Title Page

  • Document No.

  • Site/ Project

  • Location
  • Date

  • Operative Name

  • Vehicle Parking Arrangements (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Designated Walkways to Site Compound (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Site Registration i.e. Signing In/Out (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Personal Protective Equipment (PPE) Requirements identified and worn (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Electrical Equipment PAT Testing current? (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Work Equipment in good working order i.e. Hop Ups, Steps, Hand tools, etc (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Awareness of Emergency Arrangements including Firefighting and first aid (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

Welfare Arrangements

  • Cleanliness of toilets (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Toilet - Hot and cold running water. (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Dryers/ Paper Towels (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Drying Room Available and operational (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Canteen - clean and tidy (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Canteen - Hot and cold water (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Fresh drinking water (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Hazards/ Operational Board and currant (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • General directional and safety signage. (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Designated walkways to site works in place, level, appropriately lit and free from debris (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Crossing Points appropriately designed and marked (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Materials properly stacked and stored in designated lay-down areas (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Safe Access and egress to place of work, scaffold in place and signed off (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Housekeeping in work environment by CMS (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Housekeeping in work enviroment by others (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Area free from slips, trips and fall hazards (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • Property left clean and tidy, safe and secure at end of the working day (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

  • All waste transferred to designated skip or returned to CMS for recycling/ disposal (Add comments if applicable)

  • COMMENTS

  • ADD IMAGE

Concerns identified-

  • Reported by

  • Reported to

  • Check Sheet completed by-

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