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?

  • Are areas clear for air bag installation?

  • 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?

  • If the contractor / client was on site did they agree to make the required changes?

Sign Off

  • Auditor

  • Any key issues to be addressed before work can commence?

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.