Title Page

  • Site inspected

  • Conducted on

  • Inspected by

  • Escorted by

  • Location

Documentation/Registers

  • 1. Previous reports NCR's complete

  • 2. Site Notices (e.g., F10, H&S Poster, Insurance, H&S Policy Statement, H&S Hotline, Safety Alerts etc)

  • 3. Construction Phase Health & Safety and Emergency Plans

  • 4. Risk Assessment/Method Statement

  • 5. Site Inductions, Competency, training and Communication

  • 6. Permits to Work

  • 7. Statutory inspections and records

  • 8. Excavation

  • 9. Mobile Plant

  • 10. Lifting Equipment and Accessories

Operational

  • 11. Pressure Systems

  • 12. Materials Storage & Housekeeping

  • 13. Fire detection and protection

  • 14. Noise monitoring and control

  • 15. Vibration monitoring and control

  • 16. Site Security

  • 17. Access and Egress (Are exclusion and restricted zones being managed correctly)

  • 18. Traffic Management/Workforce Segregation

  • 19. Working at Height

  • 20. Edge Protection and fall restriction

  • 21. Lifting Operations

  • 22. Manual Handling

  • 23. Temporary Works

  • 24. Small Plant & Hand Tools

  • 25. Electricity & PAT Testing

  • 26. Welfare

  • 27. PPE

  • 28. First Aid (Are first aid kits stocked, are Defib's available?

  • 29. COSHH - Hazardous materials safely and securely stored and used

  • 30. ASAR – overall impression of site health and safety culture

  • 31. Cofferdam Safety (Access and Egress, Rescue Equipment, Working Conditions)

  • 32. Superstructure: Are loose items removed or weighed down? Are there any open edges, is Rescue Equipment available?

  • 33. Other

Summary

  • Inspectors comments

Signatures

H&S Representative Signature

  • Add signature

  • Add signature

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Project Manager Signature

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Works Manager / General Foreman Signature

  • Add signature

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Agent / Sub Agent / Engineer

  • Add signature

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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.