Information

  • Document No.

  • Site ID

  • Supervisor

  • Select date

  • Add location

Site Set-up

  • Vehicle parked in a safe location

  • Hi-viz and other relevant PPE being used

  • Cabinets to be decorated have been identified

  • Cabinet description matches those provided within the paperwork

  • Cabinet description matches those provided within the paperwork

  • Access to cabinets is acceptable

  • Photograph of cabinets before works start

  • Booked in with Man-on Site system

  • Weather conditions

Health and Safety

  • Are there any H&S or security risks that will prevent the works being undertaken.

  • Sharps and needles

  • Bird / animal droppings

  • Other:

  • RAMS comply with site conditions

  • RAMS register signed

  • Risk assessment amendments required

  • Additional risks evident, not previously noted

  • sequence of works agreed and tool-box talks carried out with sub-contractors

  • Nearest Welfare fascilites

  • Safe systems of work in place

  • Keys available

  • Local Hospital

Safe Working Zones

  • Traffic Management Contractor present

  • Traffic Management Contractor providing Traffic Management system

  • Traffic Management Contractor providing Pedestrian Management

  • Pedestrian Management erected by Sprayzone

  • Signage adequately located to warn traffic / pedestrians of works

  • Pop-up enclosure required

  • Working zones set-out to an acceptable standard

  • Vehicle re-located to the safe working zone

  • Photograph of barrier system

Application

  • Cabinet condition

  • Photograph of existing cabinet condition

  • Dirty

  • Graffiti

  • Dented / Damaged / Vandalised

  • Other:

  • Masked to an acceptable standard

  • All prep-work and de-greasing carried out to an acceptable standard

  • Paint applied to an acceptable standard

  • Photograph of cabinet prep-work

Completion

  • All masking and protection removed

  • All surfaces inspected for defects and rectified if required

  • All tools, equipment and materials returned to vehicle

  • Work zone barrier system removed

  • Wet Paint signs left for collection later

  • Booked out with Man-on-Site system

  • Site left clean and tidy

  • Photograph of completed works

Sign off

  • supervisor signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.