Information
-
Contract/Task Order Number & Title
-
Appointed Contractor
-
Conducted on
-
Prepared by
-
Enter Short Description of Works
-
Record all present on site including mobile contract numbers
-
Has there been any Staff Changes during the operation and if so, have you been notified, sent updated RAMS to reflect these changes?
-
Does all contractors staff have protective clothing ie Hi Viz, Safety Boots, Safety Helmet, Wet weather clothing, overalls or non-snag clothing, Gloves, Goggles if required, ear defenders, face mask or respiratory protective equipment and is requirements for this operation recorded in Risk Assessment?
-
Who is the Appointed Site Safety Coordinator are they recorded on the Risk Assessment, and have you explained their responsibility?
-
The Contractor is legally responsible for health and safety of his operations on site and in the absence has the responsibility to ensure his duties as an employer are discharged. The contractor may therefore appoint a person or persons on site to assist in the role.
The Contractors' Site Safety Coordinator(s) should have the authority to act on behalf of the contractor, and be the main point of contact for the operation as a whole or a specific area of operation as appropriate. CSSC should ensure that the contractor knows what is happening on site and report if there are any safety related issues. The CSSC may have the following tasks;
1. Helping to maintain compliance with site safety rules.
2. Coordinating with the contractor or FWM regarding any safety issues.
3. Acting as contact point for third parties coming onto site.
The. contractor's Site Safety Coordinator is a real role, not just a title. The CSSC must
* be prepared to stop any dangerous activity you see and act quickly if the site becomes unsafe.
*feel able to tell colleagues and / or operatives that they are working unsafely. It is not enough to just tell the Contractor or the FWM of a problem.
*Immediately after taking any action on site, contact the Contractor to inform them of the situation.
*ensure that the different activities are carried out safely and don't cause a danger to others.
*ensure that the activities don't cause a danger to other operations going on nearby or to the public.
This might include, from the non-exhaustive list below, for example;
*making sure the harvesting machines or chai saw operators don't work too close to each other.
*ensuring operations do not endanger the public.
*ensuring that all operators wear the required. PPE; and
*Its may also include making sure all required signage is i. place. -
Is all Plant/Machinery present on site and what was requested? Record all
- Yes
- Not Yet On Site
- Not what was requested and not informed about the change
-
Are daily machine start up checks and weekly Machine checks being carried out and recorded?
Competency and Site/Operation Specific RAMS, Emergency Plan, Maps Site / Quarry rules
-
Has All Selection Criteria/ Competency and Induction Papers been received/issued (Brief, RAMS, EP, Maps, Site & Quarry Rules) if applicable. NOTE: Work cannot Start until you have checked these and they are specific to the operation!
-
Have you checked all operator's competency ie CPCS or equivalent, 1st Aid + F Certificate, Driving Licence, Level 3 Geotech Cert are up to date?
- Not Yet - to be sent through prior to staring works
- Spot Check
- Spot Checks will be carried out throughout contract
- Copies Held in Contract Folder
- Emailed Contractor for these details but received Nothing yet
-
Record any RAG Issues
- Red
- Amber
- Green
-
Record Detail of Incident
-
Record Date and Time
-
Have you issued and discussed Induction paperwork and recorded any issues raised at the briefing?
Quick Quote/Task Order Check List
-
Have you a copy of Company Insurance, and is it in date?
- Yes, In Date and Copy held in contract file
- Not yet Received
-
Has an Emergency Response Plan, Risk Assessments, Method Statement been Received/issued and discussed, and is it specific and relevant to this operation?
-
Record any RAG Issues
- Red
- Amber
- Green
-
Record Detail of Incident
-
Record Date and Time
-
Are First Aid Kits & Eye Wash Available, Serviceable and in Date?
-
Record any RAG Issues
- Red
- Amber
- Green
-
Record Detail of Incident
-
Record Date and Time
Utilities
-
Have you issued and discussed the constraints Map, and have all Utilities been identified and protected with Goal posts if required?
-
Has a CAT Scan been carried out if required?
Environment
-
Input Weather condition at start of operation
- Fair
- Raining
- Sunny
- Overcast
- Snowing
- Heavy Winds
- Wind and Rain
- Frosty
-
Has SEPA been informed if required ie Licence/Registrations
-
Are Spill Kits Available and Serviceable and bowser double bunded and padlocked?
-
Record any RAG Issues
- Red
- Amber
- Green
-
Record Detail of Incident
-
Record Date and Time
-
Has the Environmental/Wildlife Rangers been informed and checked the work site prior to commencing if required to do so?
Mineral Extraction Site Information
-
Only to be completed when quarry is being worked
-
Does this job involve Mineral Extraction Works?
-
Is the Mineral Extraction Site Safety File available on site?
-
Have you discussed the Excavation and Tip Rules relevant to this job and Extractive Site?
-
Is everyone aware of the Structural Management Chart
-
Chief Executive Officer - Person Entitled to Work Quarry - Simon Hodgson
Head of Land Management - Quarry Operator - Graeme Prest
Regional Manager - John Dougan
Operational Delivery Manager - Julie Wilby
Regional Civil Engineer 8(1)c - Colin McEwan /Tim Hawkins
Civil Engineer 8(1)d - Bruce Hamilton
Quarry Appointment Competent Person – 8(1)e - Yourself -
Who is the Extractives Manager/Deputy Manager for these works?
-
Have you appointed Competent Person? Is the responsible person, in the absence of the above, competent, hold the Geotech Level 3 Certificate or Equivalent and have they been appointed in writing?
-
COMPETENT PERSON APPOINTMENT
You are hereby appointed to undertake daily inspection of the quarry under the Quarries Regulations 1999 for the duration of contract; Duties specific to this Quarry are:-
The appointed person will at the start of each day.
Being a competent person to ensure the quarry is being worked safely at all times
• Carry out quarry inductions to all personnel when they first enter quarry
• Restrict unauthorised access to the quarry
• Carry out works as instructed by Quarry Manager or Deputy
• Ensure work is carried out in accordance to RAMS
• Ensure PPE requirements are followed by all personnel on site
• Report all quarry defects to Quarry Manager or Deputy at earliest opportunity
• Report all incidents and near misses to Quarry Manager or Deputy at earliest opportunity
• Carry out daily face inspections including stockpiles
• Ensure daily brake tests are carried out on all wheeled vehicles
• Ensure daily checks are carried out on all plant and machinery
• Ensure quarry and stockpiles left in safe condition at end of working day and on completion of works
• Return completed inspection records at conclusion of the job or when requested
This appointment is valid for the duration of the works in the named quarry above. -
Signature of Appointed 8(1)e accepting responsibility
-
Are daily Brake Tests being carried out and recorded?
-
Are daily Face and Stockpile Inspections being carried out and recorded?
Signatures of all involved in the works who have not already signed this document
-
Appointed Site Safety Coordinator
-
Operator/Driver
-
Operator/Driver
-
Operator/Driver
-
Operator/Driver
-
Operator/Driver
-
Operator/Driver
-
Operator/Driver
-
Operator/Driver
-
Operator/Driver
-
Explosives Supervisior
-
Shot Firer
-
Sentry
-
Sentry
-
Sentry
-
Sentry
Welfare & Signage
-
Is Welfare on site?
-
Is it Clean and serviceable?
-
Is drinking water available
-
Does the generator work to allow for hot water, lighting and heating?
-
Is the relevant signage available and erected as per instructions/Ops Map?
-
Is signage being maintained?
Site
-
Is the site being kept tidy and waste disposed of correctly?
-
Are Drains being maintained during works if required?
Site Diary to be updated at every visit and when contacted by contractor/operator. RAG to also be completed on every site visit.
-
Enter your Site Diary notes here remember to record all plant on site ie machine size etc, then complete RAG below
-
Add Pictures of issues/progress from Site Visit/s
-
Enter Site Visit RAG
- Red
- Amber
- Green
-
No Issues
-
Minor Issues
-
Serious Issues
-
Enter Site Visit RAG
- Red
- Amber
- Green
-
No Issues
-
Minor Issues
-
Serious Issues
-
Enter Site Visit RAG
- Red
- Amber
- Green
-
No Issues
-
Minor Issues
-
Serious Issues
-
Enter Site Visit RAG
- Red
- Amber
- Green
-
No Issues
-
Minor Issues
-
Serious Issues
-
Enter Site Visit RAG
- Red
- Amber
- Green
-
No Issues
-
Minor Issues
-
Serious Issues
-
Add Picture from Site Visit if required
Accounting
-
Have you requested a POP for the works?
-
Has their been any Compensation Events? if so add details here
-
Has the works been completed to your satisfaction?
-
Record issues and add pictures to assist you when completing KPIs
-
Have you Received and Authorised the Invoice and sent for processing?
-
This document cannot be signed off until you have completed the Completion Certificate and KPIs.
Completion Certificate
-
Select Work Type
- New Road Formation
- New Road Complete
- Upgrade
- Culvert/s
- Harvest Facilities
- Ditching
- Resurfacing/Patching
- Veg Control
- Quarry Stripping
- Bridge Maintenance
- New Road Surfacing
- High Brashing/Pruning/Mulching
- Harvest Damage
- Storm Repair
- Grading & Rolling
- Quarry Safety
- Rally Prep
- Rally Repair
- Bitmac Repair
- Recreational Works
- Other
- Drill & Blast
- Quarry Dig & Crush
-
Enter final Works Quantities
-
Select Source of Stone
-
Enter Stone Size & Tonnage Used
-
Enter Cost per M or per item per Ton i.e. Culvert. Ramp etc
-
Were there any issues with this work? inset your comments here.
Engineer's Sign Off
-
Have you completed and filled KPIs?
-
Engineer/Works Supervisor's Comments
-
Select Engineer/Works Supervisor's Name
-
Engineer/Works Supervisor's Signature
