Title Page
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Client
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Site
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Location
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Conducted on
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Prepared by
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Foreman
General
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Is it clear where visitors are to report in site; is there visitors book; record of CSCS; visitors induction?
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Are the CDM site files available on site?
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Is the Site Specific Health & Safety File available?
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Is the CDM Board displayed? <br>F10: HSE Law poster: Hospital Route: Contacts: First Aid
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Is there a copy of Employers and Public Liability Insurance available and in date?
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Have all personnel been inducted and a register kept?
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Are Method Statements and Risk Assessments available for works being undertaken (including other Contractors) and is there evidence of such being communicated to the workforce and signatures obtained?
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Are CoSHH Assessments for Materials/Substances available on site?
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*Are copies of training records/ certificates available on site? (CSCS/ CPCS/ NPORS/ First Aid/ SSSTS/ SMSTS/ NRASWA/ Confined Space etc)
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*Are copies of face fit testing certificates available on site?
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*Are copies of Inspection & Maintenance Records for Plant/ Equipment available on site and in date?
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*Are copies of LOLER Inspection Records available and in date?
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Where required, are Permits to Work in place?
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Have Tool Box Talks been delivered and signatures obtained?
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Have weekly site inspections been carried out?
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Are there Company Policies available on site?
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UU Part 2 Connection (R&S off site connection) if works are being undertaken during the inspection, has the team logged on/off? If yes, what time and who with?
Site Set Up/Management
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Is the site enclosed? Are there any areas where trespassers might gain access to site?
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Is there adequate signage for the Public? (Warning, danger, keep out, emergency numbers)
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Is Eurogold storage compound established and organised?
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Is there a First Aider on Site? (Who/Name)
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Are there adequate First Aid supplies available & where are they located?
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Are fire fighting facilities available?
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Is Welfare catered for? (Toilet/ Washing/ Canteen)
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Is a fire muster point established on site? If so, where?
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Is there a Site Traffic Management Plan in place and is it being managed/observed?
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Are obstacles/hazards clearly marked or protected?
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Are traffic routes free of excessive slurry & S/T/F hazards?
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Is there a secure for storage of plant/ materials/ substances during times when site is closed?
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Are there Bucket Storage areas established (heras panels and signage affixed)
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Are cutting activities (block, paving etc) being undertaken safely I.e. use of suppression, PPE/RPE, not presenting risk to others in vicinity?
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Are drip trays and spill kits available?
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*Is Eurogold Quality ‘Think Safety - Don’t Walk By’ & site information board available and legible?
Plant & Equipment
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Have Daily Inspections of Plant/ Equipment been carried out and findings recorded? <br>
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Have Tool Inspection and referenced HAVS registers been completed?
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*Is electrical equipment PAT tested?
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Are cables in good visual condition?
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Are chains/shackles stored correctly (hanging), displaying the current ‘tab’ - proof of ‘examination’ & clean?
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Are ‘WHIP’ devices in place on air compressed devices/hoses?
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Are beacons in good working order (green beacons also to be in good working order to indicate operators are wearing their seatbelt)
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Have excavators, dumpers and rollers been ‘greased’ in the last 5 days
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Can machine drivers confirm safe working condition of forks and buckets (safety pins/ alignment of forks/ tooth condition etc) - are discussed points documented in Plant Inspection Book?
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Are Mirrors clean and free from damage
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Are lights in working order/free from damage?
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Are audible alarms working (where installed)?
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Are warning signs affixed and legible? (Noise/ PPE/ SWL/ Quick Hitch etc)
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Are guards suitable, sufficient & correctly affixed?
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Are handrails suitable & sufficient (embarking/disembarking from plant)?
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Are ancillary safety controls being used? (e.g. water suppression for cut-off saw)
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Are seatbelts in good working order (no fraying/ locked off)
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Are seatbelts being worn by Plant Operators? (Dumper, Roller etc)
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Is there intrinsically safe equipment available/ being used where required (graft, shovel, pick) when working near services - HSG 47
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Is there a CAT & genny available on site? (detail make) If yes, is it within calibration date?
Workplace
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Where required, are Banksmen assisting plant/ vehicles?
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Are barriers/demarcation sited around bitumen burner?
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Is good housekeeping being practised?
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Are tools & equipment stored in close/safe proximity to working area?
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Is ‘interface’ with other trades being suitably controlled?
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When working near ‘services’ has HSG 47 been followed? (CAT scan, Stat Dwg, Marked)
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Excavations - hand digging only permitted within 500mm of services, is this being observed?
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Where required is the shoring system suitable for protection of the workers i.e. trench box, sheet piles.
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Where sheet piles are being utilised - is a Temporary Work design in place and available on site?
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Are there any confined space works?
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Is confined space equipment available for use i.e. gas detector, tripod, harness etc?
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Stored material - safe distance from edges of excavations? Angle of repose?
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Safe points of access/ egress to/ from areas of work?
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Is Traffic Management (Chapter 8) being operated?
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Chapter 8 - who is responsible for management? Do they hold NRASWA Qualification?
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Has SSOW been put in place to ensure fall protection or prevention?
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Are all open edges/ holes appropriately protected to guard against falls of people and materials?
Personal Protective Equipment
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Is PPE clean? (High-vis, visible, ear protection, dust mask clean?)
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All personnel wearing hard hat?
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All personnel wearing hi-visibility vest/ jacket/ coat (and trousers where working on road?)
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All personnel wearing suitably protective boots/ wellingtons?
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Additional PPE requirements as identified in task Risk/ COSHH Assessments & site rules?<br>Gloves <br>Eye Protection <br>Respiratory Protection
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Are all personnel wearing PPE correctly? (Non conforming wooly hat/ hood under hard hat)
Other
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Are there any actions for commendation?
Consultation with Workforce (suggestion/ concerns etc.)
Comments
CARs (Corrective Action Requests)
Sign Off
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On Site Representative/ Supervisor:
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Carried out by: