Title Page
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Site inspected
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Conducted on
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Inspected by
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Escorted by
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Location
Documentation/Registers
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1. Previous reports actions complete
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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2. Task Briefings, Lift Plans, COSHH Briefed
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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3. Daily Briefings, POWRA and Permits to Work in place
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
Operational
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4. Welfare on site (Clean and tidy)
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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5. Materials Storage & Housekeeping. (think trailing leads)
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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6. Access and Egress (Are exclusion and restricted zones being managed correctly)
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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7. Fire detection and protection
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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8. Noise monitoring and control
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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9. Vibration monitoring and control
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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10. Site Security
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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11. Traffic Management/Workforce Segregation
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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12. Mobile Plant and Daily Checks, Check 1 Competency Card
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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13. Working at Height and Weekly inspections present
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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14. Edge Protection and fall restriction - Work at Height
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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15. Lifting Operations / Equipment and daily checks
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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16. Manual Handling
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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17. Temporary Works
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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18. Small Plant & Hand Tools (Check PAT Testing)
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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19. PPE Compliant
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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20. Safety Boards. Is First Aid available?
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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21. COSHH - Hazardous materials safely and securely stored and used
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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22. Pressure Systems
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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23. Safety in the Cofferdams, Rescue equipment, safe access, security
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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24. LIFE – overall impression of site health and safety culture
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
Summary
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Inspectors comments
Signatures
H&S Safety Signature
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Project Manager Signature
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Agent / Sub Agent
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Project Engineer/Site Foreman Signature
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