Demonstration Inspection Form

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Example question

  Yes

  No

  N/A

undefined

• Summary

1. Key documents & Procedures

• Construction phase H&S plan on site and updated?

  Compliant

  Improvement Required

  Non-Compliant

  N/A

  N/C

• Site Risk assessments and Method Statements (RAMS) on site and suitable and sufficient?

  Yes

  No

  N/A

• Subcontractor RAMS on site and suitable and sufficient?

  Yes

  No

  N/A

• RAMS check carried out by site manager?

  Yes

  No

  N/A

• F10 up to date and displayed?

  Yes

  No

  N/A

• Employers Liability Insurance up to date and displayed?

  Yes

  No

  N/A

• GDPR in place?

  Yes

  No

  N/A

• DSPCM H&S policy up to date and displayed?

  Yes

  No

  N/A

2. Fire and emergency

• First aiders trained & listed on site board?

  Yes

  No

  N/A

• First aid box in date and provisions available?

  Yes

  No

  N/A

• Emergency numbers and plan on site board?

  Yes

  No

  N/A

• Accident book being completed and stored in line with GDPR & investigations carried out as required?

  Yes

  No

  N/A

• Fire RA & plan up to date?

  Yes

  No

  N/A

• Means of raising fire alarm?

  Yes

  No

  N/A

• Fire escape routes and muster point clear and signed

  Yes

  No

  N/A

• Fire equipment available and inspected?

  Yes

  No

  N/A

3. Traffic, security, permits & housekeeping

• Traffic management plan in place and updated?

  Yes

  No

  N/A

• Work Permits (hot works, electrical, tower scaffold etc.) complete and used correctly?

  Yes

  No

  N/A

• Site secure, all gates, fences? CCTV in place etc

  Yes

  No

  N/A

• Housekeeping good?

  Yes

  No

  N/A

4. Training

• Site Managers and Supervisors competent?

  Yes

  No

  N/A

• All staff on site CSCS competent?

  Yes

  No

  N/A

• Evidence seen of IPAF/CPCS/PASMA etc?

  Yes

  No

  N/A

• Banksman training?

  Yes

  No

  N/A

• Evidence of inductions carried out?

  Yes

  No

  N/A

• Toolbox talks evidence of delivery?

  Yes

  No

  N/A

• All employees received asbestos awareness training

  Yes

  No

  N/A

5. Site welfare

• Toilets (clean, soap, towels, bin?)

  Yes

  No

  N/A

• Hot and cold water?

  Yes

  No

  N/A

• Office clean and tidy?

  Yes

  No

  N/A

• Drying room available and clean?

  Yes

  No

  N/A

• Canteen (clean, kettle, microwave, seating)?

  Yes

  No

  N/A

6. Site storage and waste area

• All stock stored safely and in the correct place?

  Yes

  No

  N/A

• Waste segregated into separate waste streams?

  Yes

  No

  N/A

• Consignment notes on file and waste transfer note completed, or with office?

  Yes

  No

  N/A

• Flammable liquids secure?

  Yes

  No

  N/A

• LPG stored in cages & segregated as required?

  Yes

  No

  N/A

• Chemicals and oils bunded?

  Yes

  No

  N/A

• Spill kits available and supplies topped up?

  Yes

  No

  N/A

7. Asbestos

• Asbestos Survey in place?

  Yes

  No

  N/A

• Competent persons on site?

  Yes

  No

  N/A

• ASB5 notification?

  Yes

  No

  N/A

• Written plan of works up to date?

  Yes

  No

  N/A

• Clearance certificates for removed asbestos?

  Yes

  No

  N/A

8. Disconnections or protection of live services

• Disconnection certificates (electric, water, gas, telecommunications)?

  Yes

  No

  N/A

• Drawings on site?

  Yes

  No

  N/A

• Warning signs & markings clear and in place?

  Yes

  No

  N/A

• Goal posts and segregations used for overhead lines? Poles protected?

  Yes

  No

  N/A

• Protection of live services on site (diverted, isolated etc)?

  Yes

  No

  N/A

9. Temporary works

• TW supervisor trained?

  Yes

  No

  N/A

• Design checks & permits on site?

  Yes

  No

  N/A

• TW register in place?

  Yes

  No

  N/A

• Handover certificates on site?

  Yes

  No

  N/A

• Condition of TWs?

  Yes

  No

  N/A

• Inspections of TWs?

  Yes

  No

  N/A

10. Plant and Vehicles

• Daily inspections carried out?

  Yes

  No

  N/A

• Vehicles maintained (no obvious issues)?

  Yes

  No

  N/A

• Flashing beacons and sounders working?

  Yes

  No

  N/A

• ROPS/seat belts in place and used?

  Yes

  No

  N/A

• Any evidence of unsafe use?

  Yes

  No

  N/A

11. Excavations

• Cat & Genny markings in place? Use of Radio detection gC.A.T.4+TM and Genny4TM which has GPS and records use. Drawings on site?

  Yes

  No

  N/A

• Safe excavation (shoring's in place and inspected daily)?

  Yes

  No

  N/A

• Barriers in place and stable? Warning signs & markings

  Yes

  No

  N/A

• Safe access and egress into pit?

  Yes

  No

  N/A

12. Floor openings

• Edge protection provided?

  Yes

  No

  N/A

• Covers provided and secure?

  Yes

  No

  N/A

• Slips trips and falls on site managed? Ground conditions good?

  Yes

  No

  N/A

• Warning signs & markings?

  Yes

  No

  N/A

13. MEWPS and Cherry pickers

• Daily inspections carried out and recorded?

  Yes

  No

  N/A

• Equipment inspected every 6 months? No issues noted?

  Yes

  No

  N/A

• Lanyard and harness & suspension trauma training?

  Yes

  No

  N/A

• Suspension trauma plan in place?

  Yes

  No

  N/A

• IPAF training in place?

  Yes

  No

  N/A

• No evidence on unsafe use?

  Yes

  No

  N/A

14. Scaffold and Towers

• Scaffold erected by a competent contractor (CISRS)?

  Yes

  No

  N/A

• Scaffold design in place & handover ticket on site?

  Yes

  No

  N/A

• Scaffold complete and tagged?

  Yes

  No

  N/A

• Brick guards, knee and waist rail, kick boards?

  Yes

  No

  N/A

• Loading bays, fail safe gate, SWL, signed off?

  Yes

  No

  N/A

• Safe loading area provided, above and below?

  Yes

  No

  N/A

• Safe access and egress onto the scaffold?

  Yes

  No

  N/A

• Access secured at the end of the day?

  Yes

  No

  N/A

15. Scaffold Towers

• Scaffold towers erected correctly (outriggers, brakes, Knee and waist rail, kick boards etc)?

  Yes

  No

  N/A

• Scaffold tower training (PASMA)?

  Yes

  No

  N/A

• Inspections of scaffold tower?

  Yes

  No

  N/A

• Scaffold tower used safely? Could a MEWP have been used instead?

  Yes

  No

  N/A

16. Demolition

• Competent contractor used?

  Yes

  No

  N/A

• Written plan of works up to date?

  Yes

  No

  N/A

• Crusher registration in place?

  Yes

  No

  N/A

• Demolished waste segregated?

  Yes

  No

  N/A

• Work being carried out safely and to plan?

  Yes

  No

  N/A

17. Confined spaces & Open Water

• RAMS & permit in place?

  Yes

  No

  N/A

• All persons trained?

  Yes

  No

  N/A

• Confined spaces work being carried out safely?

  Yes

  No

  N/A

• Emergency plan and equipment in place?

  Yes

  No

  N/A

• All open water controls in place?

  Yes

  No

  N/A

18. Electrical equipment & work equipment

• PAT tested tools?

  Yes

  No

  N/A

• Leads in good condition?

  Yes

  No

  N/A

• Trailing leads?

  Yes

  No

  N/A

• 110V tools used?

  Yes

  No

  N/A

• Work equipment using guards as required?

  Yes

  No

  N/A

19. Lifting Operations

• Competent person (APs etc.)

  Yes

  No

  N/A

• Lifting plan in place?

  Yes

  No

  N/A

• Lift Supervisor for all lifts?

  Yes

  No

  N/A

• SWL marked and equipment examined, tested & tagged?

  Yes

  No

  N/A

• Lifting zone demarcation?

  Yes

  No

  N/A

• Temporary works crane mat required and if so, in place?

  Yes

  No

  N/A

• Work carried out as per lifting plan?

  Yes

  No

  N/A

20. Lifting Operations excavators

• Competent operators (CPCS)?

  Yes

  No

  N/A

• SWL marked and equipment examined and tested?

  Yes

  No

  N/A

• Bucket changing area provided/marked?

  Yes

  No

  N/A

• Plant in good working order?

  Yes

  No

  N/A

• Lifting area marked out/supervised?

  Yes

  No

  N/A

• Work being undertaken as per RAMS

  Yes

  No

  N/A

21. Traffic management plan

• Vehicles and pedestrians segregated?

  Yes

  No

  N/A

• Pedestrian routes, gates and crossings?

  Yes

  No

  N/A

• All reversing with a banksman?

  Yes

  No

  N/A

• High visibility worn by delivery drivers?

  Yes

  No

  N/A

• Vehicle unloading and maintenance areas?

  Yes

  No

  N/A

• Speed limits clear and adhered to?

  Yes

  No

  N/A

22. Roadworks

• Traffic management as Chapter 8?

  Yes

  No

  N/A

• TM personnel competent?

  Yes

  No

  N/A

• High visibility clothing?

  Yes

  No

  N/A

• Vehicles flashing beacons/signs?

  Yes

  No

  N/A

• All controls in order?

  Yes

  No

  N/A

23. PPE (general)

• Hardhats worn? Any issues with hats/hoodies under hard hats?

  Yes

  No

  N/A

• Hand protection worn as required?

  Yes

  No

  N/A

• Safety boots worn?

  Yes

  No

  N/A

• Hearing protection worn as required?

  Yes

  No

  N/A

• Eye protection worn as required?

  Yes

  No

  N/A

• High visibility clothing worn?

  Yes

  No

  N/A

• Task specific PPE

  Yes

  No

  N/A

24. RPE

• Correct type of RPE worn and worn correctly?

  Yes

  No

  N/A

• RPE face fit tests where applicable?

  Yes

  No

  N/A

• RPE inspections carried out?

  Yes

  No

  N/A

25. COSHH

• All COSHH products stored correctly?

  Yes

  No

  N/A

• COSHH assessments in place and suitable and sufficient?

  Yes

  No

  N/A

• All welding carried out using correct RPE and PPE?

  Yes

  No

  N/A

• All dust supressed and captured using LEV? No dry sweeping allowed?

  Yes

  No

  N/A

• Biological hazards controlled (weils disease etc)?

  Yes

  No

  N/A

26. Vibration

• HAVS and WBV assessments in place?

  Yes

  No

  N/A

• HAVS and WBV personal monitoring carried out?

  Yes

  No

  N/A

• Job rotation in place?

  Yes

  No

  N/A

• Health surveillance of exposed employees?

  Yes

  No

  N/A

27. Manual Handling

• All manual handling avoided where possible? (Handling aids used)

  Yes

  No

  N/A

• MH Training?

  Yes

  No

  N/A

• MH assessments in place & communicated?

  Yes

  No

  N/A

• MH operations carried out safely?

  Yes

  No

  N/A

28. Work at height

• Correct choice of WAH equipment?

  Yes

  No

  N/A

• Ladders, steps, hops ups, podiums, stairs in good working order?

  Yes

  No

  N/A

• Inspections of equipment recorded?

  Yes

  No

  N/A

• Edge protection where necessary?

  Yes

  No

  N/A

• Nets used where necessary and inspected?

  Yes

  No

  N/A

• Net riggers competent? Handover certificate on site?

  Yes

  No

  N/A

29. Environmental

• Newt and bat surveys carried out as necessary?

  Yes

  No

  N/A

• Trees and areas on ecological survey protected?

  Yes

  No

  N/A

• Contaminated land survey complete?

  Yes

  No

  N/A

• Wheel wash used? Local adjacent roads cleaned?

  Yes

  No

  N/A

• Inclement weather excessive heat, wind, rain or snow

  Yes

  No

  N/A

• Discharge to land or water controls in place

  Yes

  No

  N/A