CDM HEALTH AND SAFETY REPORT

• Audit Title

  Select

• Contract Number

• Report Number

• Project Name

• Client

• Principal Contractor

• Site Manager

• Contact Details

• Conducted on

  Date

• Prepared by

  Select
• Location
  Address

• What3Words Site Office Location

• Weather at the time of survey

  Select Sunny/clear Overcast/dry Overcast/wet Rain Wind Temp below 4 degrees Frost/temp below 0 degrees Snow

  • Sunny/clear
  • Overcast/dry
  • Overcast/wet
  • Rain
  • Wind
  • Temp below 4 degrees
  • Frost/temp below 0 degrees
  • Snow

Observations and Comments

• General

• Current activities on site were:

  Select

AWARENESS - Documents and Procedures

Documents

• 1. H&S Notice Board

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 2. H&S Law Poster

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 3. F10

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 4. Statutory Documents, Employers Liability Certificates

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 5. Construction - Phase Plan on-site

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 6. RAMs Evaluation & approval

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 7. H&S Information Posters

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 8. Fire and Emergency Plans

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 9. Other

  Compliant

  Requires Action

  Non-Compliant

  N/A

Procedures

• 10. Fire Risk Assessment

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 11. First Aid facilities

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 12. Welfare facilities

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 13. Safe Access

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 14. Security

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 15. Traffic Management Plan / Risk Assessments

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 16. Induction

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 17. Toolbox talks/ other safety initiatives

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 18. Training/individual competences

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 19. Permit systems

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 20. Design/information change management

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 21. Other

  Compliant

  Requires Action

  Non-Compliant

  N/A

SITE CONFORMITY - Compliance and Records

Compliance

• 22. H&S Monitoring by PC or Others

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 23. Construction-phase Plan Status / Periodical reviews

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 24. Accidents/Incidents Investigation/prevention

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 25. Appropriate use of PPE

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 26. Safety culture/Consultation

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 27. General Housekeeping (observations)

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 28. Liaison with adjacent sites

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 29. Liaison with client overlap requirements

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 30. Liaison with adjacent parties affected by the works

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 31. Designated smoking

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 32. Other

  Compliant

  Requires Action

  Non-Compliant

  N/A

Records

• 33. Accidents/Incidents recording

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 34. Health & Safety File

  Compliant

  Requires Action

  Non-Compliant

  N/A

• 35. Operation & Maintenance Manuals

  Compliant

  Requires Action

  Non-Compliant

  N/A

CDM Advisors Signature

• This report contains observations that we as CDM Advisor/Principal Designer would advise the Principal Contractor to review and consider in an effort to comply with best practice. Responsibility to manage and monitor the construction process and ensure health and safety compliance remains with the Principal Contractor.

• CDM Advisors signature

  Sign

• CDM SITE VISIT REPORT

• Note: This report will be issued to the Project Manager/Client to encourage Health & Safety discussion at meetings.