FOR3026 Site Safety Inspection 06/17

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Site Documentation

• 1.1 Safe System of Work pack, including:<br>- Front Sheet?<br>- Appendix C?<br>- RT9909, RT3181, PICOP pack?<br>- Sectional Appendix, signalling diagrams, hazard directory, briefing appendix & mileage conversion chart?

  Yes

  No

  N/A

  Section Not Covered

• 1.2 Risk Assessments, including point of work assessments?

  Yes

  No

  N/A

  Section Not Covered

• 1.3 Work Package Plan? Task Briefing Sheet? Detailed Design?

  Yes

  No

  N/A

  Section Not Covered

• 1.4 Inductions?

  Yes

  No

  N/A

  Section Not Covered

• 1.5 Permits - to dig, confined (including ALO plans) etc?

  Yes

  No

  N/A

  Section Not Covered

• 1.6 Documents<br>(Project documents, methodologies, form templates, F10/HSE poster/policies/insurance cert, first aiders, emergency arrangements form)?

  Yes

  No

  N/A

  Section Not Covered

2.0 Personal Protective Equipment (PPE)

• 2.1 Head, hands, eyes, feet, ears, respiratory & skin?

  Yes

  No

  N/A

  Section Not Covered

• 2.2 Suitability to task & risks? In good condition?

  Yes

  No

  N/A

  Section Not Covered

3.0 Equipment

• 3.1 First aid kits & firefighting equipment: Contents in date and sufficiently supplied)?

  Yes

  No

  N/A

  Section Not Covered

• 3.2 Tools & Equipment: condition maintenance & calibration?

  Yes

  No

  N/A

  Section Not Covered

• 3.3 Is the equipment suitable for the task and complete (e.g CAT scanner with generator, Stihl Saw with dust suppression & appropriate PPE for leg, eye, respiratory and hearing protection with HAV controls implemented)?

  Yes

  No

  N/A

  Section Not Covered

• 3.4 Is the work site free from knives, Stanley knives and unsafe blades?

  Yes

  No

  N/A

  Section Not Covered

4.0 Ladders & Height

• 4.1 Are ladders secured correctly? Are ladders in good repair? Ladder tags?

  Yes

  No

  N/A

  Section Not Covered

• 4.2 Are height risk assessments, control measures and competencies appropriate for the location & task?

  Yes

  No

  N/A

  Section Not Covered

• 4.3 Is access equipment appropriate for the location & task?

  Yes

  No

  N/A

  Section Not Covered

5.0 Buried Services

• 5.1 Has the permit system been completed correctly?

  Yes

  No

  N/A

  Section Not Covered

• 5.2 Have buried services been identified and marked out?

  Yes

  No

  N/A

  Section Not Covered

• 5.3 Are the CAT operators scanning & search techniques correct?

  Yes

  No

  N/A

  Section Not Covered

6.0 Manual Handling

• 6.1 Assessments & control measures?

  Yes

  No

  N/A

  Section Not Covered

• 6.2 Have staff been briefed on the control measures i.e safe lifting techniques, mechanical lifts etc.?

  Yes

  No

  N/A

  Section Not Covered

7.0 Housekeeping

• 7.1 Is the site, its access and egress, routes and work areas free from hazards & risks?

  Yes

  No

  N/A

  Section Not Covered

• 7.2 Is the site tidy and free from rubbish and unrequired materials?

  Yes

  No

  N/A

  Section Not Covered

• 7.3 Has all the waste been correctly segregated and placed in appropriate labelled skips?

  Yes

  No

  N/A

  Section Not Covered

8.0 Competence

• 8.1 Are Linbrooke's ID cards, project ID cards and/or helmet induction stickers available?

  Yes

  No

  N/A

  Section Not Covered

• 8.2 Do competencies match the tasks being undertaken? Note. Competence: training, experience, knowledge & skill.

  Yes

  No

  N/A

  Section Not Covered

• 8.3 Is mentoring or monitoring in place as necessary?

  Yes

  No

  N/A

  Section Not Covered

• 8.4 Are personal folios in place and up to date? Is there evidence of management reviews of the folios?

  Yes

  No

  N/A

  Section Not Covered

9.0 Security

• 9.1 Does the site have appropriate control measures to prevent theft, vandalism or arson?

  Yes

  No

  N/A

  Section Not Covered

• 9.2 Do the teams know what to do when spotting a trespasser? Has the trespass been an issue?

  Yes

  No

  N/A

  Section Not Covered

10.0 Welfare

• 10.1 Are there welfare facilities on site? If yes, are the facilities compliant with the projects welfare risk assessment, EMP and CDM2015?

  Yes

  No

  N/A

  Section Not Covered

• 10.2 Are the facilities clean, tidy, serviceable and emptied on a regular basis?

  Yes

  No

  N/A

  Section Not Covered

11.0 Environmental

• 11.1 Are the team aware of the projects environmental targets and aspects & impacts?

  Yes

  No

  N/A

  Section Not Covered

• 11.2 Are the team aware of their routine environmental control measures & emergency measures?

  Yes

  No

  N/A

  Section Not Covered

• 11.3 Were there any hazardous substances in use, have they been stored and labelled appropriately?

  Yes

  No

  N/A

  Section Not Covered

12.0 Occupational Health & Hazardous Substances

• 12.1 Are COSHH items & other hazards being adequately controlled (asbestos, silica, dust, exhaust fumes etc.)?

  Yes

  No

  N/A

  Section Not Covered

• 12.2 Are noise hazards being effectively controlled?

  Yes

  No

  N/A

  Section Not Covered

• 12.3 Are vibration hazards being effectively controlled?

  Yes

  No

  N/A

  Section Not Covered

• 12.4 Are fatigue mitigation plans & measures sufficient?

  Yes

  No

  N/A

  Section Not Covered

• 12.5 Are biological hazards being effectively controlled?

  Yes

  No

  N/A

  Section Not Covered

• 12.6 Are there any signs of stress or unreasonable expectations?

  Yes

  No

  N/A

  Section Not Covered

13.0 Vehicles

• 13.1 Clean & tidy? Correctly loaded & within weight capacity limits?

  Yes

  No

  N/A

  Section Not Covered

• 13.2 Serviceable? (Tyre's, oil levels, washer fluid, lights, mirrors, signs of unreported damage)?

  Yes

  No

  N/A

  Section Not Covered

• 13.3 Parked sensibly without causing risk?

  Yes

  No

  N/A

  Section Not Covered

14.0 Fire

• 14.1 Is there evidence of a fire risk assessment?

  Yes

  No

  N/A

  Section Not Covered

• 14.2 Is there a fire plan and are fire precautions in place & briefed (as applicable to location/task)?

  Yes

  No

  N/A

  Section Not Covered

• 14.3 Are there appointed persons or competent fire wardens (as applicable to the site)?

  Yes

  No

  N/A

  Section Not Covered

• 14.4 For yards, is there a fire plan and designated fire assembly point?

  Yes

  No

  N/A

  Section Not Covered

• 14.5 Are fire prevention measures and hot work permit system sufficient?

  Yes

  No

  N/A

  Section Not Covered

15.0 Other

• 15.1 Are employees aware of the accident, incident, close call and near miss reporting procedure?

  Yes

  No

  N/A

  Section Not Covered

• 15.2 Have site safety & quality inspections been completed by project staff?

  Yes

  No

  N/A

  Section Not Covered

• 15.3 Have the projects operational leaders recently taken part in the OLM?

  Yes

  No

  N/A

  Section Not Covered

16. % Safe Questions. The inspector is to decide answers to the following 10 questions. The questions are then to be used to fuel a safety discussion. Subsequent findings are to be recorded in Section 17.

• 16.1 Can workers explain details of their task and risk controls briefed during their task briefing?

  Yes

  No

  N/A

• 16.2 Are methodologies, control measures and safe practices being followed?

  Yes

  No

  N/A

• 16.3 Can the workers explain details of their safe system of work?

  Yes

  No

  N/A

• 16.4 Do the workers know the lifesaving rules?

  Yes

  No

  N/A

• 16.5 Do the workers know the work-safe procedure?

  Yes

  No

  N/A

• 16.6 Can the workers give details of the last safety brief (tool box talk)?

  Yes

  No

  N/A

• 16.7 Have all noticeable close calls been reported by the team?

  Yes

  No

  N/A

• 16.8 Has the team recently received a debrief from their supervisor and was the debrief sent to HSEQ?

  Yes

  No

  N/A

• 16.9 Did the workers engage in open, honest discussion regarding performance and HSEQ matters?

  Yes

  No

  N/A

• 16.10 Are the workers aware of their environmental risks and controls?

  Yes

  No

  N/A

17.0 Feedback

• 17

18. Information & Guidance

• 18.1 Completing your Inspection
  1. Conduct your inspection
  2. Complete the percent safe questions
  3. Conduct a safety discussion and inspection debrief with the team.
  4. Return the completed form to HSEQ

• 18.2 Completing the checklists
  When working through the checklists on pages 1 & 2, as applicable, satisfy yourself that each item is:
  1. Present. 2. In date. 3. Completed Correctly. 4. Within calibration or inspection timelines. 5. Serviceable. 6. Relevant/specific to the work. 7. Sufficient to cover hazards & mitigate risks. 8. Briefed to all personnel. 9. Being adhered to. 10. With sufficient evidence & records in place.
  Look for & record good practices too.

• 18.3 Percent Safe Questions
  There are 10 questions, each earns 10 points. All questions are applicable to any site and must be asked. Each question be answered with a 'yes' or 'no'. A 'yes' answer earns points, 'no' answers do not.

• 18.4 Safety Discussion
  Watch & listen during your inspection, then lead a safety discussion with the team as part of your debrief to the team. In the discussion, you should ask questions which lead the team to explain & acknowledge their own strengths & weaknesses without having to tell them. Use anything you saw at the site to help fuel the conversation. Your questions should be aimed at:
  - Gaining assurance of the workers level of competence & quality of work
  - Educating & motivating by providing information, briefs and updates.
  - Delving in to general project performance and gaining opportunities for feedback or consultation regarding occupation health, safety, wellbeing & sustainability to the environment. Also consider: programme time or finance constraints, the plan, personnel, materials, plant, equipment, designs, client & third party interactions etc.
  The percent safe questions will give a good starting point for sparking a safety discussion. You will know why you have the scored the team negatively, ask them to score themselves too and discuss their reasoning.
  Ensure you record your safety conversation in the notes section and add any lessons learnt.

• 18.5 Site Debrief of Findings (the inspectors inspection debrief to the team. There may be comments the inspector may wish to raise which are suitable for sending via the debriefing QR application too).
  The team must be debriefed on your findings, this must include positives, negatives and any advice you may provide.

• 18.6 Returning your completed inspection report
  The auditor is to ensure that their safety inspection report is returned to HSEQ for recording & analysis (hard copy or scans/photos via hseq@linbrooke.co.uk

• 18.7 Operational leaders meeting (OLM)
  The OLM is held each Friday at 9:00am. Join by dialing: 020 3137 2688 & enter conference ID: 89 21 66 86

• 18.8 Confidential Reporting
  1. In both QR codes, for close calls and debriefing, it is possible to raise your concerns without disclosing your identity.
  2. Alternatively, you can confidentially discuss your concerns with the HSEQ Manager via 0788 393598.

• 18.9 Close calls & debriefs
  Following your site inspections, any close calls and debriefs should be shared via the QR codes.

• Where any non conformance's been found during this inspection? (If yes, please provide details of how the actions have been resolved on site)

  Yes

  No

• Auditor/Inspectors Signature:

  Sign

• Auditee's Signature:

  Sign