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 NCR's complete
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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2. Site Notices (e.g., F10, H&S Poster, Insurance, H&S Policy Statement, H&S Hotline, Safety Alerts etc)
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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3. Construction Phase Health & Safety and Emergency Plans
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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4. Risk Assessment/Method Statement
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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5. Site Inductions, Competency, training and Communication
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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6. Permits to Work
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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7. Statutory inspections and records
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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8. Excavation
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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9. Mobile Plant
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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10. Lifting Equipment and Accessories
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
Operational
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11. Pressure Systems
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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12. Materials Storage & Housekeeping
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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13. Fire detection and protection
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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14. Noise monitoring and control
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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15. Vibration monitoring and control
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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16. Site Security
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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17. 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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18. Traffic Management/Workforce Segregation
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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19. Working at Height
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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20. Edge Protection and fall restriction
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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21. Lifting Operations
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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22. Manual Handling
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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23. Temporary Works
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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24. Small Plant & Hand Tools
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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25. Electricity & PAT Testing
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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26. Welfare
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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27. PPE
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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28. First Aid (Are first aid kits stocked, are Defib's available?
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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29. 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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30. ASAR – overall impression of site health and safety culture
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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31. Cofferdam Safety (Access and Egress, Rescue Equipment, Working Conditions)
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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32. Superstructure: Are loose items removed or weighed down? Are there any open edges, is Rescue Equipment available?
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
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33. Other
- Excellent Innovation
- Good performance
- Minimum standard met
- Below minimum standard
- Poor performance
- N/A
Summary
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Inspectors comments
Signatures
H&S Representative Signature
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Project Manager Signature
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Works Manager / General Foreman Signature
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Agent / Sub Agent / Engineer
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