Title Page
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Site conducted
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Client:
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Date and time:
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Inspection by:
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Work activity:
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Location:
Health, Safety, Environment & Welfare Audit / Inspection
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Weather Conditions
- HOT
- DAMP
- WARM
- SUN
- COLD
- RAIN
- DRY
- FOG
- WET
- OTHER
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Specify Other condition
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Please check the following items, and where present, grade on standard / status as indicated below.
1 PROHIBITIVE – work must stop immediately. Work to continue once rectified only.
2 POOR – immediate action necessary to improve, and reach satisfactory standards.
3 SATISFACTORY – minimum acceptable standards.
4 GOOD – above average standards being achieved.
5 EXCELLENT – Compliance with HSE & W systems is of a very high standard
Approach to Site
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Vehicles parked on approach
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Rate
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Access Gates
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Rate
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Fences / general perimeter
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Rate
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Access / Egress
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Housekeeping
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Rate
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Underfoot conditions
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Rate
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Lighting
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Rate
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Vegetation
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Rate
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Cess / walkway
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Rate
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Troughing lids
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Rate
Site
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SSOW in place
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Rate
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Emergency arrangements in place
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Rate
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Emergency arrangements briefed and understood by all concerned
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Rate
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First Aid Kit(s)
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Rate
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Certified First Aider(s)
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Rate
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Accident Book
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Rate
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Fire Equipment
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Rate
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Toilets & Welfare i.e. hot water, washing facilities
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Rate
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Site Security
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Rate
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Communications
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Rate
Site Documentation
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NCCA Cards
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Rate
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Company ID Cards
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Rate
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Site Passes / Induction Cards
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Rate
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Method Statement / Work plan
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Rate
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Risk Assessments
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Rate
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COSHH Assessments
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Rate
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COSS Briefing Sheets
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Rate
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Physical Works Brief
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Rate
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Permits (Hot works, Form C, Dig)
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Rate
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Plant Records (MC Check Sheet)
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Rate
Environmental
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ESA / SSS / AONB
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Rate
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Local Arrangements briefed and understood
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Rate
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Contact details for specialist advice available and briefed
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Rate
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Spill Kits
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Rate
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Badger Sets
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Rate
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Newt Fences
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Rate
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Noise, Fumes, Dust
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Rate
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Vegetation / Pollen / Air Quality
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Rate
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Snakes
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Rate
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Disposal of Waste
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Rate
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Environmental Risk Assessments
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PPE
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Hard Hats
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Rate
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Safety Footwear
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Rate
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H-Vis Vest with Logo
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Rate
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Spectacles if contact lenses wearer
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Rate
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Waterproof trousers
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Rate
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Gloves
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Rate
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Eye / Ear Protection
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Rate
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Detonators (available and in date)
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Rate
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Flags (Red / Yellow / Green Chequered)
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Rate
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Lamps (Bardic / Red Lens)
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Rate
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Horn / Whistle
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Rate
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Marker Boards / PLB’s
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Rate
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Armlets (E/S)
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Rate
Morson Personnel
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List of all Morson Personnel Below
•Personnel
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Name and Signature
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Completed By
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Position
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Spectacles if contact lenses wearer
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Rate
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Additional Comments
Safety Tour Record
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Prior to starting this safety tour refer to previous safety tour records for outstanding actions
Safety Tour Guidance/Points to observe
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1. Personal Protective Equipment <br>Being worn, clean free from defects, torch/cap lamp available for night work, ID badges e.g. COSS
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Item
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Findings
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Action Required
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Owner
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Target Date
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Remarks
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2. Site Documentation <br>COSS brief available, signatures on COSS brief, toolbox talks
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3. First Aid Arrangements <br>First aider is known, identified, kit available.
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4. Competence <br>First aider is known, identified, kit available.
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5. Mobile Plant <br>Certification available & current, pre-start checklists complete.
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6. Vehicles<br>Driver nominated & authorised, vehicle clean, log sheet and vehicle inspection complete.
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7. Emergency Arrangements<br>Client contact no. and Morson contact no. Known, workers aware of Worksafe procedure
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8. Contact Lens Wearers<br>Client contact no. and Morson contact no. Known, workers aware of Worksafe procedure
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9. Housekeeping/Environmental<br>Trip hazards; fire hazards; spillages; building infrastructure; access; waste storage marked.
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10. Mentoring<br>New entrants mentored. Probationary competence mentored
Sign Off
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Commendable Safe Acts/Conditions Observed
•Participant
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Name and Signature
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Completed by