End of Shift Sign-Off Sheet V2.0

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

1.0 END OF DAY SIGN-OFF SHEET

• Contractor

  Corsan (Northern) Ltd

• Supervisor Undertaking the check

  Gavin Burns

  Paul Carrick

  Craig Marshall

  Ian Wood

2.0 CHECK LIST

• 1. All barriers and fencing in the correct position at designated areas?

  Yes

  No

  N/A

• 2. All safe designated walking routes clear and free from obstruction, rubbish, leads, equipment and materials?

  Yes

  No

  N/A

• 3. All machinery and plant locked up, secure and immobilised?

  Yes

  No

  N/A

• 4. All materials correctly stacked and secure in designated areas - tied down if applicable?

  Yes

  No

  N/A

• 5. All labour / operatives are off site and have signed out?

  Yes

  No

  N/A

• 6. All permits have been checked and signed off?

  Yes

  No

  N/A

• 7. All waste removed to skip?

  Yes

  No

  N/A

• 8. All leading edges are safe and properly protected?

  Yes

  No

  N/A

• 9. Flammable materials correctly stored?

  Yes

  No

  N/A

• Any further comments / discussion.

• All of the above applicable items have been checked and I confirm that the site area which I am responsible for is safe and secure at the time of sign off.

3.0 PROPERTIES WORKED IN

• Please list all properties which this form applies to

• Supervisor

  Sign

• Time of Sign-Off

  Date