Information

  • Project Title:

  • Project / Work Order No.:

  • Principal Contractor:

  • Address:
  • Person in Control of Site:

  • Person Carrying Out Inspection:

  • Visit No:

  • Conducted on

  • Construction (Design and Management) Regulations 2015

Number of Visits by Authorities (Since the last inspection)

  • HSE:

  • Local Authority:

  • Fire Authority:

  • Police:

  • Other

Accident Summary (Since the last inspection)

  • Fatality:

  • Major Injury:

  • Over 7 Day Loss Time Injury:

  • Over 3 Day Loss Time Injury:

  • 1-3 Days Day Loss Time Injury:

  • First Aid Only / No Loss Time:

  • Dangerous Occurrence:

  • Near Miss/ Unsafe Condition / Unsafe Act:

  • Other:

  • Ratings

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Documentation and Site Set Up

  • 1. Construction Phase Plan

  • 2. Fire & Emergency Plan

  • 3. Traffic Management Plan

  • 4. Lifting Plan

  • 5. Asbestos Management Plan

  • 6. Health & Safety Policy

  • 7. CDM Notification

  • 8. Statutory Notices

  • 9. Induction Training

  • 10. Risk Assessments

  • 11. Method Statements

  • 12. Arrangements for Monitoring

  • 13. Accident Reporting

  • 14. First Aid

  • 15. Notices & Signs

  • 16. H&S Information

  • 17. Registers & Permits

  • 18. Welfare Facilities

  • 19. Site Security

  • 20. Training/Competence

  • 21. Other

Site Activities :

  • 22. PPE

  • 23. Fire Prevention/Protection

  • 24. Storage Arrangements

  • 25. Lifting Operations/Equip.

  • 26. Manual Handling

  • 27. Traffic Management

  • 28. Work at Height

  • 29. Edge Protection

  • 30. Scaffolding/Scaffold Towers

  • 31. Services (Overhead/Underground)

  • 32. Access/Egress

  • 33. Hazardous Substances

  • 34. Environmental

  • 35. Noise / Vibration

  • 36. Lighting

  • 37. Electricity

  • 38. Housekeeping

  • 39. Plant & Equipment

  • 40. Excavations

  • 41. Roadworks

  • 42. Demolition

  • 43. Confined Space Work

  • 44. Protection of the Public

  • 45. Other

Non - Conformance:

  • 1) Non - Conformance

  • Category:

  • Details of Non-conformance:

  • Primary Root Cause

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  • 2) Non - Conformance

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  • 3) Non - Conformance

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  • 4) Non - Conformance

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  • 5) Non - Conformance

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  • 6) Non - Conformance

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  • 7) Non - Conformance

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  • 8) Non - Conformance

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  • 9) Non - Conformance

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  • 10) Non - Conformance

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Comments:

  • General Comments:

Distribution:

  • Distribution List:

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