Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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CCTV on site
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Security fence surrounding building and lockable gates
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Asbestos report carried out on Buildings built pre year 2000.
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External Fire risk Assessment completed
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External DSEAR Assessment Completed (where applicable)
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Spill kits to cover diesel refuelling area
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Canopy rules issued for FLT pedestrian segregation
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Adequate line markings and walk ways around site
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Adequate lighting on site
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PAT Testing completed
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Fixed Wiring test completed within the last five years
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Building Alarm panel inspection completed
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Fire Alarm panel inspection completed
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Last fire alarm and emergency light test
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Last full fire evacuation of site
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Fire Extinguishers inspection date
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Gas boiler inspection date
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Last Legionella check completed
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Breathalyzer Calibration
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Risk Assessments review date
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SSOW review date
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FORS renewal date
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Air Con Serviced
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Last Health & Safety Meeting Date Held
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Next Health & Safety Meeting Booked For
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Heath & Safety Minutes for the last 2 Meetings
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Date of last Personal Injury on site
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Confirm Risk assessment was updated after personal injury
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Last Permit to work issued
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Copy or RAMS to match last permit to work
Warehouse
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Racking Inspection completed SEMA approved?
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Last weekly racking inspection (by staff)
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Are you BRC Accredited
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Expiry date
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FLT/MHE LOLER test next due
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FLT/MHE LOLER test next due (FLT 8 Only)
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List of all FLT refresher dates needed, inc drivers of Moffatts etc
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Are FLT drivers using Checked Safe to complete checks
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Scissor Lift LOLER inspection Date
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Extension Forks LOLER inspection Date
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Man Cage & FLR LOLER inspection Date
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Have all required SWL's been carried
Drivers
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Davis licence check up to date with all current drivers
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Are Drivers Issued a HGV Sat Nav
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Davis licence check up to date with all current agency drivers
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Are Drivers issued route cards
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- No
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Are drivers issued gloves and fequency
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Bump cap policy issued, are all bump caps now issued
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Are all current drivers using checked safe to check vehicles and trailers
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Is Blue tree fitted in all powered vehicles
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How many post collision assessments completed in the last twelve months
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Do all vehicles operate a Forward facing Camera system
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Are all Forward Facing Cameras Working
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How many bridge strikes in the last twelve months
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Any ongoing Traffic Commissioner enquiries
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How many dropped trailers in the last twelve months
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How many (reported) combination rollaway in the last twelve months
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How many personal injuries in the last twelve months
Agency Drivers
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Have all current agency drivers completed the agency pack and been signed by agency driver and competent staff member
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Do you have route cards or preferred routes to give to agency drivers to avoid low bridges
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Do agency staff receive vehicle familiarisation
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Have due diligence checks been carried out on Agencies we use by a O Licence holder
Vehicles/Trailers
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Last PG9 received
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How many MOT failures in the last 6 months
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Are all Tail lift LOLER inspections up to date
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Are weekly tyre inspections carried out
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Tyres, name of contractor/Provider
Compliance Competences
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Heath and Safety Training
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Required understanding of O'licence management
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Understanding of FORS management system
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Driver training experience
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Are the required number of Fire marshals trained
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Are the required number of first aiders trained on site