Title Page
-
Title of Project
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Divisional Director
-
Project Manager
-
Site Supervisor
-
Completed on
Project details
-
Flooring?
-
Stairs
-
Balcony?
Size of project?
-
Commercial development housing estate?
-
Commercial small scale 1-4 houses?
-
Self builder?
Building Type?
-
Steel Frame
-
Blockwork / Brickwork
-
Restricted Access?
-
First Aid Available?
-
Welfare Facilities?
-
CDM notification (NI10) Visible?
Working at Height Control Measures Suitable?
-
Access and egress?
-
Scaffolding at correct height and complete?
-
All edge protection provided?
-
Ladders suitable and tied?
-
Have voids been filled in?
-
Are voids suitable for air bags (no obstructions)?
-
Is netting required?
-
Do Platforms have access and edge protection?
Ground conditions
-
Has hard standing area been set up?
-
Access into site from main road suitable?
-
Is a Crane Required?
-
Has a load bearing test been carried out?
Steel Frame?
-
Is steel secured to structure?
Services
-
Any overhead obstructions?
Health & Safety Documentation?
-
Risk Assessment in place?
-
Method Statement in place?
-
Lifting Plan in place?
Other Comments?
-
If so, list them?
Sign Off
-
Auditee
-
Auditor
-
Any key issues to be addressed before work can commence?