Title Page
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Location
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Division
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Conducted on
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Completed By (Name)
Questions
1. Signing In
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1a. Have all Supplier employees signed in on the locations visitor register?
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1b. Have all operatives carrying out intrusive works consulted the Asbestos Registers as necessary?
2. Monitoring & Control
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Please state the name of company conducting the works
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2a. Is there a safe system of work in place for the tasks being undertaken? (RAMS)
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2b. Have the RAMs been suitably verified and authorised?
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2c. Is the work area suitably barriered off? (i.e. public areas)
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2d. Is there adequate signage in place warning of works being undertaken?
3. Hazards
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Please give details of the task in hand e.g. what works are they doing?
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3a. Does the task include working at height?
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3b.What type of working at height? Aluminium towers, fixed scaffolding, ladders/ step ladders, mobile elevated work platforms (motorise/pop-ups), podiums (towers/steps).
- Mobile Elevated Work Platforms (Motorise / pop-ups)
- Fixed Scaffolding
- Aluminium Towers
- Podiums (Towers / Steps)
- Ladders/Stepladders
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3c. Are there any unsafe working at height practices?
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Brief description of unsafe practice:
4. Fire
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Are any hot works being conducted?
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4a. Are there appropriate control measures in place for Hot Works? (e.g. work permit)
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4b. Are there adequate fire fighting media available? (Min 2x Fire Extinguishers and Welding Fire Blankets etc)
5. Occupational Health
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5a. Is there adequate dust controls in place? (e.g. dust masks with correct face fit testing)
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5b. Does the operative show the correct manual handling techniques?
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5c. Are there manufactures data sheets available for Substances Hazardous to Health (COSHH)
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5d. Do operatives have adequate welfare provisions?
6. Safe use of tools
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6a. Are all electric tools <=110 volts?
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6b. Are all battery chargers in a safe condition?
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6c. Are other tools fit for purpose?
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6d. Are relevant Calibration certificates available for tools?
7. Personal Protective Equipment (PPE)
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7a. Are operatives wearing appropriate PPE as per the Code of Conduct or as stated within RAMS?
8. Competency
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8a. Do operatives have evidence of Skills, Knowledge, Experience, Training?
9. Other notes and observations (best and poor practices)
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9a. Any other notes and observations (best and poor practices)
Sign-off Section
Sign-off
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Site Facilities Manager Name:
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Site Facilities Manager Signature:
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Operatives Name:
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Operatives Signature: