1. Name of person or Organisation for whom the inspection was carried out

  • Name of person or Organisation for whom the inspection was carried out

2. Documents present

  • F10

  • Employers liability certificate

  • Health & Safety Folder

3. Location & Description of the workplace

  • Location & Description of the workplace

4. Plant & equipment in use

  • Plant & equipment in use

5. Matters which give rise to health & safety concerns

  • Matters which give rise to health & safety concerns

  • Add media

6. Can work continue safely?

  • Can work continue safely?

  • Who has been notified?

7. Details of action taken or necessary as a result of matters identified at 5. above

  • Details of action taken or necessary as a result of matters identified at 5. above

8. Details of any further action considered necessary

  • Details of any further action considered necessary

Sign off

  • Site Manager/Supervisor's Signature

  • Site Auditor's Signature

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