Title Page
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Date
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Site
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Inspector
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Sub Contractor name
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Operatives on site (names)
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Project Manager
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Project Number
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Specific Activity
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Scope of works
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1. RA's & MS's
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Site specific and cover applicable hazards, signed by all
2. Training and Competence
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Check competencies and cards ....
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Advice Provided:
3. Access / Egress
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Attendance register signed, ....
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Advice Provided:
4. Housekeeping
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Clean and clear site, no littering, backfill .....
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Advice Provided:
5. PPE
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Head protection, safety footwear / wellingtons....
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Advice Provided:
6. Environmental
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Spill kits available, plant nappies, drip trays, waste .....
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Advice Provided:
7. Site security
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Access secure, unauthorised access prevented ...
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Advice Provided:
8. Inductions
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All inducted and aware of "10 Golden Site Rules" ....
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Advice Provided:
9. Documentation
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Documents in use, RAMS, Permits, job pack .....
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Advice Provided:
10. Technical Detail
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Electrical Installation, Water Installation, Gas installation, Cable installation
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Advice Provided:
11. Traffic Routes
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Traffic management in place ....
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Advice Provided:
12. Signs and Notices
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Are appropriate signs in use ......
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Advice Provided:
13. Welfare
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Adequate toilets, washing facilities .....
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Advice Provided:
14. Permits
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Digging/ excavation, hot work ...
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Advice Provided:
15. Lifting Ops
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Banksman in use, lifting plan .....
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Advice Provided:
16. Electrical Equipment
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PAT completed, expired, checks done ...
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Advice Provided:
17. CoSHH/ Asbestos
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Assessments available ........
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Advice Provided:
18. Vehicles
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Inspection/ examination cert available ....
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Advice Provided:
19. Work at Height
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Barriers around open excavations ......
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Advice Provided:
20. Equipment
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Tested, serviced, certs in date?
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Advice Provided
21. Lighting
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Is there adequate lighting?
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Advice Provided
22. Emergencies
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Are the suitable and sufficient emergency arrangements in place?
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Advice Provided
23. Plant
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Is all plant suitable for the task? Have all checks been carried out? Are the service and maintenance records in date?
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Advice Provided
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24. Excavations
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Is there safe access and egress? Is the support suitable and sufficient? Have checks been carried out?
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Advice Provided
25. Material Storage
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Are materials stored safely?
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Advice Provided
26. Incident
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Is the site incident free?
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Investigate
27. Other
Sign Off
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Person Informed
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Signature
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Select date
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Name of Advisor