DTJ SSV

• Site

  Select

• Client

• Conducted on

  Date

• Prepared by

• Location

• Weather Conditions & Temperature

• Type of Work Observed?

• RAMS and Lifting Plans in place, operatives signed off?

  Yes

  No

  N/A

• Safe Plan of Action completed and signed off?

  Yes

  No

  N/A

• Other Permit issued? i.e Hot works

  yes

  no

  n/a

• Are Operatives completing Client Safety Observation Cards?

  yes

  no

  n/a

Barriers & Signs

• Exclusion Zone(s) (including internal) Barriered off to good standard?

  Yes

  No

  N/A

• Correct Signage in place? And in good condition? Contact details correct?

  Yes

  No

  N/A

• Laydown area tidy and secure?

  Yes

  No

  N/A

Housekeeping

• Area free from Slip & Trip hazards?

  Yes

  No

  N/A

• Area free from waste and rubbish?

  Yes

  No

  N/A

• Spill Kits Available?

  Yes

  No

  N/A

• SDS available?

  Yes

  No

  N/A

Work at Height

• MEWPS in good condition GA2s checked?

  Yes

  No

  N/A

• Harness & Lanyards in date?

  Yes

  No

  N/A

• 100% Tie off observed?

  Yes

  No

  N/A

• Other Fall Protection controls in place?

  Yes

  No

  N/A

• Describe other controls/observations

Simultaneous Operations

• Have Other Trades entered exclusion zone?

  Yes

  Yes, With Permission

  No

• Have Stop the Job triggers been discussed?

  yes

  no

  n/a

• Have you revised your SPA?

  Yes

  No

  N/A

Traffic management

• Are pedestrians segregated from Plant & Vehicles to an excellent level?

  Yes

  No

  N/A

• Are all gates, walkways and signs in place?

  Yes

  No

  N/A

HSEQ

• Are Tool Box Talks being Completed?

  Yes

  No

• Are HSEQ Discussions Occuring?

  Yes

  No

• HSEQ Inspections Completed?

  Yes

  No

• Equipment Certs in Place?

  Yes

  No

  N/A

• Harness Inspection Completed?

  Yes

  No

  N/A

• First Aid Equipment in Place?

  Yes

  No

  N/A

• COSHH Assessments in Place?

  Yes

  No

  N/A

• PPE worn correctly and in good condition

  Yes

  No

  N/A

Competency training

• Operatives training up to date?

  Yes

  No

• Supervisor Training checked?

  Yes

  No

• Site Manager training checked?

  Yes

  No

  N/A

Actions From Previous Audits

• Any Positive Safety Interventions /Interactions/Observations to highlight?

  Yes

  No

  N/A

• Have all actions from previous inspections been properly closed out?

  Yes

  No