Information

  • Report Reference Number:

  • Site Inspected:

  • Client

  • Conducted on

  • Advisor:

  • Personnel

  • Scoring.

    N/A = This item was not applicable at the time of the inspection, or it was not one of the items inspected.

    S = Satisfactory. This category was being managed / controlled in accordance with minimum requirements or better.

    A = Advisory. Recommended measures necessary to achieve industry best practice.

    IAR = Immediate action required to reduce the risk of harm and/or enforcement action.

Accidents, Dangerous Occurrences or Near Misses since last visit.

  • Provide details.

0 Previous Inspections.

  • Have matters identified during previous inspection been satisfactorily addressed.

  • Recommended Actions.

1 Scaffolds and Mobile Towers

  • Designed - handed over - erected in accordance with recognised standards - statutory inspections carried out etc.

  • Recommended Action.

2 Ladders, Stepladders, Podiums etc.

  • Fit for purpose - in good order - secured - inspected etc.

  • Recommended Actions.

3 Demolition.

  • Demolition plan in place - work carried out in accordance with plan etc.

  • Recommended Action.

4 Excavations & Groundworks.

  • Safe digging - supported/battered - statutory inspections - access/egress etc.

  • Recommended Action.

5 Lifting Operations.

  • Lifting plan - testing/certification - ground conditions - SWL etc.

  • Recommended Action.

6 Mobile Plant & MEWPs.

  • Fit for purpose - tested/inspected etc.

  • Recommended Action.

7 Portable Tools.

  • PAT - fit for purpose etc.

  • Recommended Action.

8 Access/egress.

  • Adequate - maintained in good order etc.

  • Recommended Action.

9 Electricity

  • Inspection/test - isolation/lock off etc.

  • Recommended Action.

10 Environmental.

  • Waste management - spill kit - noise - dust - mud etc.

  • Recommended Action.

11 Fencing/security.

  • Adequate - maintained etc.

  • Recommended Action.

12 Contractor Management.

  • Co ordinated - supervised etc.

  • Recommended Action.

13 Personal Protective Equipment.

  • Fit for purpose - face fit tested etc.

  • Recommended Action.

14 Edges/openings/stairways.

  • Adequately guarded - handrails on stairs - stairs unobstructed etc.

  • Recommended Action.

15 Site Good Order

  • Housekeeping - slips/trips/falls - lighting etc.

  • Recommended Action.

16 Fire Precautions.

  • Fire plan - alarms - signage - extinguishers - exit routes - muster point - flammables etc.

  • Recommended Action.

17 Occupational Health

  • Noise - HAVS - MSDs - Dermatitis etc

  • Recommended Action.

18 Welfare

  • Sufficient facilities - adequately equipped - suitably maintained.

  • Recommended Action.

19 First Aid

  • A&E location - first aiders - equipment.

  • Recommended Action.

20 Competency

  • Site inductions - tool box talks - training etc.

  • Recommended Action.

21 Documentation

  • Construction Phase Plan - Pre Construction information - statutory notices

  • Recommended Action.

22 Asbestos.

  • Survey report - management plan - re occupation certificate - licensed work - Asbestos Awareness etc

  • Recommended Action.

23 Safe Systems of Work

  • Method Statements - COSHH - Risk Assessments - Permits etc.

  • Recommended Action.

24 Traffic Management

  • Traffic plan - segregated routes - routes maintained - signage etc.

  • Recommended Action.

25 Temporary Works

  • Designed - co ordinated etc.

  • Recommended Action.

26 Worker Engagement & Consultation

  • Arrangements, evidence.

  • Recommended Action.

  • Overall Comments:

  • Site Manager Action / Comments:

  • Advisor

  • Company Representative

  • Actions taken to address shortfalls.

  • Closed Out by and date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.