Gscsi

• Inspection on behalf of

• Site

• Principal Contractor / Client

• Conducted on

  Date
• Location
  Address

• Inspection Undertaken by

• Personnel involved in the audit

• Number of personnel on site.

  Select 1 2 3 4 5 6 7 8 9 10 - 19 20 - 29 30 - 39

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10 - 19
  • 20 - 29
  • 30 - 39

Site Operatives

• Were operatives present on site and spoken to?
Operative

• Name:

• Is the operative working in a safe manner and correct to the RAMS

  Yes

  No

  N/A

• Is the operative aware of the site emergency procedures?

  Yes

  No

  N/A

• Has the operative been briefed and signed off against the RAMS?

  Yes

  No

  N/A

• Has the operative been inducted?

  Yes

  No

  N/A

• Does the operative have a CSCS card or equivalent ?

  Yes

  Exp

  No

  N/A

• Type & number

• Expiry Date

  Date

• Is the operative wearing appropriate PPE?

  Yes

  No

  N/A

Site Supervision

• Were supervisors present on site and spoken to?

  Yes

  No

  N/A
Supervisor

• Name:

• Is the supervisor aware of the site emergency procedures?

  Yes

  No

  N/A

• Has the supervisor been briefed and signed off against the RAMS?

  Yes

  No

  N/A

• Has the supervisor been inducted?

  Yes

  No

  N/A

• Does the supervisor have a CSCS card or equivalent ?

  Yes

  Exp

  No

  N/A

• Type & number

• Expiry Date

  Date

• Does the supervisor have a suitable supervisory qualification? Please specify

  Yes

  No

  N/A

• Is the supervisor wearing appropriate PPE?

  Yes

  No

  N/A

Work Activities

• Description of Activities

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility and Timeframe

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

First Aid Requirements

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility and Timeframe

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Fire Requirements

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Welfare Arrangements

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Documentation

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Site Security and Public Safety

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Housekeeping and General Tidiness

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Traffic Management

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Working at Height

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Excavations

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Confined Spaces

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Tools and Equipment

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Lifting Operations

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Electricity

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Dust and Chemical Control

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

PPE

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Highway Works

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Temporary Works

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Demolitions

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Environmental

• Score out of 5

  Select N/A Not occurring on site during the time of the audit. 1 - Very Poor - Immediate Improvements Required 2 - Poor - Improvements Required 3 - Average 4 - Good 5 - Very Good

  • N/A Not occurring on site during the time of the audit.
  • 1 - Very Poor - Immediate Improvements Required
  • 2 - Poor - Improvements Required
  • 3 - Average
  • 4 - Good
  • 5 - Very Good

• Responsibility

  Principal Contractor

  Client

  Contractor

  Other

• Comments

• Photographs

  Media

Corrective Actions

• Were any issues corrected during the inspection?
Corrective Action

• Corrective Action

• Photographs

  Media

General Comments

• Comments

Sign Off

• I confirm I have have the findings of the audit explained to me.

• Client / PC contact:

  Sign

• Contractor Being inspected:

  Sign

• Person Conducting the Inspection:

  Sign