Avonmouth

• Document: BML/W/HSEF/HK/4

• Conducted on

  Date

• Prepared by

• Location
  Address

PART 1 - HOUSEKEEPING

1 Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  Shortfalls

  N/A

• Are there no outstanding actions?

  Yes

  No

  Shortfalls

  N/A

2 Site Admin Office

• Floor surfaces even and uncluttered?

  Yes

  No

  Shortfalls

  N/A

• Entry and walkways kept clear?

  Yes

  No

  Shortfalls

  N/A

• Intersections kept clear of boxes etc?

  Yes

  No

  Shortfalls

  N/A

• Furniture in sound condition?

  Yes

  No

  Shortfalls

  N/A

• Condition of filing cabinets?

  Yes

  No

  Shortfalls

  N/A

• Condition of chairs? (Five star bases.)

  Yes

  No

  Shortfalls

  N/A

• Desks in good condition? (No damage.)

  Yes

  No

  Shortfalls

  N/A

• Screen Based Equipment positioned to reduce glare from windows etc?

  Yes

  No

  Shortfalls

  N/A

• Are all electrical appliances in date for PAT testing?

  Yes

  No

  Shortfalls

  N/A

3 Documentation

• Site Induction Pack maintained?

  Yes

  No

  Shortfalls

  N/A

• Site Visitors Pack maintained?

  Yes

  No

  Shortfalls

  N/A

• SMP maintained?

  Yes

  No

  Shortfalls

  N/A

• Site Fire Safety Log maintained?

  Yes

  No

  Shortfalls

  N/A

4 Car Park

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Is there sufficient Lighting?

  Yes

  No

  Shortfalls

  N/A

• Is there sufficient Signage?

  Yes

  No

  Shortfalls

  N/A

5 Commercial Vehicles

• General Housekeeping & Maintenance?

  Yes

  No

  Shortfalls

  N/A

6 Yard

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Signage?

  Yes

  No

  Shortfalls

  N/A

• Drainage?

  Yes

  No

  Shortfalls

  N/A

• Lighting?

  Yes

  No

  Shortfalls

  N/A

• Perimeter Security?

  Yes

  No

  Shortfalls

  N/A

7 Diesel Tank Area

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• General condition of the tank is are good?

  Yes

  No

  Shortfalls

  N/A

• Correct signage on display?

  Yes

  No

  Shortfalls

  N/A

• Maintained i.a.w. COSHH Regs?

  Yes

  No

  Shortfalls

  N/A

• Spill Kit fully stocked?

  Yes

  No

  Shortfalls

  N/A

8 Amenities

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Hot & cold running water?

  Yes

  No

  Shortfalls

  N/A

• Soap, barrier cream & towels provided?

  Yes

  No

  Shortfalls

  N/A

• Toilet rolls provided?

  Yes

  No

  Shortfalls

  N/A

• Adequate Lighting?

  Yes

  No

  Shortfalls

  N/A

9 Mess Room

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Hot & cold running water?

  Yes

  No

  Shortfalls

  N/A

• Soap & Towels provided?

  Yes

  No

  Shortfalls

  N/A

• Adequate Lighting?

  Yes

  No

  Shortfalls

  N/A

10 Notice Boards

• Adequate HSE information?

  Yes

  No

  Shortfalls

  N/A

• Information up to date and relevant to the site?

  Yes

  No

  Shortfalls

  N/A

11 First Aid Boxes

• Are contents regularly checked?

  Yes

  No

  Shortfalls

  N/A

• No contents past their expiry date?

  Yes

  No

  Shortfalls

  N/A

• Employees aware of location of first aid boxes?

  Yes

  No

  Shortfalls

  N/A

• Are first aid boxes accessible?

  Yes

  No

  Shortfalls

  N/A

• Are site First Aiders and emergency numbers displayed?

  Yes

  No

  Shortfalls

  N/A

12 Lifejackets

• In date for test?

  Yes

  No

  Shortfalls

  N/A

• Pre-user checks being adhered to?

  Yes

  No

  Shortfalls

  N/A

13 Personal Protective Equipment

• Adequate supply of correct PPE on site?

  Yes

  No

  Shortfalls

  N/A

• PPE Regs being adhered to?

  Yes

  No

  Shortfalls

  N/A

• General condition of PPE?

  Yes

  No

  Shortfalls

  N/A

14 COSHH

• COSHH Log maintained?

  Yes

  No

  Shortfalls

  N/A

• COSHH Store in good order?

  Yes

  No

  Shortfalls

  N/A

15 Store Room

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Is lighting adequate?

  Yes

  No

  Shortfalls

  N/A

16 Pedestrian Walkways

• Clearly Marked?

  Yes

  No

  Shortfalls

  N/A

• Free from obstruction?

  Yes

  No

  Shortfalls

  N/A

17 Fire Exits and Escape Routes

• Alarm test in date?

  Yes

  No

  Shortfalls

  N/A

• Signage clear and easy to follow?

  Yes

  No

  Shortfalls

  N/A

• Free from obstruction?

  Yes

  No

  Shortfalls

  N/A

18 Fire Extinguishers

• Correct type for hazards in vicinity?

  Yes

  No

  Shortfalls

  N/A

• Extinguishers present and in date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Random Extinguisher check: <br>Anti-Tamper Tally?<br>Gauge in green?<br>CO2 correct weight?<br>Damage?

  Yes

  No

  Shortfalls

  N/A

19 Forklift

• Forklift Checklist in date?

  Yes

  No

  Shortfalls

  N/A

• Annual LOLER Inspection in date?

  Yes

  No

  Shortfalls

  N/A

• Keys stored in managers office when not in use?

  Yes

  No

  Shortfalls

  N/A

20 Overhead Crane

• Crane Checklist Maintained?

  Yes

  No

  Shortfalls

  N/A

• Date Last Checked:

21 Lifting Equipment

• Colour Coded?

  Yes

  No

  Shortfalls

  N/A

• Wear & Tear?

  Yes

  No

  Shortfalls

  N/A

22 Hydraulic Jacks

• None currently held but may lease if required.

• In date for test?

  Yes

  No

  Shortfalls

  N/A

• Wear & Tear?

  Yes

  No

  Shortfalls

  N/A

23 Gas Bottle & Fuel Stores

• All fuels separate?

  Yes

  No

  Shortfalls

  N/A

• Stowed in locked cages?

  Yes

  No

  Shortfalls

  N/A

• Ready use bottles secured and not free standing?

  Yes

  No

  Shortfalls

  N/A

• Ready use bottles turned off at cylinder and excess gas vented from hoses when not in use?

  Yes

  No

  Shortfalls

  N/A

24 Gas hoses & associated equipment

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Wear & Tear?

  Yes

  No

  Shortfalls

  N/A

• Gauges free from damage?

  Yes

  No

  Shortfalls

  N/A

25 Workshops

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Local Exhaust Vent in date for inspection & evidence of usage?

  Yes

  No

  Shortfalls

  N/A

• Welding Screens?

  Yes

  No

  Shortfalls

  N/A

• Are oily rags disposed of in a metal bin fitted with a lid?

  Yes

  No

  Shortfalls

  N/A

• Is the oily rag bin placed outside when the site is unattended?

  Yes

  No

  Shortfalls

  N/A

• Suggestion / Near Miss Box Checked?

26 Fixed Machinery

• Guards fitted and correct?

  Yes

  No

  Shortfalls

  N/A

• Clean & well maintained?

  Yes

  No

  Shortfalls

  N/A

• Pre-user Checks displayed?

  Yes

  No

  Shortfalls

  N/A

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

• PUWER Assessments in place?

  Yes

  No

  Shortfalls

  N/A

27 Portable Electrical Equipment

• PAT test displayed?

  Yes

  No

  Shortfalls

  N/A

• Guards fitted & correct where applicable?

  Yes

  No

  Shortfalls

  N/A

• Tool used i.a.w manufacturers guidance?

  Yes

  No

  Shortfalls

  N/A

• Clean and well maintained?

  Yes

  No

  Shortfalls

  N/A

28 Quarantine Area

• Is the area secure?

  Yes

  No

  Shortfalls

  N/A

• Is a log maintained?

  Yes

  No

  Shortfalls

  N/A

• Is there sufficient signage?

  Yes

  No

  Shortfalls

  N/A

29 Racks - Steel/Alum. Plate & Pipe

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Are different metals segregated?

  Yes

  No

  Shortfalls

  N/A

30 Metal Scrap Bins & Skips

• No scrap overly protruding?

  Yes

  No

  Shortfalls

  N/A

• Segregated materials?

  Yes

  No

  Shortfalls

  N/A

31 Ladders & Steps

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  Shortfalls

  N/A

• Are ladders in good condition?

  Yes

  No

  Shortfalls

  N/A

• If used for electrical work are they non conductive? (Wood or fibre glass)

  Yes

  No

  Shortfalls

  N/A

• Used according to instructions?

  Yes

  No

  Shortfalls

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  Shortfalls

  N/A

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

32 Site Electrical

• No general electrical issues?

  Yes

  No

  Shortfalls

  N/A

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

PART 2 - WORK ACTIVITIES

• Have personnel completed a Take 5 Risk Assessment for works being undertaken?

  Yes

  No

  Shortfalls

  N/A

• Are access and egress arrangements safe, including working at height access (Ladders, scaffolding tagged, etc.)?

  Yes

  No

  Shortfalls

  N/A

• Is housekeeping / tidyness acceptable in the work area, and is it free from slip, trip and fall hazards?

  Yes

  No

  Shortfalls

  N/A

• Are all hazards suitably controlled and appropriate measures taken to ensure the health and safety of Burgess Marine personnel and others who may be affected by their activities?

  Yes

  No

  Shortfalls

  N/A

• Do personnel have the relevant instruction and training to carry out the work safely?

  Yes

  No

  Shortfalls

  N/A

PART 3 - ENVIRONMENTAL

1 Fresh Water System Management

• Fresh Water System Management Log up to date?

  Yes

  No

  Shortfalls

  N/A

• Regular Hot & Cold water temperature checks?

  Yes

  No

  Shortfalls

  N/A

• No noticable defects around the fresh water system?

  Yes

  No

  Shortfalls

  N/A

2 Waste

• General Housekeeping of skip areas?

  Yes

  No

  Shortfalls

  N/A

• Separate skips provided for General and Recycle waste?

  Yes

  No

  Shortfalls

  N/A

• Waste collection conducted regularly?

  Yes

  No

  Shortfalls

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign