Cssicr

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Set Up - Access, Segregation, Security, Signage

• Observations

  Safe

  At Risk

  N/A

Excavations - Covered, Fenced

• Observations

  Safe

  At Risk

  N/A

PPE & RPE - Hard Hats, Safety Boots, Gloves, Hi Viz, Eye and Ear Protection

• Observations

  Safe

  At Risk

  N/A

Fire Signage and Extinguisher, Emergency Plan

• Observations

  Safe

  At Risk

  N/A

Plant and Machinery - Maintained, Checklists completed

• Observations

  Safe

  At Risk

  N/A

Operator licences (CPCS, Competence Card)

• Observations

  Safe

  At Risk

  N/A

Electrical - Lighting, Trailing Leads, PAT Testing, 110V

• Observations

  Safe

  At Risk

  N/A

Scaffold/Tower Scaffold - Fit for purpose, Register Complete

• Observations

  Safe

  At Risk

  N/A

Working at Height - Fall Protection, Fall Prevention, Etc.

• Observations

  Safe

  At Risk

  N/A

HSE Poster, Insurances and Notification

• Observations

  Safe

  At Risk

  N/A

RAMS and COSHH in place

• Observations

  Safe

  At Risk

  N/A

Training Records, Inductions, Toolbox Talks

• Observations

  Safe

  At Risk

  N/A

First Aiders, First Aid Box and Accident Book

• Observations

  Safe

  At Risk

  N/A

Welfare Facilities - Toilets, Wash Facilities, Rest Room

• Observations

  Safe

  At Risk

  N/A

Housekeeping - Storage of Materials, Waste Segregation, Site Tidiness

• Observations

  Safe

  At Risk

  N/A

• Signed by

• Add signature

  Sign

• Safety Advisor

• Add signature

  Sign