CDM 2015 - Site Safety Inspection Report

• Conducted on

  Date

• Client

• Address of Construction Site Inspected

• Prepared by: Matrix Networks

Sub Contractor

Project Manager

Project Number

Scope of Works

Specific Activity

1. RA's & MS's

• Site specific and cover applicable hazards, signed by all

  Yes

  No

  N/A

2. Training and Competence

• Check competencies and cards ....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

3. Access / Egress

• Attendance register signed, ....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

4. Housekeeping

• Clean and clear site, no littering, backfill .....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

5. PPE

• Head protection, safety footwear / wellingtons....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

6. Environmental

• Spill kits available, plant nappies, drip trays, waste .....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

7. Site security

• Access secure, unauthorised access prevented ...

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

8. Inductions

• All inducted and aware of "10 Golden Site Rules" ....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

9. Documentation

• Documents in use, RAMS, Permits, job pack .....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

10. Technical Detail

• Electrical Installation, Water Installation, Gas installation

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

11. Traffic Routes

• Traffic management in place ....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

12. Signs and Notices

• Are appropriate signs in use ......

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

13. Welfare

• Adequate toilets, washing facilities .....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

14. Permits

• Digging/ excavation, hot work ...

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

15. Lifting Ops

• Banksman in use, lifting plan .....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

16. Electrical Equipment

• PAT completed, expired, checks done ...

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

17. CoSHH/ Asbestos

• Assessments available ........

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

18. Vehicles

• Inspection/ examination cert available ....

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

19. Work at Height

• Barriers around open excavations ......

  Compliant

  Non-Compliant

  N/A

• Advice Provided:

• Person Informed

• Signature

  Sign

• Select date

  Date

• Name of Advisor

  Sign