Information
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LCL Number
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Job / Project Number
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Client Job/Project Title
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Location
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Conducted on
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Team Names
Vehicle
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Is Vehicle; Secure / ignition keys removed / parked safely?
- YES
- NO
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Is the front of the vehicle clean and tidy?
- YES
- NO
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Is the Site specific risk Assessment for the location sufficient and all team members aware of requirements?
- YES
- NO
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Are all Training Certificates for the team available and appropriate.
- YES
- NO
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Do all team members have DNO identification?
- YES
- NO
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Is COSHH information on site?
- YES
- NO
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Are plant certificates on site and correct?
- YES
- NO
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Is fire extinguisher suitable and in date?
- YES
- NO
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Record Date.
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Is first aid kit in good condition and in date?
- YES
- NO
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Record date.
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Is eye wash in good condition and in date?
- YES
- NO
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Record date.
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Is spill kit available?
- YES
- NO
Work Area
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Is signing and guarding correct? (NRSWA)
- YES
- NO
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Take photograph
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Are plant, equipment, materials and vehicles arranged safely?
- YES
- NO
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Take photograph
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Are operatives working safely - and wearing PPE?
- YES
- NO
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Is the general housekeeping of the site satisfactory?
- YES
- NO
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Are appropriate information and courtesy signs posted?
- YES
- NO
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Take photograph
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Is there Safe Access/Egress for site staff?
- YES
- NO
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Is there Safe Access/Egress for the public?
- YES
- NO
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Are walk boards fit for purpose?
- YES
- NO
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Are walk boards secured?
- YES
- NO
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Are exposed cables tile tapped?
- YES
- NO
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Is the general house keeping of the site satisfactory?
- YES
- NO
Signature
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Please sign.
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Any Comments:
