Title Page

  • Site conducted

  • Date

  • Contractor Type

  • Other:

  • Contractor:

  • Job or Ad-hoc?

  • Client / Site:

  • Prepared by:

  • Contractor Type

  • Other:

  • Onsite/Offsite?

RAMS

  • Are the RAMS available on site?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have all operatives signed onto the RAMS?

Operatives

  • Is all operative training available on site?

  • Is training still valid?

  • Are operatives wearing the required harness and lanyards?

  • Is evidence of harness and lanyard formal inspections available?

Site

  • Has the contractor received appropriate induction by NSS/the client or another contractor?

  • Are materials being loaded/unloaded and stored in a safe manner?

  • Are plant and equipment suitable for the works?

  • Is safety signage in place on site to indicate slips, trips and falls and working at height?

  • Where applicable - is traffic management adequate for the task?

  • Where applicable - are statutory inspections current with instant evidence available when requested?

  • Where applicable - is the sub-contractor maintaining good communication with NSS and other interested parties?

  • Is the contractors time keeping in line with NSS/client expectations?

  • Is the contractor work being carried out in line with safe systems of works and NSS/client expectations?

  • Is the contractor leaving site conditions in a tidy and safe manner?

Emergency Provisions

  • Where applicable - have emergency rescue procedures been put in place?

  • Where applicable - have arrangements for first aid been arranged?

RAMS

  • Have a set of RAMS been provided?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have the RAMS been reviewed and approved by the contract manager?

Operatives

  • Was relevant training certificates been provided?

  • Is training still valid?

  • Where applicable, have operative harness and lanyard certificates been provided?

Site

  • Do works appear to have been undertaken safely?

  • Does the contractor work meet NSS/client expectations?

  • Have NSS received any positive or negative feedback regarding the contractor?

  • Is the work area free from poor condition or hazards identified which may have been a result of contractor activities?

  • Contact the contractor immediately and inform QHSE

  • Does the contractor appear to have left the site conditions clean, tidy and safe?

  • Contact the contractor immediately and inform QHSE

  • Has the contractor completed all required reports, inspections and handover details to the required standard in a timely manner?

  • Did the contractor carry out the works in a timely manner following agreed arrangements and timelines?

  • Onsite/Offsite?

RAMS

  • Are the RAMS available on site?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have all contractors signed onto the RAMS?

Operatives

  • Is all training available on site?

  • Is training still valid?

  • Where applicable - are contractors wearing the required harness and lanyards?

  • Where applicable - is evidence of harness and lanyard formal inspections available?

Site

  • Has the contractor received appropriate induction by NSS/the client or another contractor?

  • Are materials being loaded/unloaded in a safe manner?

  • Are plant and equipment suitable for the works and fit for purpose?

  • Is safety signage in place on site to indicate slips, trips and falls while scaffolding is being erected?

  • How is the scaffolding accessed?

  • Have any specific requirements been met where applicable including pedestrian walkways, access restrictions on tie locations, mechanical handling aids including hoists and any other not mentioned?

  • Where applicable - has the contractor installed appropriate sheeting or netting?

  • Are ground conditions or supporting structure suitable?

  • If works are complete; is a handover certificate available where applicable? If no, please add details.

  • Has a documented inspection of the scaffolding taken place and can the contractor evidence this?

  • Where applicable - is there an in-date scaff tag present (minimum 7 days)?

  • Is the contractor maintaining good communication with NSS and other interested parties?

  • Is the contractors time keeping in line with NSS/client expectations?

  • Is the contractor work being carried out in line with safe systems of works and NSS/client expectations?

  • Is the contractor leaving site conditions in a tidy and safe manner?

  • Does the scaffold structure adequately protect from falling objects? Toeboards installed, no gaps etc.

Emergency Provisions

  • Where applicable - have emergency procedures been put in place?

  • Where applicable - have arrangements for first aid been arranged?

RAMS

  • Have a set of RAMS been provided?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have the RAMS been reviewed and approved by the contract manager?

Operatives

  • Have relevant training certificates been provided?

  • Is training still valid?

  • Where applicable, have operative harness and lanyard certificates been provided?

Site

  • Do works appear to have been undertaken safely?

  • Does the contractor work meet NSS/client expectations?

  • Is the work area free from poor condition or hazards identified which may have been a result of contractor activities?

  • Contact the contractor immediately and inform QHSE

  • Have NSS received any positive or negative feedback regarding the contractor?

  • Does the contractor appear to have left the site conditions clean, tidy and safe?

  • Contact the contractor immediately and inform QHSE

  • Has the contractor completed all required reports, inspections and handover details to the required standard in a timely manner?

  • Is there evidence on-site of a post erection inspection by a competent person (written or scaff tag)?

  • Did the contractor carry out the works in a timely manner following agreed arrangements and timelines?

  • Are plant and equipment suitable for the works with no defects?

  • Is the contractor leaving site conditions in a tidy and safe manner?

  • Does the scaffold structure adequately protect from falling objects? Toeboards installed, no gaps etc.

  • Are ground conditions or supporting structure suitable?

  • How is the scaffolding accessed?

  • Have any specific requirements been met including pedestrian walkways, access restrictions on tie locations, mechanical handling aids including hoists?

  • If works are complete; is a handover certificate available where applicable? If not yet complete, who will the certificate be sent to?

  • Where applicable - is there an in-date scaff tag present?

  • Onsite/Offsite?

RAMS

  • Are the RAMS available on site?

  • Do the RAMS adequately describe the safe working arrangements and anchor point selection?

  • Have all operatives signed onto the RAMS where applicable?

Operatives

  • Is there a level 3 rope access supervisor on-site?

  • Is the level 3 rope access supervisor first aid trained?

  • Are rope access technicians IRATA trained and can they evidence current training on-site?

  • Is there evidence of a daily check being complete each day to assess risk and document daily briefings?

Site

  • Has the contractor received appropriate induction by NSS/the client or another contractor?

  • Are materials being loaded/unloaded and stored in a safe manner?

  • What anchor point is being utilised?

  • Have suspended access equipment been subject to a change of works process prior to use and can evidence be obtained to confirm suspended access equipment can be used as a rope access anchor point?

  • Have unquestionable anchors been deemed unquestionable by the level 3 rope access technician?

  • Where applicable can the contractor supply evidence of statutory inspections under LOLER for anchor points used?

  • Are access and egress routes to rigging areas safe?

  • Where applicable - has a suitable exclusion zone been erected beneath the point of works?

  • Has all rope access kit been subject to a 6 monthly recorded inspection by a competent person?

  • Are the sub-contractors maintaining good communication with each other, with NSS and other interested parties?

  • Is the contractors time keeping in line with NSS/client expectations?

  • Is the contractor work being carried out in line with safe systems of works including the anchor point selection and NSS/client expectations?

  • Is the contractor leaving site conditions in a tidy and safe manner?

Emergency Provisions

  • Have effective emergency rescue procedures been put in place?

  • Have arrangements for first aid been arranged?

RAMS

  • Have a set of RAMS been provided?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have the RAMS been reviewed and approved by the contract manager?

Operatives

  • Was relevant training certificates provided appropriate to the task?

  • Is training still valid?

  • Where applicable, have operative harness and lanyard certificates been provided?

Site

  • Do works appear to have been undertaken safely?

  • Does the contractor work meet NSS/client expectations?

  • Is the work activity free of unsafe conditions or hazards identified which may have been a result of contractor activities?

  • Contact the contractor immediately and inform QHSE

  • Have NSS received any positive or negative feedback regarding the contractor?

  • Does the contractor appear to have left the site conditions clean and tidy?

  • Contact the contractor immediately and inform QHSE

  • Has the contractor completed all required reports, inspections and handover details to the required standard in a timely manner?

  • Did the contractor carry out the works in a timely manner following agreed arrangements and timelines?

  • Onsite/Offsite?

RAMS

  • Are the RAMS available on site?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have all operatives signed onto the RAMS?

Contractor

  • Is the contractor F-Gas trained and can they provide evidence of current training?

  • Is training still valid?

  • Is the contractor trained to use the required access equipment where applicable (i.e ladders / mobile tower / podium)?

Site

  • Has the contractor received appropriate induction by NSS/the client or another contractor?

  • Are materials being loaded/unloaded and stored in a safe manner?

  • Are plant and equipment suitable for the works?

  • Is safety signage in place on site to indicate slips, trips and falls during works?

  • If works are complete; is a handover certificate available where applicable? If not yet complete, who will the certificate be sent to?

  • Where applicable - are statutory inspections for access equipment current with instant evidence available when requested?

  • Is the sub-contractor maintaining good communication with NSS and other interested parties?

  • Is the contractors time keeping in line with NSS/client expectations?

  • Is the contractor work being carried out in line with safe systems of works and NSS/client expectations?

  • Is the contractor leaving site conditions in a tidy and safe manner?

  • Can the contractor provide evidence of safe waste removal of defective potentially hazardous parts?

  • Does the contractor carry an appropriate waste carriers license?

Emergency Provisions

  • Have emergency rescue procedures been put in place?

  • Have arrangements for first aid been arranged?

  • Have emergency spillage procedures been put in place?

RAMS

  • Have a set of RAMS been provided?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have the RAMS been reviewed and approved by the contract manager?

Operatives

  • Was relevant training certificates been provided?

  • Is training still valid?

  • Where applicable, have operative harness and lanyard certificates been provided?

Site

  • Do works appear to have been undertaken safely?

  • Does the contractor work meet NSS/client expectations?

  • Is the work area free of unsafe conditions or hazards identified which may have been a result of contractor activities?

  • Contact the contractor immediately and inform QHSE

  • Does the contractor appear to have left the site conditions clean and tidy?

  • Has the contractor completed all required reports, inspections and handover details to the required standard in a timely manner?

  • Did the contractor carry out the works in a timely manner following agreed arrangements and timelines?

  • If works are complete; is a handover certificate available where applicable? If not yet complete, who will the certificate be sent to?

  • Can the contractor provide evidence of safe waste removal of defective potentially hazardous parts?

  • Does the contractor carry an appropriate waste carriers license?

  • Onsite/Offsite?

RAMS

  • Are the RAMS available on site?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have all contractors signed onto the RAMS?

Contractors

  • Where applicable is all operative training available on site?

  • Is training still valid?

Site

  • Is waste being handled in a safe manner with appropriate access and egress?

  • Is the waste receptacle appropriate for the type of waste being removed in line with NSS requirements and in good condition free from defects?

  • Has the waste receptacle been placed in an appropriate area which is weight bearing with necessary agreement in place by NSS/and or the client?

  • Has the contractor provided a completed consignment note upon removal with all relevant sections complete?

  • Does the contractor have an appropriate waste carriers license?

  • Does the contractor have 14001 or similar accreditations?

  • Is the waste receptacle in good condition with no signs of misuse?

  • Is the sub-contractor maintaining good communication with NSS and other interested parties?

  • Where applicable - has hazardous waste been removed compliantly, restricting access to unauthorised persons

  • Have NSS complied with sub-contractor requirements, and have NSS placed agreed waste products in the waste receptacle only?

  • Is the receptacle and surrounding area free of pest harbourage?

  • Is the contractors time keeping in line with NSS/client expectations?

  • Is the contractor work being carried out in line with safe systems of works and NSS/client expectations?

  • Is the contractor leaving site conditions in a tidy and safe manner?

Emergency Provisions

  • Have emergency rescue procedures been put in place?

  • Have arrangements for first aid been arranged?

RAMS

  • Have a set of RAMS been provided?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have the RAMS been reviewed and approved by the contract manager?

Operatives

  • Was relevant training certificates been provided?

  • Is training still valid?

  • Where applicable, have operative harness and lanyard certificates been provided?

Site

  • Do works appear to have been undertaken safely?

  • Does the contractor work meet NSS/client expectations?

  • Is the area free of unsafe conditions or hazards identified which may have been a result of contractor activities?

  • Contact the contractor immediately and inform QHSE

  • Does the contractor appear to have left the site conditions clean, tidy and safe?

  • Contact the contractor immediately and inform QHSE

  • Has the contractor completed all required reports, inspections and handover details to the required standard in a timely manner?

  • Did the contractor carry out the works in a timely manner following agreed arrangements and timelines?

  • Has the contractor provided a completed consignment note upon removal with all relevant sections complete?

  • Does the contractor have an appropriate waste carriers license?

  • Is the waste receptacle free of any evidence of misuse?

  • Where applicable - is access to hazardous waste restricted to unauthorised persons

  • Have NSS complied with sub-contractor requirements, and have NSS placed agreed waste products in the waste receptacle only?

  • Is the waste receptacle free of evidence of pest harbourage inside or nearby?

  • Is the area free of potential damage caused by the waste removal or delivery?

  • Onsite/Offsite?

RAMS

  • Are the RAMS available on site?

  • Do the RAMS adequately describe the safe working arrangements including electrical works in hazardous areas?

  • Have all contractors signed onto the RAMS?

Contractors

  • Are contractors who operate/maintain electrical equipment trained for the voltage class equipment they operate and maintain?

  • Is training still valid?

  • Are contractors competent to use any access equipment required to gain access to the point of works?

Site

  • Has the contractor received appropriate induction from NSS/the client or another contractor?

  • Are materials being loaded/unloaded and stored in a safe manner?

  • Can the contractor access the point of works safely and has any access equipment been subject to a documented statutory inspection?

  • Have test equipment such as multi-metres, RCD performance testers, earth loop testers, voltage testers, insulation resistance testers and similar instruments been functionally tested and inspected at set intervals?

  • Has testing equipment been calibrated in the last 12 months and can the contractor provide evidence of this either on the equipment or a certificate of conformity?

  • Does the contractor have visibility of an updated electrical equipment register?

  • Does the contractor have access to local electrical diagrams, drawings and procedures?

  • Has power been isolated where possible and tested to ensure full isolation of the working area has been achieved?

  • Is the contractor PPE and clothing used for electrical work free from metal materials?

  • Is the point of works dry with good lighting conditions?

  • Is the sub-contractor maintaining good communication with NSS and other interested parties?

  • Is the contractors time keeping in line with NSS/client expectations?

  • Is the contractor work being carried out in line with safe systems of works and NSS/client expectations?

  • Is the contractor leaving site conditions in a clean tidy and safe manner?

Emergency Provisions

  • If applicable - have emergency rescue procedures been put in place?

  • Have arrangements for first aid been arranged including CPR?

RAMS

  • Have a set of RAMS been provided?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have the RAMS been reviewed and approved by the contract manager?

Operatives

  • Was relevant training certificates been provided?

  • Is training still valid?

  • Where applicable, have operative harness and lanyard certificates been provided?

Site

  • Do works appear to have been undertaken safely?

  • Does the contractor work meet NSS/client expectations?

  • Is the work area free from poor condition or hazards identified which may have been a result of contractor activities?

  • Contact the contractor immediately and inform QHSE

  • Have NSS received any positive or negative feedback regarding the contractor?

  • Does the contractor appear to have left the site conditions clean and tidy?

  • Has the contractor completed all required reports, inspections and handover details to the required standard in a timely manner?

  • Did the contractor carry out the works in a timely manner following agreed arrangements and timelines?

  • Onsite/Offsite?

RAMS

  • Are the RAMS available on site?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have all operatives signed onto the RAMS where applicable?

Operator

  • Does the operator hold the relevant license to use this MEWP?

  • Is the training still valid?

  • Is the operator wearing the required harness and lanyards where applicable?

  • Does the operator have evidence of harness and lanyard 6 monthly formal inspections available?

Site

  • Has the contractor received an appropriate induction by NSS/the client or another contractor where necessary?

  • Is the MEWP being loaded/unloaded, manoeuvred into position and stored in a safe manner?

  • Is the MEWP suitable for the works?

  • Is suitable safety signage / exclusion zone in place on site to indicate slips, trips and falls and working at height?

  • Where applicable - is traffic management adequate for the task?

  • If a road closure permit has been organised - can the operator evidence this has been actioned in accordance to road closure instructions?

  • Has the operator completed a documented thorough pre-use check on the MEWP including function checks?

  • Has the LOLER thorough inspection been undertaken within the last 6 months, and is the LOLER certification held with the machine?

  • Is the operator maintaining good communication with NSS and other interested parties?

  • Are ground conditions suitable for the machine and have all associated hazards been identified with suitable control measures in place?

  • Is the contractors time keeping in line with NSS/client expectations?

  • Is the contractor work being carried out in line with safe systems of works and NSS/client expectations?

  • Is the contractor leaving site conditions in a tidy and safe manner?

Emergency Provisions

  • Have emergency rescue procedures been put in place?

  • Have arrangements for first aid been arranged?

  • Are there spillage arrangements in place and a adequate spill kit?

  • Are suitable arrangements in place in the event of a fire?

RAMS

  • Have a set of RAMS been provided?

  • Do the RAMS adequately describe the safe working arrangements?

  • Have the RAMS been reviewed and approved by the contract manager?

Operatives

  • Was relevant training certificates been provided?

  • Is training still valid?

  • Where applicable, have operative harness and lanyard certificates been provided?

Site

  • Do works appear to have been undertaken safely?

  • Does the contractor work meet NSS/client expectations?

  • Is the work area free from poor condition or hazards identified which may have been a result of contractor activities?

  • Contact the contractor immediately and inform QHSE

  • Was the MEWP appropriate for the task?

  • Have NSS received any positive or negative feedback regarding the contractor?

  • Does the contractor appear to have left the site conditions clean and tidy?

  • Has the contractor completed all required reports, inspections and handover details to the required standard in a timely manner?

  • Did the contractor carry out the works in a timely manner following agreed arrangements and timelines?

  • Where applicable - was traffic management adequate for the task?

  • Did the operator complete a documented thorough pre-use check on the MEWP including function checks?

  • Did the LOLER thorough inspection take place within the last 6 months, and was the LOLER certification held with the machine?

  • Were ground conditions suitable for the machine and have all associated hazards been identified with suitable control measures in place?

  • Were there any malfunctions or breakdowns with the MEWP either on route to the point of works or during works? If so please provide details.

Additional Information

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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.