Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PAPERWORK / ORGANISATION / GENERAL ISSUES
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Reference to the PC's H&S Policy Available
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Notes
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The Pre-Construction Information is available On SIte
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Notes
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The Construction Phase Plan is On Site
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Notes
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The F10 Notification clearly displayed
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Notes
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Risk Assessments Complete and made available
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Notes
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COSHH Assessments have been made available to all
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Notes
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Site Inductions are being completed at site level
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Notes
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All Statutory Site Safety signage is in place
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Notes
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Permit to Work
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Notes
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Asbestos Survey on site for full reference
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Notes
EMERGENCY PROCEDURES
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Risk Assessments complete & made available
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Notes
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Fire Action Notices in place
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Notes
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Fire Marshall
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Notes
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Firefighting equipment available
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Notes
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First Aid notices clearly displayed
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Notes
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How to contact the emergency services displayed
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Notes
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The location of the first aid box
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Notes
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The first aid box suitably stocked
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Notes
SCAFFOLDS
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Risk Assessments complete and made available N/A Not applicable to this project
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Notes
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Alterations and Inspections by a competent person
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Notes
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Guard rails, toe boards and all work platforms installed
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Notes
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Guard rails, toe boards and all work platforms installed
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Notes
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Safe access is available to the scaffold
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Notes
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Standards are provided with base plates and sole plates
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Notes
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All ledger braces and transoms in correct position
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Notes
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Scaffold is secured to minimise the likelihood of collapse
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Notes
SPEPS / LADDERS / PODIUMS / WAH
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Risk Assessments complete and made available
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Notes
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Risk Assessments complete and made available
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Notes
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Ladders extend the correct distance
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Notes
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Ladders / steps are Industrial class rated
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Notes
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Brick guards / debris netting in place
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Notes
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Ladders are secured to prevent slippage
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Notes
WORKING AT HEIGHT
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Risk Assessments / Method Statements complete
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Notes
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No work to take place directly under Working At Height activities
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Notes
EXCAVATIONS
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Risk Assessments complete and made available
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Notes
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Designed and maintained support systems are in place
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Notes
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Sides of excavations are battered back
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Notes
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Safe secure access to the excavation is in place
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Notes
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Barriers are in place to prevent falls from height
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Notes
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Plant, materials are stored away from the excavation
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Notes
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The stability of adjacent structures has been considered
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Notes
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The excavation is inspected and the results recorded
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Notes
MANUAL HANDLING
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Risk Assessments complete and made available
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Notes
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The use of heavy materials is minimised
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Notes
VEHICLES ON PROJECT / SITE
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Risk Assessments complete and made available
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Notes
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Separate pedestrian and vehicle routes identified
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Notes
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Banks man are used to control vehicle movements
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Notes
WELFARE / PPE
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Risk Assessments complete and made available
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Notes
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Toilet facilities are provided and maintained/cleaned
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Notes
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Hot and cold water is provided to the washing facilities
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Notes
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Soap and towels are provided
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Notes
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Correct wet and dirty working clothing is provided
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Notes
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Changing and drying facilities are provided
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Notes
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Drinking water is provided and signed as necessary
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Notes
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Helmets are provided
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Notes
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High Visibility clothing provided
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Notes
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Safety Boots /Shoes provided
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Notes
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Safety Glasses provided
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Notes
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Hearing Protection provided
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Notes
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RPE Equipment provided
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Notes
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Accidents / Incidents to report
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Notes
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Hearing Protection provided
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Notes
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Risk Assessments complete and made available
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Notes
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Toilet facilities are provided and maintained/cleaned
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Notes
ADDITIONAL NOTES
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ATTENDANCE & SIGN OFF
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Site Manager
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CDM / Surveyor
