Title Page

  • Customer:

  • Customer name:

  • Site Address

  • Works being undertaken

  • Personnel

  • Conducted on

  • Prepared by

  • Cleaning Team

Site Inspection

  • Are the operatives on site?

Coronavirus

  • Are operatives following Coronavirus policy and procedures? social distancing, required protection etc?

Health and Safety

  • Are the operatives working in a safe manner as per the RAMS associated with the works?

  • Are operatives wearing the required PPE?

  • Is the site clean, tidy and free from trip hazards?

  • Is the work area set up with barriers and signage to protect the public?

  • Are emergency provisions (First Aid Kit, Fire Extinguisher, Spill kit) available and in date?

  • Are the operatives trained and competent to undertake the works safely?

Quality

  • Is work being completed to the required standard?

  • Have operatives signed in with site and completed any permits (where applicable)?

  • Are operatives wearing NSS uniform?

  • Can it be evidenced that operatives are completing PODfather correctly? e.g. completing the Risk assessment section, taking photographic evidence

Environment

  • Are hazardous substances prevented from entering watercourses, drains or soft ground?

  • Are noise levels being managed to an acceptable level?

Fleet

  • Are company vehicles in good condition? Are materials and equipment adequately stored?

Health and Safety

  • Has the site been left clean, tidy and free from trip hazards?

  • Are the operatives trained and competent to undertake the works safely?

Quality

  • Has the work been completed to the required standard?

  • Have operatives signed in/out with site and completed any permits (where applicable)?

  • Is the site representative happy with the works completed on site?

  • Can it be evidenced that operatives are completing PODfather correctly? e.g. completing the Risk assessment section, taking photographic evidence

Environment

  • Is the site free from waste or hazardous substances following NSS activities?

Notes and Photos

  • Would the site benefit from a review of the specification or additional cleaning schedule / resources?

  • Please explain:

  • Notes

  • Photos

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.