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