Capcon Engineering

• Client

• Site conducted / PSCS

• Conducted on

  Date

• Prepared by

• Supervisor & Crew

• Commendable

Paperwork

• SPA completed and signed by all crew / contractors?

  Yes

  No

  N/A

• Permits completed and closed out?

  Yes

  No

  N/A

• RAMS in place and signed by all crew / contractors?

  Yes

  No

  N/A

Access & Eggress

• Is access & eggress okay?

  Yes

  No

  N/A

• Housekeeping in order? Clean as you go policy in place?

  Yes

  No

  N/A

• Vehicles Reverse Parked?

  Yes

  No

  N/A

• Vehicle Weekly Check Completed?

  Yes

  No

  N/A

• Vehicle Clean & Tidy?

  Yes

  No

  N/A

Emergency Planning & Welfare

• Emergency Plan in place?

  Yes

  No

  N/A

• Emergency Exits keep clear?

  Yes

  No

  N/A

• Crew know location of Assembly point

  Yes

  No

  N/A

• First Aider on site?

  Yes

  No

  N/A

• First Aid box on site?

  Yes

  No

  N/A

• Fire Blanket & Fire Extinguisher on site

  Yes

  No

  N/A

• Welfare Unit on site?

  Yes

  No

  N/A

• Canteen on site?

  Yes

  No

  N/A

• Dry Room Required and on site?

  Yes

  No

  N/A

PPE

• Mandatory Site PPE been worn?

  Yes

  No

  N/A

• Task Specific PPE been worn for welding? Work at Height? Confined Space etc?

  Yes

  No

  N/A

Plant & Machinery

• GA1 certificate available & in date?

  Yes

  No

  N/A

• Plant suitable for the work type?

  Yes

  No

  N/A

• Weekly Ga2 completed?

  Yes

  No

  N/A

• Exclusion Zones in place?

  Yes

  No

  N/A

• Lift Plan in place?

  Yes

  No

  N/A

• SWL load displayed?

  Yes

  No

  N/A

• Lights, Beacons etc in place and working?

  Yes

  No

  N/A

Work at Height

• GA3 6 monthly cert available for harness?

  Yes

  No

  N/A

• Harness has a in date tag?

  Yes

  No

  N/A

• Work at Height Permit completed?

  Yes

  No

  N/A

• Documented Daily Check completed on harness?

  Yes

  No

  N/A

• Podium Ladders in Good condition?

  Yes

  No

  N/A

• Other types on ladders on site? Ladder tags completed?

  Yes

  No

  N/A

Tools & Equipment

• PAT testing completed and in date?

  Yes

  No

  N/A

• Tools calibrated?

  Yes

  No

  N/A

• Tools stored correctly?

  Yes

  No

  N/A

• Tools appropriate to the task and as per RAMS?

  Yes

  No

  N/A

• Guards on tools?

  Yes

  No

  N/A

Hot Works

• Hot Works permit in place?

  Yes

  No

  N/A

• PPE worn for the task?

  Yes

  No

  N/A

• Emergency Fire Equipment in the area?

  Yes

  No

  N/A

• Fire Watch in place?

  Yes

  No

  N/A

• Area clear of flammable material?

  Yes

  No

  N/A

• Gases stored in Cages or strapped in trolleys?

  Yes

  No

  N/A

Environmental

• Skips on site?

  Yes

  No

  N/A

• Waste Segregated where applicable?

  Yes

  No

  N/A

• Safety Data Sheets available?

  Yes

  No

  N/A

• Spill kit on site?

  Yes

  No

  N/A

• Drip Trays been used?

  Yes

  No

  N/A

• Bund available for large quantities?

  Yes

  No

  N/A

Sub Contractors

• RAMS available and signed?

  Yes

  No

  N/A

• SPA completed and signed?

  Yes

  No

  N/A

• Permits completed?

  Yes

  No

  N/A

• Ga2 & Ga3 completed?

  Yes

  No

  N/A

• Training in date?

  Yes

  No

  N/A

• PPE as per RAMS?

  Yes

  No

  N/A

• Housekeeping in order?

  Yes

  No

  N/A

Audits / Toolbox Talks / Accidents

• Audits have been completed previously on crew?

  Yes

  No

  N/A

• Outstanding actions from previous audits closed out?

  Yes

  No

  N/A

• Toobox Talk completed in the last month?

  Yes

  No

  N/A

• Crew have ability to raise issues / improvement suggestions on site?

  Yes

  No

  N/A

Warehouse

• Is the forklift GA1 certified?

  Yes

  No

  N/A

• Is the weekly Ga2 completed?

  Yes

  No

  N/A

• Is Forklift training completed?

  Yes

  No

  N/A

• Is the annual racking racking inspection completed?

  Yes

  No

  N/A

• Is the SWL labels on the racking?

  Yes

  No

  N/A

• Public Access controlled?

  Yes

  No

  N/A

• Is the warehouse clean and tidy? No trip hazards?

  Yes

  No

  N/A

• Emergency Lighting and Fire Equipment in place?

  Yes

  No

  N/A

• Date and time of approval

  Date

• Approver's signature

  Sign