Schneider Electric - Services and Solutions, Site Safety and Sustainability Inspection

• Site Location

• Conducted on

  Date

• Inspection carried out by:

• Add signature

  Sign
• Location
  Address

• Personnel on site (Include SESA numbers and position on site if Schneider personnel)

Arc Flash PPE

• Q1 - Is the requirement to wear Arc Flash PPE specified by the customer?<br>(If yes then check we are complying with the customers written instructions)

  Yes

  No

  N/A

• Q2 - Is the PPE in good condition and free from damage?

  Yes

  No

  N/A

• Q3 - Is the requirement to wear Arc flash PPE an outcome of a risk assessment? (if so complete Q4 to Q6)

• Q4 - Are all items present to comply with CAT 2 wear, identify any missing apparel. Polo shirt, Cargo Trousers, Jumper or Jacket, Helmet, Balaclava, Gloves (insulating or switching)

• Q5 - Has the FSR used the Arc Flash Calculator to identify the Incident Energy?

• Q6 - Has the FSR used the selection tables and considered the condition of the equipment which may prevent the work continuing?

Section 1 - Site Safety

• 1.1 - Are limitations of Access, Permits to Work or Sanctions to Test in use?

  Yes

  No

  N/A

• 1.2 - Do all staff hold safety passports (JIB CSCS CCNSG etc)?

  Yes

  No

  N/A

• 1.3 - Are safe systems of work established RA, MS etc?

  Yes

  No

  N/A

• 1.4 - Staff briefed by supervisors and evidence available?

  Yes

  No

  N/A

Section 2 - Site conditions

• 2.1 - Is the site log/diary/visitors book up to date?

  Yes

  No

  N/A

• 2.2 - Is there safe access/egress to the site and the boundary secure?

  Yes

  No

  N/A

• 2.3 - Unauthorised access secure/Access secured from the public?

  Yes

  No

  N/A

• 2.4 - Site accommodation suitable, toilets, canteen etc?

  Yes

  No

  N/A

• 2.5 - Are required safety signs & statutory notices displayed?

  Yes

  No

  N/A

• 1.5 - Have all subcontractors been briefed on site rules?

  Yes

  No

  N/A

Section 3 - Accident, incident, Near miss reporting

• 3.1 - Are near misses being reported?

  Yes

  No

  N/A

Section 4 - Electrical Safety

• 4.1 - Electrical supplies "locked off" where required?

  Yes

  No

  N/A

• 4.2 - Live electrical terminals shrouded/barriers erected?

  Yes

  No

  N/A

• 4.3 - Are electrical tools PAT tested?

  Yes

  No

  N/A

• 4.4 - Are there any visual defects (e.g. Insulation)?

  Safe

  At Risk

  N/A

• 4.5 - Are all subcontractors working safely?

  Safe

  At Risk

  N/A

Section 5 - Physical

• 5.1 - COSHH, are adequate controls and RA in place?

  Yes

  No

  N/A

• 5.2 - Is COSHH storage available?

  Yes

  No

  N/A

• 5.3 - Is PPE in good condition?

  Yes

  No

  N/A

• 5.4 - Is First Aid equipment present?

  Yes

  No

  N/A

• 5.5 - Is equipment stored correctly?

  Yes

  No

  N/A

Section 6 - Tools

• 6.1 - Is lifting equipment registered/tested?

  Yes

  No

  N/A

• 6.2 - Is equipment calibrated?

  Yes

  No

  N/A

• 6.3 - Are there tasks which necessitate WAH?

• 6.4 - If "Yes" to above question is a WAH RA in place?

  Yes

  No

  N/A

• 6.5 - Is WAH equipment being regularly inspected?

  Yes

  No

  N/A

Section 7 - Challenge

• 7.1 - Do staff feel comfortable challenging unsafe acts/conditions?<br>(Ask one or two staff on site)

  Yes

  No

  N/A

Section 8 - Sustainability

• 8.1 - Is there a Waste Segregation policy on this site and is it being followed:

  Yes

  No

  N/A

• 8.2 - Is there any evidence of surface contamination:

  Yes

  No

  N/A

• 8.3 - Is there any evidence of Noise pollution (affecting neighbours)::

  Yes

  No

  N/A

• 8.4 - Is there any evidence of excess amounts of dust being produced (drilling etc):

  Yes

  No

  N/A

• 8.5 - Is there any Special Waste (WEEE, COSHH, Oils, Batteries etc) being produced by SE or SE Contractor:

  Yes

  No

  N/A

• 8.6 - I If yes to above see Waste Carriers Licence: (take photograph as evidence if possible)

  Yes

  No

  N/A

ACTIONS

• Insert section number and details of action here including priority and actions?

Signature and Finalisation

• I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.

  Sign

• Signature of Auditee or responsible person

  Sign

• Select date

  Date