Site Safety Inspection Report

• Ref number

• Date

  Date

• Site

• Inspector

• Sub Contractor name

• Subcontractor Operatives names

• Project Manager

• Project Number

• Specific Activity

• Scope of works

  Select Gas Water Electric

  • Gas
  • Water
  • Electric

• Select Civils operative Craftsperson Trainee Assistant Service Layer Mains layer

  • Civils operative
  • Craftsperson
  • Trainee
  • Assistant
  • Service Layer
  • Mains layer

• Select Civils operative Craftsperson Trainee Assistant Service Layer Mains layer

  • Civils operative
  • Craftsperson
  • Trainee
  • Assistant
  • Service Layer
  • Mains layer

• Select Civils operative Craftsperson Trainee Assistant Service Layer Mains layer

  • Civils operative
  • Craftsperson
  • Trainee
  • Assistant
  • Service Layer
  • Mains layer

1. Risk Assessments & Method Statement's

• Site specific Risk assessment available up to date and signed?

  Yes

  No

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• Is a method statement (site specific / generic) available?

  Yes

  No

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2. Training and Competence

• Are the operatives approved by Matrix?

  Yes

  No

• Are they on the Approved Register?

  Yes

  No

  N/A

• Contact SHEQ Department / SHEQ Admin

• Are the operatives working under a subcontractors Lloyds accreditation?

  Yes

  No

• Contact SHEQ for confirmation of Lloyds Accreditation on approval list (action SHEQ Department)

• Check competencies and cards relevant to the task.

  Compliant

  Non-Compliant

• Advice Provided:

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3. Access / Egress

• Has the site attendance register been signed? (Principal Contractor sites)

  Yes

  No

  N/A

• Advice Provided:

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• Safe access and egress to activity

  Yes

  No

  N/A

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• Advice Provided:

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4. Housekeeping

• Is the site clean and tidy and free from litter?

  Yes

  No

• Advice Provided:

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• Are tools and equipment stored safely, to prevent any trip hazards?

  Yes

  No

• Advice Provided:

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5. Personal Protective Equipment

• Are operatives wearing the correct PPE?

  Yes

  No

  N/A

• Advice Provided:

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• Are all subcontractor operatives wearing Matrix branded hi-vis vest?

  Yes

  No

• Advice Provided:

• Add Photo

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• Which PPE is available?

  Select Coveralls (FR / ARC) Eye protection Hard hat Hearing protection Hi-vis Respiratory protection Safety boots / safety wellingtons Safety gloves Other

  • Coveralls (FR / ARC)
  • Eye protection
  • Hard hat
  • Hearing protection
  • Hi-vis
  • Respiratory protection
  • Safety boots / safety wellingtons
  • Safety gloves
  • Other

• Please specify

6. Environmental

• Are suitable Environmental controls in place?

  Select Drip Trays Dust Levels Invasive Species Light levels Noise Levels Plant Nappies Protected Species Segregated Waste Spill Kits Tree root protection Watercourses

  • Drip Trays
  • Dust Levels
  • Invasive Species
  • Light levels
  • Noise Levels
  • Plant Nappies
  • Protected Species
  • Segregated Waste
  • Spill Kits
  • Tree root protection
  • Watercourses

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• What precautions are in place?

• which Invasive Species are in the area and what precautions are in place?

• Is the light causing a nuisance?

  Yes

  No

  N/A

• Advice Provided:

• Are the noise levels causing a nuisance?

  Yes

  No

  N/A

• Advice Provided:

  Yes

  No

  N/A

• Are Plant Nappies required?

  Yes

  No

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• Which Protected Species are in the area and what precautions are in place to protect them?

• Is the waste segregated on site?

  Yes

  No

  N/A

• Add Photo

  Yes

  No

  N/A

• Advice Provided:

  Yes

  No

  N/A

• Add Photo

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• Are the spill kits on site sufficient for the amount of plant and vehicles on site?

  Yes

  No

  N/A

• Advice provided:

• Add Photo

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• Are the trees protected from damage by excavations and plant movement?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo

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• Are there suitable precaution in place to prevent pollution and contamination of watercourses?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo

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7. Site security

• Is access secure? i.e are barriers secured? Herras fencing double clipped?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo?

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• Are persons authorised to be on site?

  Yes

  No

  N/A

• Advice Provided:

8. Inductions

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

  Yes

  No

• Advice Provided:

9. Documentation

• Documents available on site?

  Select Drawings Work instruction pack F10 Construction Phase Plan Local Hospital Info Fire Risk Assessment

  • Drawings
  • Work instruction pack
  • F10
  • Construction Phase Plan
  • Local Hospital Info
  • Fire Risk Assessment

• Are the correct and up to date Drawings available?

  Yes

  No

  N/A

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• Advice provided:

• Is the Work Instruction Pack up to date and signed by all relevant personnel?

  Yes

  No

  N/A

• Advice Provided:

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• Does the work require an F10 Notification?

  Yes

  No

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• Is there a CPP in place?

  Yes

  No

  N/A

• Are we Principal Contractor?

  Yes

  No

  N/A

• Contact the PC for a copy of the CPP and report Non-Conformance to SHEQ

• Contact Project Manager and SHEQ department to enquire about missing CPP

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• Is this information readily available?

  Yes

  No

  N/A

• Advice Provided:

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• Is there a requirement for a FRA?

  Yes

  No

  N/A

• Has one been completed?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo

  Media

10. Technical Detail

• Is the Work being carried out in accordance with the correct specifications?

  Select GAS ELECTRIC WATER

  • GAS
  • ELECTRIC
  • WATER

• What specifications are being worked to?

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• What specifications are being worked to?

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• What specifications are being worked to?

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11. Signs and Notices

• Are appropriate signs in use?

  Yes

  No

  N/A

• Advice Provided:

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• Are the correct chapter 8 signs erected as per the New Roads and Street Works Act?

  Yes

  No

  N/A

• Advice Provided:

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12. Welfare

• is the welfare suitable and sufficient for the site operations?

  Yes

  No

• Advice Provided:

• Add Photo

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13. Permits

• Which Permits are in place?

  Select Confined Space Safe Excavation Gas Excavation Live Operational Working General Permit Section 50 Local Authority Non-routine Operation Routine Operation Host Water Company Approval

  • Confined Space
  • Safe Excavation
  • Gas Excavation
  • Live Operational Working
  • General Permit
  • Section 50
  • Local Authority
  • Non-routine Operation
  • Routine Operation
  • Host Water Company Approval

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14. Lifting Ops

• Has the Lifting Operations Compliance Checklist been completed?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo

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• Are all the correct Precautions in place for lifting activities?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo

  Media

15. Electrical Equipment

• Has all electrical equipment been tested?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo of Certification

  Media

16. CoSHH/ Asbestos

• Are COSHH assessments being used?

  Yes

  No

  N/A

• Advice Provided:

17. Vehicles

• Are vehicles clean and tidy?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo

  Media

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• Has the vehicle got an up to date service / MOT (if over 3 years old for MOT)?

  Yes

  No

  N/A

• Advice Provided:

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18. Work at Height

• Are precautions in place to prevent falls from height?

  Yes

  No

  N/A

• Advice Provided:

• Add Photo

  Media

19. Equipment

• Tested, Caibrated, serviced, certs in date?

  Yes

  No

  N/A

• Advice Provided

• Add Photo

  Media

• Add Photo

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20. Emergencies

• Are suitable and sufficient emergency arrangements in place?

  Yes

  No

• Advice Provided

• Provide details of what arrangements are in place

21. Plant

• Is all plant suitable for the task? Have all checks been carried out? Are the service and maintenance records in date?

  Yes

  No

  N/A

• Advice Provided

• Add Photo

  Media

22. Excavations

• Is there safe access and egress?

  Yes

  No

  N/A

• Advice Provided

• Add Photo

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• Are the excavated materials stored in a safe place?

  Yes

  No

• Advice Provided

• Add Photo

  Media

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• Have excavation checks been carried out?

  Yes

  No

  N/A

• Advice Provided

• Add Photo

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• Is the trench support suitable and sufficient?

  Yes

  No

  N/A

• Advice Provided

• Add Photo

  Media

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23. Incident

• Have all incidents been reported?

  Yes

  No

  N/A

• Investigate

24. Other

• On-site responsible person

  Sign

• Name of person completing inspection

  Sign

• Date

  Date