Information

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Documentation, Site Induction and Safe Pass

  • Sign in, sign out system established?

  • Personnel in possession of up to date Safe Pass Card / CSCS Cards

  • Site specific safety induction in place?

  • Site specific Safety Statements?

  • Method Statements and Risk assessments in place for specific tasks? and communicated?

  • Tool box talks conducted and documented?

  • Does the site documents cover Covid-19 details on site?

  • Are daily permits in place?

  • Are hot works permits in place?

  • Are working at heights permits in place?

  • Live Energies, LOTO procedures in place?

  • Environmental, Is all waste disposed of correctly in accordance with site guild lines?

  • Is waste register up to date in the site folder?

Housekeeping / Welfare Facilities / PPE

  • General Housekeeping in good order? Slips trips and falls

  • Good cable management in place?

  • First Aid kit in place and to regulations?

  • Trained First Aider available / Name

  • Is there good access to hand washing facilities and to hand sanitizer?

  • Is there access to face covering?

  • PPE requirements adhered to, Glasses, hi-vis, boots, helmets, gloves

  • Additional PPE, e.g. hearing protection used where necessary

  • Are the correct barriers and signage in place?

Work at Height / Scaffolding

  • Are all working at height activities subject to risk assessment?

  • Proper Ladders in use? Ladders in good condition?

  • Positioned / secured properly (footed / tied)?

  • Where MEWP's are being used, are they in good condition?

  • If mobile towers in use, do they comply with safety requirements?

  • Are personnel trained to erect / dismantle scaffolding / mobile towers, as required?

  • Is work at height equipment inspected before use by a competent person (using GA3)?

  • Where scaffold is being used, is it in good condition, in compliance with all safety requirements, erected by competent person(s) and being used safely?

  • Safe Access, scaftags in place

  • GA3 Forms in place for all working at heights equipment and forms up to date?

  • Are the correct barriers and signage in place?

Ground Works

  • Are all works in excavations subject to a risk assessment

  • Is all plant and machinery in good working order and certified

  • Are persons trained plant and machinery operators holding appropriate CSCS cards?

  • Has all weekly checks been completed for plant ? Excavators etc..

  • Has daily checked been completed and recorded for all excavations ?

  • Is there adequate Barriers and signage around excavations?

  • Is there a trained banks man on site?

  • Is there a requirement for propping or banking the excavation, if yes please note what system is on use.

General

  • Electrical Safety / PAT testing? Portable tools / LOTO

  • Emergency Arrangements / Fire

  • Accidents / Incidents

  • Any other Issues:

Lifts

  • Lifts, Is there a lift plan in place?

  • Are all plant certs and training certs in place and up to date?

  • Is a traffic management plan requires and if so in place?

Additional Comments / Observations

  • Any other issues?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.