Title Page
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Site Safety
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Select the weather conditions experienced at the time of this visit.
- Heavy Rain
- Heavy Winds
- Frost/Ice
- Fog
- Sunny (Hot)
- Other
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Detail the 'other' conditions
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Can the work be completed safely due to the conditions stated
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Perimeter Security
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Site Accesss
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Protection of the public including pedestrians/moving/parked vehicles etc
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Welfare provision
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Temporary Electrical Supply
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Asbestos Containing Materials - Management
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Fire Precautions - preventative measures (Site)
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Signs and Notices
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First Aid Provision Suitable?
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Enter name of First Aider
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Enter Location of the first aid kit
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Has there been any accidents reported from this site?
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Has the incident been reported to the main office and is a copy of the accident book entry completed on site?
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Materials Stored safely and securely
Site Documentation
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F10 - Notification applicable?
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Construction Phase Plan (CPP) on-site
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Risk Assessment on-site
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Have they been signed by all team members
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Safe Working Procedures on-site
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Have they been signed by all team members
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Point of work Assessments completed
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Method statement(s) on -site
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Records of tool box talks on-site (TBTs)
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Insert the title of the latest TBT completed.
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Have the operatives received a Site Induction
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Are the COSHH Assessment on-site
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Permit to work issued and in use
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Certificates of training on-site
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Records of previous inspection reports on-site
Work Specific
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Scaffold Structure
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Ladders for access or short duration work
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Mobile towers
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Easi-dec system
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Hop-ups
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Podium Steps
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Step Ladders
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Bocker Hoist
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Point of work - Housekeeping
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Hot Works completed safely
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Correct PPE worn and in good condition
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Suitable Edge Protection - on all leading/exposed edges
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MEWPS used safely
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RPE worn in accordance with risk assessments
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Are wearers clean shaven and face fit tested
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Hand tools suitable
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Power tools suitable
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Battery Powered Tools
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PAT Testing in date
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Lifting Operations completed safely
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Dust Suppression in use
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Manual Handling being completed safely
