CE003

• Project / Site Location+
  Address

• Contract

• Client

• Date

  Date

• Any hazards identified in the INITIAL PRE-HIRE SITE MEETING AND SAFETY ASSESSMENT have been discussed and reassessed and plans made for any items raised

  Yes

  No

  N/A

• Checklist completed by

  Sign

Weather Conditions

• Hot

  Yes

  No

  N/A

• Cold

  Yes

  No

  N/A

• Mild

  Yes

  No

  N/A

• Rain

  Yes

  No

  N/A

• Fog

  Yes

  No

  N/A

• Ice

  Yes

  No

  N/A

• Snow

  Yes

  No

  N/A

• Storm / Lightning

  Yes

  No

  N/A

Emergency Plan and Procedure

• Nearest Hospital

• Project / Site Location what3words

• First Aid Kit Checked

  Yes

  No

  N/A

• First Aid Kit Location

• Accident Book Location

• Emergency Contact

• Site Manager

• Emergency Assembly Location Decided

Site / Project Set Up

• Project / Site Specific RAMS complete and on site

  Yes

  No

• All workers completed an induction

  Yes

  No

• Site is secured and unauthorised access is not possible during works

  Yes

  No

• Safe access established – client requirements or local use/issues considered

  Yes

  No

• Storage area clear of obstructions, reasonably level, of adequate size, can withstand proposed load, sited away from hazards and adequately enclosed

  Yes

  No

Work at Height

• Edge protection in place

  Yes

  No

  N/A

• Fall arrest and Fall protection in place

  Yes

  No

  N/A

• Ladders, MEWPs and hop-ups inspected and entered in register

  Yes

  No

  N/A

Lifting

• Is a lifting plan in place?

  Yes

  No

  N/A

• Safe Working Load not exceeded?

  Yes

  No

  N/A

• Valid documents for plant and operatives in the Countryside Events office and available on request?

  Yes

  No

  N/A

Slips, trips and falls

• Are there any obvious slip trip and fall hazards that can be eliminated?

  Yes

  No

Noise

• Is hearing protection available?

  Yes

  No

  N/A

Manual Handling

• Are mechanical means of lifting available?

  Yes

  No

  N/A

• Have all operatives had annual manual handling training?

  Yes

  No

  N/A

ADDITIONAL NOTES

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EMPLOYEE SIGN OFF

• All Countryside Events Employees to Sign confirmation of site induction

  Sign

SITE MANAGER SIGN OFF

• Add signature

  Sign

• Select date

  Date