on the site have barriers to protect against unauthorised entry?

  Yes

  No

  N/A

• Where required, are systems in place to prevent collapse (i.e. shoring, battered back or stepped)?

  Yes

  No

  N/A

• Are CAT scanning/buried services reports produced and recorded?

  Yes

  No

  N/A

• Is safety signage displayed warning of excavations?

  Yes

  No

  N/A

• Overall Plant & Equipment Scores

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Is there a register which lists all plant & equipment available for inspection?

  Yes

  No

  N/A

• Does plant & equipment used on site, appear in good order and fit for purpose?

  Yes

  No

  N/A

• Are weekly inspections of plant & equipment undertaken and recorded?

  Yes

  No

  N/A

• Are site operatives training records/licences available for inspection?

  Yes

  No

  N/A

• Overall Electrics Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Where temporary electrics are present on site, have they been suitably installed with a temporary electrical test certificate available for inspection?

  Yes

  No

  N/A

• Are all electrical tools used on site 110 volts?

  Yes

  No

  N/A

• Where cables are run from drop boxes, are they suitably routed to reduce the risk of tripping (i.e. at height or around perimeters)?

  Yes

  No

  N/A

• Are procedures in place for control panel lock-off's where required?

  Yes

  No

  N/A

• Overall Access Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Is there a suitable hoarding erected to prevent unauthorised access to the site?

  Yes

  No

  N/A

• Is there segregated access for pedestrians from vehicles to access the site safely?

  Yes

  No

  N/A

• Is there safe access internally around the site for pedestrians (i.e. segregated walkways and designated pedestrians routes)?

  Yes

  No

  N/A

• Are all work areas easily accessible and free from obstructions?

  Yes

  No

  N/A

• Overall Scaffolds Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Are fixed scaffolds issued with a handover certificate from the scaffolding contractor who installed it?

  Yes

  No

  N/A

• Are fixed scaffolds inspected once a week and records of inspections kept?

  Yes

  No

  N/A

• Have tower scaffolds been erected by competent persons and in line with manufacturers instructions?

  Yes

  No

  N/A

• Are tower scaffolds wheels locked, edge protection in place and toe boards fitted?

  Yes

  No

  N/A

• Overall Fire Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Has a suitable and sufficient fire risk assessment been carried out for the site?

  Yes

  No

  N/A

• Has a fire plan been developed, displayed on site and communicated to all operatives and visitors?

  Yes

  No

  N/A

• Have fire points been provided with a means of raising the fire alarm and provision for fighting a small fire (i.e. fire extinguishers)?

  Yes

  No

  N/A

• Are all fire escape routes, fire exits and access to fire points kept free from obstructions?

  Yes

  No

  N/A

• Overall Personal Protective Equipment Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Are all site operatives and visitors adhering to the site requirements for PPE?

  Yes

  No

  N/A

• Are suitable signs erected for areas where additional PPE may be required (i.e. in high noise areas)?

  Yes

  No

  N/A

• Is replacement PPE available in the event PPE may be damaged or mislaid?

  Yes

  No

  N/A

• Where RPE is used, have operatives been face fitted and are records of face fitting available for inspection?

  Yes

  No

  N/A

• Overall Safety Signage Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Is statutory safety signage being displayed externally, warning of construction works in progress and restricted access to site?

  Yes

  No

  N/A

• Is a Health & Safety notice board being displayed on site?

  Yes

  No

  N/A

• Are statutory notices such as the F10, H&S law poster, employers insurance details and site rules being displayed?

  Yes

  No

  N/A

• Are fist aiders details and nearest accident & emergency department being displayed?

  Yes

  No

  N/A

• Overall Welfare Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• The below questions are a representative example of what is assessed during the inspection by the Safetyform consultant. This list is non-exhaustive.

• Have suitable welfare facilities been provided in line with the requirements of Schedule 2 of CDM 2015?

  Yes

  No

  N/A

• Are welfare facilities kept in a clean and tidy condition at all times?

  Yes

  No

  N/A

• Have toilets been provided for use by both male and female operatives / visitors?

  Yes

  No

  N/A

• Have adequate provisions been provided for administering first aid?

  Yes

  No

  N/A

• Overall Housekeeping Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Are housekeeping standards kept to a good standard across the site?

  Yes

  No

  N/A

• Are redundant materials removed to skips to avoid the increased risk of arson?

  Yes

  No

  N/A

• Are all walkways free from slip, trip and fall hazards?

  Yes

  No

  N/A

• Are waste skips provided on site for the segregation of waste products and replaced on a regular basis?

  Yes

  No

  N/A

• Overall Traffic Management Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Has a suitable traffic management plan been developed, displayed on site and communicated to all operatives and visitors?

  Yes

  No

  N/A

• Are there designated unloading/loading areas within the site?

  Yes

  No

  N/A

• Is suitable safety signage displayed relating to traffic management in or around the site?

  Yes

  No

  N/A

• Are suitable safety measures in place for when traffic is leaving the site to protect against collision?

  Yes

  No

  N/A

• Overall Health Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• Is the PC promoting good health practices on site in line with the latest HSE initiatives (Dust suppression & manual handling)?

  Yes

  No

  N/A

• Has the PC implemented suitable controls for COVID-19 in line with government guidance?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Site Managers Signature:

  Sign

• Date of Signature:

  Date

• Safetyform Consultant Signature:

  Sign

• Date of Signature:

  Date

• Any Other Comments:

  Yes

  No

• Other Comments: