Convergint Principal Contractor Site Daily Checklist

• Project Title and Work Number

• Location

  Media

• Date & Time of Visit

  Date

Visible Workers on Site

• Name of contractor

• Contractor Supervisor

  Yes

  No

• Construction Workers

  1

  2

  3

  4

  5

• Other

  1

  2

  3

  4

  5

• Describe other

• Describe other

• Describe other

• Describe other

Visible Plant on Site

• Diggers

  1

  2

  3

  4

  5

• ATV

  1

  2

  3

  4

  5

• Cars

  1

  2

  3

  4

  5

• Vans

  1

  2

  3

  4

  5

• Other

  1

  2

  3

  4

  5

• Other Plant Description

• Other Plant Description

• Other Plant Description

• Other Plant Description

• Other Plant Description

Weather Conditions

• Temperature

  Select Very hot Hot Mild Cold

  • Very hot
  • Hot
  • Mild
  • Cold

• Fine, Rain or Light Showers

  Select Fine Rain Light Showers Windy

  • Fine
  • Rain
  • Light Showers
  • Windy

• Overcast

  Yes

• Work Stopped Due to Weather

  Yes

• Describe Conditions

Activity

• Concreting

  Yes

• Earthworks

  Yes

• Electrical

  Yes

• Excavation

  Yes

• Formwork

  Yes

• Pipelining

  Yes

• Pipe and Conduit

  Yes

• Pot-Holing

  Yes

• Restoration Works

  Yes

• Road Works

  Yes

• Signs, Lines, etc.

  Yes

• Site Works

  Yes

• Steel fixing

  Yes

• Testing

  Yes

• Other

  Yes

• Describe Activity

Process

• Has the Contractor performed and documented a pre start briefing?

  Yes

  No

• Why not?

• Visual check of licences and induction

  Yes

  No

  Previously sighted

• Why not?

• Check that the risk assessments and method statements are on site including COSHH, relate to the work and have been implemented

  Yes

  No

  Previously sighted

• Why not?

• Check Waste Management Plan

  Yes

  No

  Previously Sighted

  N/A

• Why not?

• Have underground services been identified

  Yes

  No

  Previously Sighted

  N/A

• Why not?

• Have all energy sources been isolated (LOTO)

  Yes

  No

  N/A

• Why not?

• Are relevant spotters on-site

  Yes

  No

  N/A

• Why not?

• Are control measures in place (barricading signs,) for both vehicle traffic & pedestrians?

  Yes

  No

  N/A

• Why not?

• Check that all permits and risk assessments have been filled out and implemented

  Yes

  No

  N/A

• Why not?

• PPE in good condition and being worn

  Yes

  No

• Why not?

• Housekeeping adequate (including rubbish), all personnel must be mindful when working in public areas.

  Yes

  No

• Why not?

• Any safety or environmental concerns

  Yes

  No

• Describe concerns

• Have all parking permits been returned where applicable?

  Yes

  No

• Notes

  Yes

Sign off

• Verified by

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