Title Page

  • Client

  • Site

  • Location
  • Conducted on

  • Prepared by

  • Foreman

General

  • Is it clear where visitors are to report in site; is there visitors book; record of CSCS; visitors induction?

  • Are the CDM site files available on site?

  • Is the Site Specific Health & Safety File available?

  • Is the CDM Board displayed? <br>F10: HSE Law poster: Hospital Route: Contacts: First Aid

  • Is there a copy of Employers and Public Liability Insurance available and in date?

  • Have all personnel been inducted and a register kept?

  • 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?

  • Are CoSHH Assessments for Materials/Substances available on site?

  • *Are copies of training records/ certificates available on site? (CSCS/ CPCS/ NPORS/ First Aid/ SSSTS/ SMSTS/ NRASWA/ Confined Space etc)

  • *Are copies of face fit testing certificates available on site?

  • *Are copies of Inspection & Maintenance Records for Plant/ Equipment available on site and in date?

  • *Are copies of LOLER Inspection Records available and in date?

  • Where required, are Permits to Work in place?

  • Have Tool Box Talks been delivered and signatures obtained?

  • Have weekly site inspections been carried out?

  • Are there Company Policies available on site?

  • 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

  • Is the site enclosed? Are there any areas where trespassers might gain access to site?

  • Is there adequate signage for the Public? (Warning, danger, keep out, emergency numbers)

  • Is Eurogold storage compound established and organised?

  • Is there a First Aider on Site? (Who/Name)

  • Are there adequate First Aid supplies available & where are they located?

  • Are fire fighting facilities available?

  • Is Welfare catered for? (Toilet/ Washing/ Canteen)

  • Is a fire muster point established on site? If so, where?

  • Is there a Site Traffic Management Plan in place and is it being managed/observed?

  • Are obstacles/hazards clearly marked or protected?

  • Are traffic routes free of excessive slurry & S/T/F hazards?

  • Is there a secure for storage of plant/ materials/ substances during times when site is closed?

  • Are there Bucket Storage areas established (heras panels and signage affixed)

  • Are cutting activities (block, paving etc) being undertaken safely I.e. use of suppression, PPE/RPE, not presenting risk to others in vicinity?

  • Are drip trays and spill kits available?

  • *Is Eurogold Quality ‘Think Safety - Don’t Walk By’ & site information board available and legible?

Plant & Equipment

  • Have Daily Inspections of Plant/ Equipment been carried out and findings recorded? <br>

  • Have Tool Inspection and referenced HAVS registers been completed?

  • *Is electrical equipment PAT tested?

  • Are cables in good visual condition?

  • Are chains/shackles stored correctly (hanging), displaying the current ‘tab’ - proof of ‘examination’ & clean?

  • Are ‘WHIP’ devices in place on air compressed devices/hoses?

  • Are beacons in good working order (green beacons also to be in good working order to indicate operators are wearing their seatbelt)

  • Have excavators, dumpers and rollers been ‘greased’ in the last 5 days

  • 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?

  • Are Mirrors clean and free from damage

  • Are lights in working order/free from damage?

  • Are audible alarms working (where installed)?

  • Are warning signs affixed and legible? (Noise/ PPE/ SWL/ Quick Hitch etc)

  • Are guards suitable, sufficient & correctly affixed?

  • Are handrails suitable & sufficient (embarking/disembarking from plant)?

  • Are ancillary safety controls being used? (e.g. water suppression for cut-off saw)

  • Are seatbelts in good working order (no fraying/ locked off)

  • Are seatbelts being worn by Plant Operators? (Dumper, Roller etc)

  • Is there intrinsically safe equipment available/ being used where required (graft, shovel, pick) when working near services - HSG 47

  • Is there a CAT & genny available on site? (detail make) If yes, is it within calibration date?

Workplace

  • Where required, are Banksmen assisting plant/ vehicles?

  • Are barriers/demarcation sited around bitumen burner?

  • Is good housekeeping being practised?

  • Are tools & equipment stored in close/safe proximity to working area?

  • Is ‘interface’ with other trades being suitably controlled?

  • When working near ‘services’ has HSG 47 been followed? (CAT scan, Stat Dwg, Marked)

  • Excavations - hand digging only permitted within 500mm of services, is this being observed?

  • Where required is the shoring system suitable for protection of the workers i.e. trench box, sheet piles.

  • Where sheet piles are being utilised - is a Temporary Work design in place and available on site?

  • Are there any confined space works?

  • Is confined space equipment available for use i.e. gas detector, tripod, harness etc?

  • Stored material - safe distance from edges of excavations? Angle of repose?

  • Safe points of access/ egress to/ from areas of work?

  • Is Traffic Management (Chapter 8) being operated?

  • Chapter 8 - who is responsible for management? Do they hold NRASWA Qualification?

  • Has SSOW been put in place to ensure fall protection or prevention?

  • Are all open edges/ holes appropriately protected to guard against falls of people and materials?

Personal Protective Equipment

  • Is PPE clean? (High-vis, visible, ear protection, dust mask clean?)

  • All personnel wearing hard hat?

  • All personnel wearing hi-visibility vest/ jacket/ coat (and trousers where working on road?)

  • All personnel wearing suitably protective boots/ wellingtons?

  • Additional PPE requirements as identified in task Risk/ COSHH Assessments & site rules?<br>Gloves <br>Eye Protection <br>Respiratory Protection

  • Are all personnel wearing PPE correctly? (Non conforming wooly hat/ hood under hard hat)

Other

  • Are there any actions for commendation?

Consultation with Workforce (suggestion/ concerns etc.)

Comments

CARs (Corrective Action Requests)

Sign Off

  • On Site Representative/ Supervisor:

  • Carried out by:

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