GLOBAL RAIL SERVICES LTD. - V2

• Conducted on

  Date

• Prepared by

• Location
  Address

• SSWP Safe System of Work Plan in place and documented in Safety File

  Complaint

  Action

  Non Complaint

  N/A

• AF2 Displayed in the canteen or in the van or in the site safety file

  Yes

  No

  N/A

• Welfare and site set up

  Safe

  Improvement

  At Risk

  N/A

• Is the site adequate to provide designated areas for vehicle and plant

  Safe

  Improvement

  At Risk

  N/A

• Is site accommodation kept clean and in good order

  Good

  Fair

  Poor

  N/A

• Are site access and egress routes clearly marked out

  Good

  Fair

  Poor

  N/A

• Site hoarding / fencing secured adequately

  Good

  Fair

  Poor

  N/A

• Welfare facilities drying rooms, canteen and toilet suitable for the numbers on site

  Good

  Fair

  Poor

  N/A

• Canteens have hot and cold running water

  Good

  Fair

  Poor

  N/A

• Toolbox Talks undertaken at least every two weeks and documented

  Complaint

  Action

  Non Complaint

  N/A

• RAMS discussed and documented in the Safety File

  Complaint

  Action

  Non Complaint

  N/A

• Material Safety Data Sheets on all chemicals used in this project are educated to all staff and documented in the Safety File

  Safe

  Improvement

  At Risk

  N/A

• First Aid supplies are adequate for the numbers on site

  Good

  Fair

  Poor

  N/A

• Fire equipment fire extinguisher present and in date and fire blanket in canteen and offices.

  Complaint

  Action

  Non Complaint

  N/A

• Expiry date

  Date

Construction Safety

• Global Rail PSCS

  Yes

  No

• Administrative and Safe Working Procedures in place.

  Good

  Fair

  Poor

  N/A

• Have all persons on site received a site safety induction and completed the induction form.

  Yes

  No

  N/A

• Has the Daily assessment sheet understood and signed by site staff

  Yes

  No

  N/A

• Is there a method statement drawn up and signed by personnel involved

  Yes

  No

  N/A

• Sub-Contractors provided Safety Statement and Method statements

  Yes

  No

  N/A

• Have permits to work and control measures set out in the method statement been implemented

  Yes

  No

  N/A

• Is emergency procedures and contact details posted up on site

  Yes

  No

  N/A

• Personnel Protective Equipment issued to personnel and recorded and worn

  Complaint

  Action

  Non Complaint

  N/A

• When the site reach more then 20 persons on site a safety representative must be present

  Compliant

  Non-Compliant

  N/A

• Accidents / incidents recorded in the accident report form

  Yes

  No

  N/A

• Hazardous Substances stored correctly and msds sheets filed in safety file

  Yes

  No

  N/A

Personal Protective Equipment

• Hard hat

• safety boots/ footware

• Hi-viz jacket

• Are all employees and sub-contractors wearing mandatory PPE

  Complaint

  Action

  Non Complaint

  N/A

• Are persons performing manual work using Gloves

  Complaint

  Action

  Non Complaint

  N/A

• Is there a requirement for the use other items of PPE eg. hearing protection working in a noisy environment and eye protection when cutting steel / concrete

  Yes

  No

• List Additional PPE

  Select Eye protection - Glasses Eye protection- Goggles Eye Protection - other Ear Protection- Plugs Ear protection- Defenders Lungs- dust Mask Lungs- Respirator Face sheild Other (list below)

  • Eye protection - Glasses
  • Eye protection- Goggles
  • Eye Protection - other
  • Ear Protection- Plugs
  • Ear protection- Defenders
  • Lungs- dust Mask
  • Lungs- Respirator
  • Face sheild
  • Other (list below)

• Additional PPE

Covid-19

• Is there adequate soap, water, paper towels & sanitiser on site

  Yes

  No

  N/A

• Is there adequate signage & information on site.

  Yes

  No

  N/A

• Is there a daily cleaning schedule

  Yes

  No

  N/A

• When was the site last cleaning undertaken

  Date

• Are tasks undertaken where social distancing can be maintained

  Yes

  No

  N/A

• Has a permit been completed for these tasks

  Yes

  No

  N/A

• List additional PPE/RPE provided

  Select Eye protection - Glasses Eye protection- Goggles Eye Protection - other Ear Protection- Plugs Ear protection- Defenders Lungs- dust Mask Lungs- Respirator Face sheild Other (list below)

  • Eye protection - Glasses
  • Eye protection- Goggles
  • Eye Protection - other
  • Ear Protection- Plugs
  • Ear protection- Defenders
  • Lungs- dust Mask
  • Lungs- Respirator
  • Face sheild
  • Other (list below)

Occupational Health

• Are there any heavy materials being manually handled which may cause an injury e.g. kerbstones, slabs etc.

  Safe

  Improvement

  At Risk

  N/A

• Are workers informed of the risk of weils disease and the need to adhere to good hygiene practise?

  Safe

  Improvement

  At Risk

  N/A

• Is stationary petrol or diesel powered plant sited a safe distance away from excavations not used in any enclosed space unless measures in place to exhaust gases into the open air.

  Safe

  Improvement

  At Risk

  N/A

• Additional Hazards

  Select Noise Vibration Fumes Welding

  • Noise
  • Vibration
  • Fumes
  • Welding

• Are employees protected from noise levels which could cause injury.

  Safe

  Improvement

  At Risk

  N/A

• Are employees protected from Vibration which could cause injury from prolonged use is the job rotated frequently every 50 minutes

  Safe

  Improvement

  At Risk

  N/A

• Are employees protected from dust inhalation or fumes from cutting concrete or welding etc

  Safe

  Improvement

  At Risk

  N/A

• Are employee protected from artificial optical radiation e.g. Arc and Oxy-fuel welding. (Controls include face protection, coveralls and gloves, screens/ curtains and restricted access)

  Safe

  Improvement

  At Risk

  N/A

Services and Excavation

• Excavation/ Ground-works

  Yes

  No

• Is there a procedure in place for detecting the presence of underground services? - Permit to dig, Underground location of cables from a certified operator.

  Safe

  Improvement

  At Risk

  N/A

• Trail Holes excavated by hand to confirm location of services

  Yes

  No

  N/A

• Are goal posts complete with signs erected to denote the presence of overhead services

  Yes

  No

  N/A

• Are excavations over 1.25M deep in which persons have to work, Suitably battered stepped or provided with support.

  Safe

  Improvement

  At Risk

  N/A

• Are excavations being thoroughly examined and recorded in form AF3 or similar

  Safe

  Improvement

  At Risk

  N/A

General Access Tidiness and Materials Storage

• Materials stored on site

  Yes

  No

• Generally is there safe access to workplaces and within and around site?

  Yes

  No

  N/A

• Are materials stacked/stored in a safe and neat fashion?

  Yes

  No

  N/A

• Have stripped timbers been de-nailed?

  Yes

  No

  N/A

Working at Heights

• W.A.H Equipment

  Select None Scaffold Ladder Edges and openings

  • None
  • Scaffold
  • Ladder
  • Edges and openings

• Is scaffolding being erected by CSCS scaffolders?

  Yes

  No

  N/A

• Are all scaffolds erected with double guardrails and toe-boards and are they securely tied and braced?

  Safe

  Improvement

  At Risk

  N/A

• Are inspections of scaffold/ working platforms being recorded in Form GA3 or similar?

  Safe

  Improvement

  At Risk

  N/A

• Where ladders are used, are they suitable for the task, of a suitable length, in good condition, and secured?

  Safe

  Improvement

  At Risk

  N/A

• Are inspections of ladders and other working platforms being recorded in Form GA3 or similar?

  Safe

  Improvement

  At Risk

  N/A

• Are edges and openings from which a person could fall adequately protected with barriers or covers? E.g Structures, roofs, manholes, excavations, floor slabs, stairs etc

  Safe

  Improvement

  At Risk

  N/A

Plant & Equipment

• Plant & equipment on site

  Yes

  No

• Plant and Machinery all relevant GA1, and GA2 in place and documented in the Safety File

  Complaint

  Action

  Non Complaint

  N/A

• Are the statutory test and thorough examination certificates for lighting equipment and lifting accessories used on site such as cranes, excavators, MEWP's, chains and slings available and up to date?

  Complaint

  Action

  Non Complaint

  N/A

• Are plant operators authorised to operate plant and have they valid CSCS training cards?

  Complaint

  Action

  Non Complaint

  N/A

• Are crane operations supervised by an Appointed Person (Trained)?

  Yes

  No

  N/A

• In general, does plant and equipment appear to be in good condition and well maintained

  Good

  Fair

  Poor

  N/A

• Are items of plant and equipment provided with operation and maintenance instruction?

  Complaint

  Action

  Non Complaint

  N/A

• Is the movement of plant organised and controlled to prevent persons being struck ? e.g. plant segregated, use of one-way systems or reversing operations supervised?

  Safe

  Improvement

  At Risk

  N/A

• Are reversing aids fitted to plant, e.g. mirrors, camera's, movement alarms, Flashing beacons etc?

  Good

  Fair

  Poor

  N/A

• Is there evidence of damage to electrical appliances and leads? e.g. loose damaged cables, make shift repairs?

  Good

  Fair

  Poor

  N/A

• Does any welding and burning gear appear to be in good order, including hoses and gauges?

  Good

  Fair

  Poor

  N/A

Traffic Management

• Traffic management plan in place

  Yes

  No

  N/A

• Are the traffic management arrangements and signs in accordance with chapter 8?

  Yes

  No

  N/A

• Does the person supervising traffic management arrangement have a Signing, Lighting and Guarding CSCS qualification?

  Yes

  No

  N/A

• Are pedestrian route safe and clearly displayed

  Yes

  No

  N/A

• Signage cones and Barriers placed correctly

  Yes

  No

  N/A

• Are all roads clean from construction debris

  Yes

  No

  N/A

• Yes

  No

  N/A

Environment

• Air pollution - watering of sites to minimise dust generation, dust suppression during concrete cutting

  Safe

  Improvement

  At Risk

  N/A

• Noise Control - noise mitigation measures adopted

  Safe

  Improvement

  At Risk

  N/A

• Water Pollution- wastewater management to prevent discharged to storm water drains

  Safe

  Improvement

  At Risk

  N/A

• Site Waste management in place (PSCS)

  Yes

  No

  N/A

• Waste Management - Appropriate waste disposal, including recyclable waste areas/processes

  Good

  Fair

  Poor

  N/A

• Waste Management - chemical waste, if any, collected and disposed of properly by licensed facility/personnel

  Good

  Fair

  Poor

  N/A

• Waste Management - chemical wastes stored and labelled

  Complaint

  Action

  Non Complaint

  N/A

• Protection of Flora - disturbance to flora minimised

  Safe

  Improvement

  At Risk

  N/A

• Protection of Fauna - disturbance to fauna minimised

  Safe

  Improvement

  At Risk

  N/A

• If cultural heritage aspects exist on site, preservation measures in place

  Safe

  Improvement

  At Risk

  N/A

• Weather watching implemented to reduce the risk of dispersal of site waste materials.

  Safe

  Improvement

  At Risk

  N/A

Sign Off

• Additional information

• Completed on

  Date

• Completed by

  Sign

• Safety manager

  Sign