Title Page
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Site Conducted:
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Conducted On:
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Prepared By:
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Location:
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Job Ref:
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Gang Name:
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Gangers Name:
Prerequisite
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If the answer to any of the prerequisite questions is 'No' the n the gang must be stood down immediately until the issue(s) are rectified.
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Has the gang completed their Risk Assessment?
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Are the operatives trained & competent and do they have copies of their training records with them?
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Do the Gang have all the necessary equipment and PPE to let them carry out their work safely?
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Are welfare facilities located within a suitable distance from the site?
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Is all plant in safe working conditions and has inspections been recorded?
Vehicle Checks
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If any defects are noted or any items identified as missing, please report them immediately to the Yard/Transport Manager!
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Is the vehicle clean and tidy?
- Fully
- Mostly
- Partly
- Some
- Not At All
- N/A
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Is there a number plate for the trailer?
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Is there a good condition breakaway cable on the trailer and is it being used?
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Does the van have suitable warning devices and signage? ( i.e. Flashing Amber Beacons, Rear Chevrons, Highway Maintenance, COSHH Symbols etc.)
- Fully
- Mostly
- Partly
- Some
- Not At All
- N/A
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Are all COSHH substances stored in an appropriate container, secured and labelled?
- Fully
- Mostly
- Partly
- Some
- Not At All
- N/A
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Is there a Spill Kit & Plant Nappy available?
- Fully
- Mostly
- Partly
- Some
- Not At All
- N/A
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Is there a fully pressurised fire extinguisher in the vehicle?
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Is PPE stored correctly?
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Is there an adequate First Aid Kit & Eye Wash Kit availible?
Site Safety
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Are advance warning signs (Men at Work) in place on all approaches?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are 'Road Narrow's' signs in place and correctly positioned for the work taking place?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are 'Footpath Closed' & 'Footpath Closed Ahead' signs in place and correctly positioned?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are all barriers in good condition and are they all clipped together?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Have barriers been used to prevent access for residents accessing site from their properties?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are there sufficient courtesy boards displayed?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are there sufficient sandbags on all barriers and signage?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are Traffic Cones used sufficiently on the site?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are Blue Arrow Signs in place and positioned correctly?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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If the work involves a road crossing, have plates or boards been secured in position to make the area safe?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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If Traffic Management is in place, is it fit for purpose?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Is housekeeping on-site to an acceptable standard?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Are all materials and equipment stored safely on-site or within a secure compound?
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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Is there any immediate risk to public safety? (Has the site been set up as per chapter 8)
- No Issues
- Issues Rectified During Inspection
- Issues Present
- N/A
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