Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there any outstanding actions?
2.0 - Site access
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2.1- Clean level ground
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2.2 - Safety zones around work sites
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2.3 - Safe entry and exit into traffic
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2.4- Inducted<br><br>
3.0 - Traffic management
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3.1- Traffic flows through site
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3.2 - Trained traffic controllers
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3.3- TCs visible on site
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3.4- STMS on site or available within allowed timeframe
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3.5-TMP on site
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3..6- RTs or handheld radios for TC
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3.7- Cones in good condition, including reflector bands
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3.8- Signs and Cones laid out as per TMP
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3.9- Signs stable, weighted,vertical and in good repair
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3.10- Pedestrians and disable catered for 1.2 min access and ramps in place
4.0 - Personal Protective Equipment (PPE)
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4.1 - Head protection/sun hats where required
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4.2 - Safety boots worn and laced up<br><br><br><br><br>
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4.3- Eye protection available and in use where required
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4.4 - Hearing protection available and in use where required
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4.5 - Respiratory protection
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4.6 - Hi viz clean and worn correctly
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4.7 - Hard hats are current
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4.8 - Special PPE (chaps,gloves,)
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4.9 - Other
5.0 - Site Safety
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5.1 - Site safety plan
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5.2 - Hazard ID completed
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5.3 - Hazard controls in place
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5.4 - Additional hazards identified
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5.5 - SIte Safety Supervisor on site and identified
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5.6 - All employees and visitors are inducted and signed in
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5.7- Underground and overhead services located, marked and plans on site
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5.8- Site monitored on a set schedule
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5.9- Tool box meeting
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5.10- STMS briefing
6.0 - Barricades
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6.1 - Located where required
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6.2 - Properly constructed, four sided
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6.3 - Adequately secured
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6.4- FIt for. purpose and in good repair
7.0 - Trenches and Excavations
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7.1 - Properly sloped where required
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7.2 - Excavated soil properly placed
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7.3 - Appropriate shoring used
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7.4- Proper access to trench
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7.5- Proper storage of materials in and above
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7.6- Lifting chains certified and tagged<br>
8.0 - Plant and Machines
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8.1 - Are they kept clean?
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8.2 - Vehicles fitted with ROPs frames
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8.3 - Seat belts fitted and used as required
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8.4- Use of correct plant for the job
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8.5 - Current COF/WOF/Road users or time licence
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8.6 - Competent operator
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8.7 - Driver has correct and current licence
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8.8 - Driver log book filled in correctly as required
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8.9 - Flashing light and beepers if fitted
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8.10- Service sticker visible and current
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8.11 - Plant operating within safe distance of service/power
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8.12 - Operators trained/inducted into the operation of the machines
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8.13 - Is the training recorded
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8.14 - Do operators comply with the training
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8.15- Plant parked appropriately without blocking visibility when not in use
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8.16 - Plant prestart
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8.17- Spotters operating/available when required
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8.18- Communication/Hand-signals have been agreed between ground staff and operator
9.0 - Power tools, Hand tools and equipment
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9.1 - Current test and tag
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9.2 - Visual inspection before use
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9.3 - All guards fitted, secure and operating
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9.4- No broken plugs, sockets or switches
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9.5- Portable power tools in good condition
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9.6- If running off mains power is an RCD in use
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9.7- Correct PPE
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9.8- Where required are emergency shut-down procedures in palace
10.0 - Chemical Safety
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10.1 - Hazardous Substance Register complete and available
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10.2 - Material Safety Data Sheets available for all chemicals
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10.3 - Risk assessments completed for hazardous substances
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10.4 - All containers labelled correctly
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10.5 - Unused substances disposed of
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10.6 - Do special storage conditions apply
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10.7 - If applicable are special storage conditions followed
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10.8 - Workers trained in the use of hazardous substances
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10.9 - If required is PPE available and being used
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10.10 - Is adequate ventilation provided
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10.11 - Are eye washes and showers easily accessed
11.0 Ladders
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11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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11.2 - Are ladders in good condition
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11.3- Used according to instructions
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11.5 - For extension ladders are ropes, pulleys and treads in a good state of repiar
12.0 - First Aid Facilities
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12.1 - Are the kits and contents clean and orderly
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12.2 - Are contents regularly checked
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12.3 - Is there easy access to kits
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12.4 - Employees aware of location of first aid kit
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12.5- Are there trained first aiders on site
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12.6- Are staff aware of the nearest medical facility
14.0 - Vehicle Condition
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14.1 - Schedule maintenance performed
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14.2 - Condition of tyres
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14.3 - Brake performance
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14.4 - Lights? (Check operation of brake, indicator and reversing lights)
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14.5 - Condition of drivers seat
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14.6 - Condition of other seats
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14.7 - First aid kit and fire extinguisher supplied and adequate
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14.8 - Seat belts fitted and operational
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14.9- Any other issues with vehicles
15.0- Document control
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15.1- QA plan in place
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15.2 CAR forms available, completed as required
Resources
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Manpower
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Plant/Vehicles
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Tools
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Plans, Job instructions/ Directions
What could be done to improve
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Quality of the job
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Productivity
Work Conditions
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Rushing
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Frustration
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Fatigue
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Weather Conditions
What More Could We Provide To Assist You To Carry Out Your Duties To The Best Of Your Abilities
Sign Off
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On site representative
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Auditor's signature
