Co-op FM H&S Site Inspection 2017

• Location
  Address

• Division

  North

  Central

  South

• Conducted on

  Date

• Completed By (Name)

• Supplier (Company)

• Operative Name

• WO Number

• Brief description of works

• Please complete the below questions with as much information as possible. Where you find unsafe working practices please record these and take photos (where safe to do so).
  If you feel it necessary to stop the operative(s) at any point please ensure you consider your own safety first. If works are stopped please note down any action taken in question 9.
  Please also fill out a FLASH report as a near miss and return to assuranceteam@coop.co.uk.
  If you require assistance during this inspection please feel free to contact a member of the team.

1. Signing In

• 1a. Have all Supplier employees 'signed in' on the locations visitor register?

  Yes

  No

  N/A

• Operatives may only carryout intrusive works in areas which are free from Asbestos Containing Materials unless they are a Licensed Asbestos Removal Contractor

• 1b. Have all operatives consulted the Asbestos Registers as necessary?

  Yes

  No

  N/A

2. Monitoring & Control

• Operatives must follow a risk assessment and method statement, with any deviation noted to mitigate further risks.

• 2a. Is there a safe system of work in place for the tasks being undertaken?

  Yes

  No

• Operatives must inform the 'Person in Control' of the Premises, of any risk to the normal operation of the business for example Hot works may cause the fire alarm to be activated, lighting or other equipment may be switched off etc

• 2b. Have operatives discussed the works with the Person in Control (e.g. store/branch manager)?

  Yes

  No

  N/A

• 2c. Is the work area suitably segregated from the public and colleagues? (i.e. to protect the public and colleagues etc)

  Yes

  No

  N/A

• Operatives must be following Risk Assessments and Method Statements (RAMS). These must be available for inspection within an acceptable time frame. Generic RAMS are acceptable however site specific risks must be accounted for.

• 2d. Is the Supplier/Operative following a Risk Assessment and Method Statement? (This must take into account site specific risks)

  Yes

  No

  N/A

3. Hazards

• 3a. Does the task include working at height?

  Off

  On

• 3b.What type of working at height?

  Select Mobile Elevated Work Platforms (Motorise / pop-ups) Fixed Scaffolding Aluminium Towers Podiums (Towers / Steps) Ladders/Stepladders

  • Mobile Elevated Work Platforms (Motorise / pop-ups)
  • Fixed Scaffolding
  • Aluminium Towers
  • Podiums (Towers / Steps)
  • Ladders/Stepladders

• 3c. Are there any unsafe working at height practices? (if 'Yes' ensure a brief description is given / photos if possible)

  Yes

  No

  N/A

4. Fire

• Are any hot works being conducted?

  Off

  On

• 4a. Are there appropriate control measures in place for Hot Works? (e.g. work permit)

  Yes

  No

• There must be a minimum or 2 fire extinguishers specifically for all hot works i.e. additional to the locations standard extinguishers

• 4b. Are there adequate firefighting media available for the Hot Works?

  Yes

  No

5. Occupational Health

• 5. Are there any Substances Hazardous to Health (including dust)

  Off

  On

• 5a. Are there adequate dust controls in place? (e.g. dust masks with correct face fit testing, extraction systems)

  Yes

  No

  N/A

• 5b. Are any Hazardous Substances adequately controlled ?

  Yes

  No

  N/A

• 5c. Are there manufactures data sheets available for Substances Hazardous to Health (COSHH)

  Yes

  No

  N/A

6. Safe use of tools

• Carryout a visual inspection of tools, check for damage, are guards in place if necessary?

• 6 Does the operative(s) appear to have the proper equipment for the task being undertaken and is the equipment being used safely?

  Yes

  No

  N/A

7. Personal Protective Equipment (PPE)

• Although PPE is the last line of defence this should always be warn correctly to be effective. Minimum of High Visibility Vest, Strong boots or shoes, Gloves, Glasses, Hart hat if risk from falling objects, face mask if causing dust.

• 7a. Are operatives wearing appropriate PPE as per the Code of Conduct or as stated within RAMs?

  Yes

  No

  N/A

8. Competency

• All operatives must carry a relevant CSCS card and evidence of Asbestos Awareness training as well as any other task specific training. See Code of Conduct for more information.

• 8a. Do operatives have evidence of Skills, Knowledge, Experience, Training?

  Yes

  No

  N/A

9. Other notes and observations (best and poor practices)

• 9a. Has it been necessary to stop the supplier/ operative from carrying out works due to a breach of Health & Safety rules?

  Yes

  No

  N/A

• 9b. Any other notes and observations (best and poor practices)?

Sign-off

• Regional Facilities Manager Signature:

  Sign

• Operatives Signature:

  Sign