Certa Health, Safety & Environmental Report

• Contract Number & Name

• Date of Inspection

  Date

• Name of Safety Auditor

• Name of Site Manager/Supervisor (Black Hat Appointed)

• No. of HSE Reportable Accidents/Incidents since previous inspection

• No. of First-aid Accidents since previous inspection

Health and safety

• 1 Supervision, competency, sub-contractors, young persons

  0

  1

  2

  3

  N/A N/C

• 2 Traffic management plan, segregation, banksmen present

  0

  1

  2

  3

  N/A N/C

• 3 Fire assessment, alarm, extinguishers, marshals, escape routes

  0

  1

  2

  3

  N/A N/C

• 4 Welfare facilities, drying facilities, first aider & box available

  0

  1

  2

  3

  N/A N/C

• 5 Display info: h&s policy & insurance notes available

  0

  1

  2

  3

  N/A N/C

• 6 Safety induction & safety tool box talks

  0

  1

  2

  3

  N/A N/C

• 7 Training records / matrix, competency - CSCS, IPAF, PASMA etc.

  0

  1

  2

  3

  N/A N/C

• 8 Permits to work - roof / hot works etc. in place

  0

  1

  2

  3

  N/A N/C

• 9 Safety meetings & consultation with workforce – frequency?

  0

  1

  2

  3

  N/A N/C

• 10 Accidents / Incidents / Near Misses recorded? Book available

  0

  1

  2

  3

  N/A N/C

• 11 Risk assessments & method statements in place, approved?

  0

  1

  2

  3

  N/A N/C

• 12 COSHH assessments, including EPDM, adhesives, solvents etc.

  0

  1

  2

  3

  N/A N/C

• 13 Physical agents, dust, noise, vibration – assessed?

  0

  1

  2

  3

  N/A N/C

Environmental

• 14 Fuel & chemical storage controlled, spill kits/drip trays issued/used

  0

  1

  2

  3

  N/A N/C

• 15 Waste – segregated & suitable signage, litter standards, leaching of skips

  0

  1

  2

  3

  N/A N/C

• 16 Ecology – no disruption to general environment / wildlife / drainage systems

  0

  1

  2

  3

  N/A N/C

PPE

• 17 PPE head protection being worn (mandatory?)

  0

  1

  2

  3

  N/A N/C

• 18 Safety footwear being worn (steel toecaps / midsoles mandatory?)

  0

  1

  2

  3

  N/A N/C

• 19 Eye protection being worn (mandatory?)

  0

  1

  2

  3

  N/A N/C

• 20 Hand protection being worn (mandatory?)

  0

  1

  2

  3

  N/A N/C

• 21 Safety harnesses being worn

  0

  1

  2

  3

  N/A N/C

• 22 Hearing protection worn

  0

  1

  2

  3

  N/A N/C

• 23 High-visibility clothing worn (mandatory?)

  0

  1

  2

  3

  N/A N/C

• 24 Replacement PPE available

  0

  1

  2

  3

  N/A N/C

Working at Height

• 25 Working at height: - how? emergency procedures in place?

  0

  1

  2

  3

  N/A N/C

• 26 Protection from falling – debris netting, toeboards etc.

  0

  1

  2

  3

  N/A N/C

• 27 Safeguarding others, occupiers, public, other workers

  0

  1

  2

  3

  N/A N/C

Scaffolding

• 28 Scaffolding: foundations, base/sole plates, ties, bracing

  0

  1

  2

  3

  N/A N/C

• 29 Standards, ledgers, transoms, platforms, guardrails, toeboards

  0

  1

  2

  3

  N/A N/C

• 30 Brick guards, fans, nets, scaffold ladders

  0

  1

  2

  3

  N/A N/C

• 31 Ladder beams, temporary roofs, gantry’s, material access

  0

  1

  2

  3

  N/A N/C

Access Equipment & Safe operation of plant, machinery and equipment:

• 32 Access equipment: tower scaffolds, cradles, step ladders etc.

  0

  1

  2

  3

  N/A N/C

• 33 Correct plant & machinery used / guarded where necessary

  0

  1

  2

  3

  N/A N/C

• 34 Lifting equipment (vacuum lifters), lifting plans in place

  0

  1

  2

  3

  N/A N/C

• 35 Towers / podiums erected by competent person, tagged

  0

  1

  2

  3

  N/A N/C

MEWPS

• 36 MEWPs exclusion zones, debris netting, tethering lines in place

  0

  1

  2

  3

  N/A N/C

• 37 Other plant being used (FLTs,), turned off when not in use

  0

  1

  2

  3

  N/A N/C

• 38 Hand & power tools, drills, grinders – suitability

  0

  1

  2

  3

  N/A N/C

• 39 Electrical safety, 110v & PAT inspections and records

  0

  1

  2

  3

  N/A N/C

• 40 Maintenance & Inspection Records (MEWPs, towers etc.)

  0

  1

  2

  3

  N/A N/C

Safe place of work:

• 41 Edge protection in place, stairways clear / closed

  0

  1

  2

  3

  N/A N/C

• 42 Site tidiness, housekeeping, trailing cables, waste removal

  0

  1

  2

  3

  N/A N/C

• 43 Storage, stacking, safe manual handling techniques adopted

  0

  1

  2

  3

  N/A N/C

• 44 Access & egress around site & to workplaces, slips, trips & falls

  0

  1

  2

  3

  N/A N/C

• 45 Work areas sufficiently illuminated, background & task lighting

  0

  1

  2

  3

  N/A N/C

• 46 Services protected, highlighted, guarded, safe

  0

  1

  2

  3

  N/A N/C

• 47 Structures, formwork etc. stable, braced/popped, not overloaded

  0

  1

  2

  3

  N/A N/C

• Additional Comments Regarding Inspection Results: (Number Refers to Item on Previous Page)