Ballycommon Worksite Inspection Form

• Document No.

• Worksite Inspection Form

• Client / Site Ballycommon Services Limited

• Conducted on

  Date

• Prepared by

• Location
  Address

• Safe System of Work (SSoW) Nature or work

Controller Of Site Safety

• Name of COSS

• Is COSS wearing armlet correctly

  Yes

  No

  N/A

• Is COSS in possession of necessary certification

  Yes

  No

  N/A

First Aid arrangements

• Is there a nominated first aid at work/appointed person on site

  Yes

  No

  N/A

• Is the first aider in possession of the necessary certification

  Yes

  No

  N/A

• Has the first aider been identified to staff

  Yes

  No

  N/A

• Has the nominated first aider access to details of the nearest hospital and telephone numbers

  Yes

  No

  N/A

• Are there adequate first aid facilities available at all times

  Yes

  No

  N/A

• Is the contents of the first aid kit(s) well replenished and in good condition?<br><br><br>

  Yes

  No

  N/A

Fire Precautions

• Are staff aware of fire safety arrangements

  Yes

  No

  N/A

• Is a fire assembly point defined

  Yes

  No

  N/A

• Are fire extinguishers appropriate for the type of materials available for use on site

  Yes

  No

  N/A

• Are separate fire extinguishers available for any plant on site

  Yes

  No

  N/A

• Are the fire extinguishers in date

  Yes

  No

  N/A

Plant and Operators

• Is all small plant within its service dates and is it in good condition

  Yes

  No

  N/A

• Do operators hold valid certificates for all types of plant they may be required to operate

  Yes

  No

  N/A

• Are all staff involved with plant wearing the required PPE

  Yes

  No

  N/A

Tools and Equipment

• Is all equipment used for testing and measurement calibrated and within date

  Yes

  No

  N/A

• Are all tools and equipment in an acceptable condition

  Yes

  No

  N/A

• Are all staff involved with tools and equipment wearing the required PPE

  Yes

  No

  N/A

Access and egress

• Are all tools and equipment being used correctly and safely

  Yes

  No

  N/A

• Are authorised access points being used for staff,plant and vehicles

  Yes

  No

  N/A

• Is the site access/egress safe (including being clear,locked,secure or manned to avoid trespass)

  Yes

  No

  N/A

• Is there a site register for visitors

  Yes

  No

  N/A

Method Statements

• Is there a method statement for the work being undertaken

  Yes

  No

  N/A

• Are the correct (planned ) work methods being adopted

  Yes

  No

  N/A

• Are staff competent to undertake the tasks required

  Yes

  No

  N/A

Welfare

• Has site accommodation or a vehicle with messing facilities been provided

  Yes

  No

  N/A

• If there are no fixed facilities provided on site,what other arrangements have been made ie nearest depot/trackside cabin

  Yes

  No

  N/A

• Are facilities clean and tidy

  Yes

  No

  N/A

• Are welfare facilities easily accessible to all site staff

  Yes

  No

  N/A

• Do the provided facilities include adequate seating,means to boil water and areas to prepare and eat food

  Yes

  No

  N/A

• Has adequate heating and lighting been provided in these facilities

  Yes

  No

  N/A

• Have suitable toilets been provided and are they in a clean condition

  Yes

  No

  N/A

• Are there suitable means for staff to wash and dry their hands,including Hot and cold running water

  Yes

  No

  N/A

• Is foul water from the sink being kept or being discharged into suitable drains

  Yes

  No

  N/A

• Is there suitable clothing provided for those who have to work in wet,dirty or otherwise adverse conditions

  Yes

  No

  N/A

• Are there adequate facilities for changing/drying wet clothing

  Yes

  No

  N/A

• Is drinking water provided

  Yes

  No

  N/A

• If drinking water containers are provided are they suitable and adequately labelled

  Yes

  No

  N/A

General

• Do all staff have valid Sentinel cards and valid competencies for any tools and equipment used

  Yes

  No

  N/A

• Have all staff worked under each of their safety critical competencies at least once over the last 3 months

  Yes

  No

  N/A

• Do any staff appear to be affected by drugs or alcohol. REMOVE FROM SITE IMMEDIATELY IF YOU SUSPECT THEY ARE UNDER THE INFLUENCE OF DRUGS OR ALCOHOL

  Yes

  No

  N/A

• Are staff on site working within the 'Hidden 'recommendations

  Yes

  No

  N/A

• Are staff aware of emergency arrangements

  Yes

  No

  N/A

• Have site safety notices been provided and if so have signs been displayed

  Yes

  No

  N/A

• Have all hazardous substances been identified

  Yes

  No

  N/A

• Are COSHH assessments/processes available for all substances on site

  Yes

  No

  N/A

• Are risk assessments available for all tasks undertaken on site

  Yes

  No

  N/A

• Are hazardous substances being stored correctly on site

  Yes

  No

  N/A

• Have staff been briefed on all relevant risks/assessments

  Yes

  No

  N/A

• Are all staff wearing hi vi clothing correctly and is it clean

  Yes

  No

  N/A

• Is PPE worn where required

  Yes

  No

  N/A

• Are manual handling methods adequate

  Yes

  No

  N/A

• Is site lighting adequate (including access points to site)

  Yes

  No

  N/A

• Is standby lighting available

  Yes

  No

  N/A

• Are vehicles parked in a safe and secure manner

  Yes

  No

  N/A

• Were spill kits provided

  Yes

  No

  N/A

• Were any safety or environmental concerns raised from staff on site

  Yes

  No

  N/A

• Were any safety or environmental concerns raised from the site supervisor

  Yes

  No

  N/A

• Do any staff wear glasses or contact lenses -if yes - do they carry a spare pair ?

  Yes

  No

  N/A

• Comments/Actions

  Yes

  No

  N/A