H & S Periodic Site Inspection

• HAR Number

• Address
  Address

• Start Date

  Date

• Estimated Completion Date

  Date

• Conducted on

  Date

• Prepared by

• Personnel

• Signatures

  Sign

Access

• Is the site tidy

  Yes

  No

  N/A

• Can everyone reach their place of work safely

  Yes

  No

  N/A

• Are Gangways, Passageways, etc clear

  Yes

  No

  N/A

• Are Ladders/Ramps correctly positioned, tied off and edge protection used

  Yes

  No

  N/A

• Is the work area adequately lit

  Yes

  No

  N/A

Services. (Elec, Gas & Water)

• Are they marked and known

  Yes

  No

  N/A

• Are they isolated / protected

  Yes

  No

  N/A

• Is a competent person carrying out the task

  Yes

  No

  N/A

Access Equipment (Ladders, Steps & Small Staging)

• Are they in good condition

  Yes

  No

  N/A

• Being used correctly

  Yes

  No

  N/A

• Secured

  Yes

  No

  N/A

Scaffolds, Towers & Large Staging

• Has it been altered since erection

  Yes

  No

  N/A

• Are guard rails, toe boards and netting in place

  Yes

  No

  N/A

• Public Safety - precautions in place

  Yes

  No

  N/A

P.P.E (Personal Protective Equipment)

• Has it been issued / updated

  Yes

  No

  N/A

• Is the correct equipment being used

  Yes

  No

  N/A

Materials

• Are materials stored correctly

  Yes

  No

  N/A

• Are Hazardous Materials stored correctly and clearly marked

  Yes

  No

  N/A

Plant

• Is the plant being used correctly

  Yes

  No

  N/A

• Is the plant positioned correctly

  Yes

  No

  N/A

• Is the equipment been maintained and checked

  Yes

  No

  N/A

Working Procedures

• Has method statements been issued, understood and adhered too

  Yes

  No

  N/A

Welfare

• Are all welfare facilities in place

  Yes

  No

  N/A

• Are they kept clean and tidy

  Yes

  No

  N/A

Fire & Emergency

• Are operatives aware of procedures

  Yes

  No

  N/A

• Are operative aware of nearest A & E Department

  Yes

  No

  N/A

Security

• Do we hold site keys

  Yes

  No

  N/A

• Is perimeter fencing in place

  Yes

  No

  N/A

• Is the site left safe & secure

  Yes

  No

  N/A