Title Page
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Project name
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Block name
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Conducted on
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Prepared by
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Contractor name
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Fallstop site supervisor
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Fallstop site manager
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Location
Project management
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Fallstop safety folder available on site ?
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Site induction cover sheet signed by contractor ?
- Yes
- No
- N/A
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Rams available on request ?
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CPP available on request ?
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COSHH assessment available on request ?
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HAVS calculator available on request ?
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Manual handling assessment available (TILE) ?
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Noise assessment available on request ?
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Contractor demonstrates understanding of lone working controls
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Training certification available on request
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Public liability insurance available on request
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Contractor aware of Fallstop site supervisor
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Contractror aware of Fallstop site manager
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Contractor aware of local welfare facilities
WORKING AT HEIGHT
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Contractor has deployed PFPE in line with CAI safe system of work
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Short duration ladder works correctly controlled
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WAH emergency rescue plan and certification available on request
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Tool lanyards are being utilised to prevent tool drop from height
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Contractor has deployed sufficient exclusion zones whilst work at height
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Contractor has deployed adequate signage to direct members of the public/visitors to site
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correct height access equipment utilised/ladder angles/stability/anti slip devices
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Ladders and steps are rated to BS EN131 or Class 1 Industrial
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Ladder tags in date
PPE AND CONTRACTOR APPERENCE
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PPE worn as required
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PPE in good condition
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Harness worn as required
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CFL branded Hi vis being worn
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contractor appearance (dark coloured combat trousers and T shirts) no bright coloured or branded clothing?
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ID lanyard worn at all times whilst on site
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Vehicle parked considerately
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vehicle is clean and presentable
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Van safely loaded and tidy-
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safety equipment is correctly stored and readily available on request
SITE HOUSEKEEPING & MATERIALS CONTROL
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FIbre cable waste is being stored and disposed of correctly
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Contractor is ensuring Dust is cleaned away( site vacuums present )
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Contractor is controlling cable trips hazard correctly ( Temporary ties over doors and emergency exits)
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residents?
FIRST AID & WELFARE
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Contractor has in date first aid kit including eyewash at immediate work location
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Contractor holds emergency first aid at work training certification
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Hand wash and site wipes available
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