Information
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Enter Email Address to return this to:
Audit details
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Site Name
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Reference:
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Conducted on
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Prepared by
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Location
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Personnel on site
General EHS
CDM Notifications
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Is the work considered to be covered under the CDM regulations 2015
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Is It Notifiable to the HSE : Current and Valid F10
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Evidence
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Action to rectify invalid F10
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Principal Contractor
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Principal Designer
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Client
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Designer
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CDM Guidance
http://www.citb.co.uk/health-safety-and-other-topics/health-safety/construction-design-and-management-regulations/cdm-guidance-documents/ -
Add Contractor
Contractor
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Company
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Personnel
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Notes
Site notices and logs
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Safety and hazard warning signs present?
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First Aid poster present?
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Contractors log and visitors book?
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Near miss procedures in place?
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Have there been any near misses.
Add near miss
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Health and Safety Law poster as required under the Health and safety at work regulations?
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Notes
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Score
- 0
- 2
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- 6
- 8
- 10
- N/A
Welfare provisions
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HSE welfare guidance
http://www.hse.gov.uk/construction/safetytopics/welfare.htm -
Are toilet facilities available?
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Are hand washing facilities available?
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Is drinking water available?
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Is there suitable First aid equipment?
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Are there drying facilities?
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Are the cooking and rest facilities?
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Notes
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Score
- 0
- 2
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- 10
- N/A
Utility services (underground and overhead)
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Overhead
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Is a suitable services layout available for both private and utility owned?
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Is work near the services being carried out in accordance with HSE guidance GS6?
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GS6
http://www.hse.gov.uk/pubns/gs6.htm -
Underground
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Is a suitable services layout available for both private and utility owned?
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Is work near the services being carried out in accordance with HSE guidance HSG47?
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HSG47
http://www.hse.gov.uk/pubns/books/hsg47.htm -
Should work stop?
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Notes
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Score
- 0
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- 10
- N/A
Toolbox talks
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Have tool box talks been undertaken and adequately recorded?
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Notes
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Score
- 0
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- N/A
Functional Isolation Procedures
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Are functional isolation procedures in place and documented?
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Notes
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Score
- 0
- 2
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- 10
- N/A
Notifications
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Has the Site Responsible Officer been made aware of the work?
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Have all alarms been appropriately silence?
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Are there appropriate handover procedures in place?
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Notes
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Score
- 0
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- N/A
Operational H&S
1. Risk assessment
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1.1 Available and Current?
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1.2 All risks covered adequately?
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1.3 Have any dynamic risk assessments been made and have they been recorded?
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Should the work stop?
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Notes
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Scoring
- 0
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- 10
- N/A
2. Method Statement
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2.1 Available and current?
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2.2 Method is adequately detailed?
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2.3 Signed and dated as required?
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2.4 Lone working procedures being followed?
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2.5 Has the method of work changed and has this been recorded?
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Should the work stop?
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Notes
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Scoring
- 0
- 2
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- 8
- 10
- N/A
Asbestos Register
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Is an asbestos register available?
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Is asbestos identified and mark on site?
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Is the work affecting the asbestos
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Should the work stop?
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Notes
3. Lifting Operations
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Are lifting operations taking place?
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3.1 Lift plan complete and as required?
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3.1.1 Sketch lift plan:
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3.2 Appointed person present?
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3.3 Adequate and relevant communication?
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3.4 Correct documentation (tags and certificates) ?
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Should the work stop?
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Scoring
- 0
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- N/A
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Notes
4. Confined spaces
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Are there any confined space entry works being undertaken?
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4.1 Categorisation complete and available?
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4.2 Appropriate level of PPE and other equipment??
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4.3 Access and egress procedures in place?
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4.4 Emergency procedures and rescue plans including appropriate rescue equipment?
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4.5 Authorised person identified and present?
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Should the work stop?
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Scoring
- 0
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- N/A
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Notes
5. Excavation
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Are there any excavations on site?
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5.1 Underground services identified, located and recorded?
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5.1.1 Sketch details if appropriate
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5.2 Suitable access?
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5.3 Edge protection required?
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5.4 Collapse protection required?
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5.5 Flood control equipment managed?
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Should the work stop?
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Scoring
- 0
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- N/A
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Notes
6. Diving
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Are Diving activities taking place
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6.1 Dive Safe Plan completed and current?
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6.2 Authorised person identified and present?
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6.3 Access and Egress into water acceptable?
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6.4 Emergency and rescue procedures in place?
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Should the work stop?
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Notes
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Scoring
- 0
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- 10
- N/A
7. Work Near Water
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Are activities taking place near water or where there is a foreseeable risk of drowning?
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7.1 Adequate prevention of falls into fast flowing or deep water?<br>
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7.2 Are water levels safe and monitored?
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7.3 Are rescue procedures in place?
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7.4 Appropriate PPE worn and checked?
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Should the work stop?
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Scoring
- 0
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- 10
- N/A
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Notes
8. Working at Height
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Are Working at height activities taking place?
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8.1 Are operatives competent for assembling, operating and using access equipment? (e.g. IPAF)
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8.2 Visual check on scaffolding and towers completed?
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8.2.1 Take photographs of scaffolding:
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8.3 Have fragile structures been identified and protect against?
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8.4 Is edge protection completed and adequate?
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8.5 Are ladders suitable for their intended use and properly inspected?
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Should the work stop?
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Scoring
- 0
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- N/A
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Notes
9. Hot Work
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Are hot work activities taking place?
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9.1 Permits in place and conformed to?
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9.2 Emergency fire procedures in place?
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9.3 Spread prevention measures in place and combustible materials protected?
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Should the work stop?
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Scoring
- 0
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- 10
- N/A
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Notes
9. Electrical and Mechanical Safety
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9.1 Are persons working on electrical equipment authorised to do so?
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9.2 Are electrical Isolation procedures in place?
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9.3 Are appropriate locks and labels in use?
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9.4 Are persons working on mechanical equipment authorised to do so?
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9.5 Are mechanical Isolation procedures in place?
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9.6 Are appropriate locks and labels in use?
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Should the work stop?
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Scoring
- 0
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- N/A
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Notes
10.Occupational Health
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Are there any activities taking place that may affect occupational health?
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10.1 Noise protection procedures in place?
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10.2 Body vibration procedures in place?
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10.3 Manual handling procedures assessed and controlled
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10.4 Do all operatives have adequate PPE and access to PPE?
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10.5 Is fatigue control in place?
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10.6 Is there an awareness of Leptospirosis
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10.7 Is the appropriate level of PPE in place for the activities being undertaken.
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Should the work stop?
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Scoring
- 0
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- N/A
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Notes
11 Contractor Personnel
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11.1 CSCS cards carried by all personnel?
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11.2 Plant competency cards (CPCS) carried by appropriate personnel?
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11.3 Personnel first aid trained?
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11.4 Are operatives trained, competent and knowledgable?
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Should the work stop?
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Notes
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Scoring
- 0
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- N/A
12 Sub-Contractor Personnel
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Are Sub Contractors working on site?
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12.1 CSCS cards carried by appropriate personnel?
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12.2 Plant competency cards (CPCS) carried by appropriate personnel?
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12.3 Personnel first aid trained?
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12.4 Are operatives trained, competent and knowledgable?
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12.5 Are sub contractors being correctly monitored and managed?
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Should the work stop?
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Notes
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Scoring
- 0
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- N/A
13. Control of Substances Hazardous to Health COSHH.
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13.2 Emergency procedures in place?
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13.1 Are COSHH details available for any hazardous substances in use?
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13.3 Has a COSHH risk assessment been completed and is it on site?
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Should the work stop?
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Notes
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Scoring
- 0
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- N/A
Site EHS
Site EHS
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Is there an adequate traffic management plan, is it being adhered to?
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Is plant operating near overhead services are adequate measures in place in accordance with HSE GS6?
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Is the access and egress at the site acceptable?
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Is storage suitable and safe for the materials being used?
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Security fencing in place and adequate?
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Footpaths and boundaries identified and marked?
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Appropriate signage where required (high voltage, deep water etc)?
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Loading and unloading procedures in place and adhered to?
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Public protection measures in place?
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Waste and recycling controls being adhered to?
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Are there any Invasive or non native species or plants.
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Add media
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Are fuels being store safety and correctly in accordance with Pollution Prevention Guidlines?
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Should the work stop?
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Scoring
- 0
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- N/A
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Notes
Sign off
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By signing below, I am certifying that the information recorded is true to the best of my knowledge, and that I have followed all guidance and best practice as instructed.
This audit will form part of supplier assessment and performance measures. -
Auditor
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Site Representative
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Is the work considered safe to continue
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Has an instruction to stop all works been given?
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Should the contractor receive a yellow or red warning card
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Notes