Title Page

  • Site conducted

  • Codification: I-GPS106UK01-U

  • Conducted on

  • Advisor

  • Advisor signature

  • undefined

Project details

  • Project Reference:

  • Date and Time:

  • Role / Name Audited:

  • Activity / Location Assessed:

Performance Monitoring (provide the following details for the period covered by this Monthly Safety Assessment)

  • Total of Safety specific NCR’s (Major) raised:

  • Total of Safety specific NCR’s (Minor) raised:

  • Total opportunity for improvement SORs raised:

  • Total best practice SORs raised:

General Site Information

  • Detail works taking place on site at time of assessment:

  • Detail number of persons on site (including contractor details):

Management Controls – Project Management

  • Is the Safety Policy statement posted at the project?

  • Is the Contractor’s PSP current and in line with current work scope?

  • Response:

  • Is adequate site supervision on-site? (include figures in notes)

  • Response:

  • Have all the relevant safety inspections been carried out this month?

  • Response:

  • Have all incidents at the project been reported to SPEN Projects?

  • Response:

  • Has the Contractor attended this month’s Project Management Tour?

  • Response:

Management Controls – Contractor Management

  • Has each Contractor conducted Tool Box Talks this month?

  • Response:

  • List toolbox talks carried out this month including name and date: Photograph of list of completed TBT's is acceptable.

  • Has each Contractor maintained required training records / updates to training records this month?

  • Response:

  • Has each Contractor completed safety audits this month?

  • Response:

  • Have all actions identified on those safety audits been closed out satisfactorily?

  • Response:

  • Has each Contractor conducted PAT electrical inspections this quarter?

  • Response:

  • Has each Contractor maintained the plant and equipment register / inspections this month (weekly)?

  • Response:

  • Has each Contractor maintained the safety harness register / inspections this month (weekly)?

  • Response:

  • Has each Contractor maintained the lifting equipment test register / records this month?

  • Response:

  • Has each Contractor maintained the Hoist and MEWP inspection register / records this month (weekly)?

  • Response:

  • Has each Contractor maintained the Scaffold inspection register / records this month (weekly)?

  • Response:

  • Has each Contractor maintained the PASMA inspection register / records this month (weekly)?

  • Response:

  • Has each Contractor maintained the Ladder inspection register / records this month (weekly)?

  • Response:

  • Has each Contractor maintained the Excavation inspection register / records this month (daily)?

  • Response:

  • Has each Contractor maintained the COSHH Register / COSHH Assessments for all substances?

  • Has each Contractor maintained records to demonstrate that Client Authorisations are in place?

Management Controls – Site Management

  • Are induction records for the project being maintained (sample four operative / management names)?

  • Response:

  • Is the site sign-in sheet being maintained?

  • Response:

  • Are welfare arrangements sufficient for the work scope and detailed in the CPP / PSP?

  • Response:

  • General site observations

  • General site photographs

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.