Environmental, Health, Safety & Welfare Report (HS 010 (a,b) Checklist

Site safety

• Access Equipment/Edge Protection/Scaffolding
  Action Code:
  Score:
  

  Safe

  At Risk

  N/A

• Access Routes/Walkways/Housekeeping/Materials
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Evacuations/Protection of Services
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Plant, Machineray & Lifting Equipment/ Appliances
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Others (electricity, confined spaces, fire, asbestos)
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Total Score for Section:

  Safe

  At Risk

  N/A

• Project Manager close out section
  Signature
  Date

  Yes

  No

  N/A

Public/Visitors/Operatives

• Protection/Appearances
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Trip/Slip/Fall Hazard
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• PPE/RPE
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Road Street Works Management
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Total score for section:

  Safe

  At Risk

  N/A

• Project Manager close out section
  Signature
  Date

  Yes

  No

  N/A

Welfare/Health

• Notices/Posters
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Suitability/Cleanliness (offices, toilets)
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Accidents
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• COSHH/Noise/Dust/Manual Handling/HAV,s
  Action Code:
  Score:

  Yes

  No

  N/A

• Total for section:

  Safe

  At Risk

  N/A

• Project Manager close out section
  Signature
  Date

  Yes

  No

  N/A

Managementtotal score

• Safety Records/Statutory Registers/Permits to Work
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• RAMS
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Safety Reviews/Safety Tours/Communication
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Site Security/Site Entry/Safety Visible/Corporate Image
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Environmental Issues/SWMP/Waste Disposal
  Action Code:
  Score:

  Safe

  At Risk

  N/A

• Total score for section:

  Safe

  At Risk

  N/A

• Project Manager close out section
  Signature
  Date

  Yes

  No

  N/A

• Name: Peter Barlow Company Safety Manager. Grad IOSH

  Sign

• Name: Title:

  Sign

Guideline to the scoring matrix

• A=. Same Day. B=. Within 24hrs. C=. Within 3 days. D=. Within 7 Days.
  O=. Observation
  
  
  Guide to scoring
  
  10. =. Consistently Excellent
  
  8. =. Consistently Good and Continual Improvement in control of standards
  
  5. =. Meets policy and Parkery requirements
  
  2. =. Minor problem
  
  0. =. Unacceptable
  
  >. 80. Excellent approach to health and safety
  
  70-80. Good efforts being made to continually improve standards
  
  50-70. Standards satisfactory or site just set up
  
  < 50. Standards below Parkeray standards ( MD and construction Directors informed)

  Yes

  No

  N/A