H, S & E Report:

• Site:

  Select

• Document No:

• Conducted on:

  Date

• Prepared by:

• Location:

• Site Manager:

• Has the previous audit report been closed out?

  Yes

  No

• Observations from previous report not addressed:

  Compliant

  Non-Compliant

  N/A

1. Local Environment:

• Weather conditions on site:

  Select Clear Sky Cloudy Raining Windy Hazy Snow /Hail Other

  • Clear Sky
  • Cloudy
  • Raining
  • Windy
  • Hazy
  • Snow /Hail
  • Other

• Road Condition outside site perimeter:

  Good

  Fair

  Poor

  N/A

• Road Conditions on site within occupied areas:

  Good

  Fair

  Poor

  N/A

• Road conditions within live section of the site:

  Good

  Fair

  Poor

  N/A

• Water courses:

  Safe

  At Risk

  N/A

2. Site set up:

• Welfare Facilities:

  Select Compliant Minor Attention Required Maintenance Required Cleaning Required Non-Compliant N/A

  • Compliant
  • Minor Attention Required
  • Maintenance Required
  • Cleaning Required
  • Non-Compliant
  • N/A

• Compound/Material storage arrangements:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

3. Training, inductions & Toolbox Talks:

• Training:

  Training up to date

  Training Required

  N/A

• Inductions:

  Up to Date

  Action Required

  N/A

• Toolbox Talks (Monthly):

  Up to Date

  Action Required

  N/A

4. Incident Reporting, Emergency Procedures. E.G. Fire / First Aid:

• Have any Accidents/Incidents occurred since the last inspection?

  No

  Yes

  N/A

• Have any Dangerous Occurrences Occurred since the last inspection?

  No

  Yes

  N/A

• Have all Accidents/Incidents/Dangerous Occurrences been reported & logged:

  Yes

  No

  N/A

• Have any Near Misses been recorded, since the last Inspection?

  No

  Yes

  N/A

• Fire Monitoring / Warning Alarms / Equipment:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• First Aid Provisions / Personnel:

  Safe

  At Risk

  N/A

5. Construction Phase Health, Safety & Environmental Plan (CPHSEP):

• CPHSEP in place & up to date

  Compliant

  Non-Compliant

  N/A

6. Risk Assessments & Method Statements (RAMS):

• RAMS on site for current works & briefings signed:

  Compliant

  Non-Compliant

  N/A

• Have all RAMS been H&S Approved for this site?

  Select Yes No (But Trade not on site as yet) No (Trade on site)

  • Yes
  • No (But Trade not on site as yet)
  • No (Trade on site)

7. Permits to Work:

• Hot works Permit:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Permit to Dig

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

8. Management Controls & Inspections:

• Information boards / Health & Safety Notice Board:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Inspection Records:

  Up to Date

  Action Required

  N/A

9. Environmental Controls (Emergencies, Waste Etc.):

• Noise (db(A) level at site boundary), Dust, Waste:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Spill Kit, Gully Bags, Tree/Hedge/MG5 Grasslands Protection:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Protected species:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

10. Site Security & Protection of the Public:

• Perimeter Fencing / Signage:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Public areas free of known construction related hazards:

  Yes

  No

  N/A

11. Traffic Management / Access & egress:

• Pedestrian / Vehicle segregation:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Access / Egress (Welfare, Car Park, Work Areas):

  Safe

  At Risk

  N/A

• Chapter 8 compliance:

  Compliant

  Non-Compliant

  N/A

12. PPE & RPE:

• Worn as site rules & task specific RAMS:

  Compliant

  Non-Compliant

  N/A

13. COSHH:

• Substances, Chemicals, Fuels, Oils & Gases:

  Good

  Fair

  Poor

  N/A

14. Occupational Health (HAV's, Noise, Etc):

• Noise / Hazardous Dust / Health Surveillance:

  Safe

  At Risk

  N/A

15. Manual Handling:

• MAC / Controls / Eliminated / Further Assessments:

  Safe

  At Risk

  N/A

16. Housekeeping:

• Combustible Materials cleaned up as works proceed / Access points kept clear / General Site Presentation:

  Good

  Fair

  Poor

  N/A

17. Lifting Operations/Equipment:

• Lifting plans / Lift activities / Material Weight guides / Testing of equipment / LOLER compliance:

  Compliant

  Non-Compliant

  N/A

18. Plant & Equipment:

• In good visual order / Used safely & Correctly:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

19. Excavations/Earthworks:

• Barriers / Safe access & egress / Trench supports:

  Safe

  At Risk

  N/A

20. Demolition Operations:

• Applicable to this project at this stage?

  Yes

  No

• Demolition plan:

  Up to Date

  Action Required

  N/A

• Asbestos / Hazardous materials surveys:

  Yes

  No

  N/A

• Temporary works: Scaffolds, towers, supports, fans, debris nets:

  Compliant

  Non-Compliant

  N/A

• Dust levels suppressed:

  Yes

  No

  N/A

21. Electricity:

• Overhead cables: Goal posts / Signage / No go zones:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Electrical Conformity Testing / Portable Appliance Testing (PAT) in date?

  Select In Date Testing Required this month, but currently within date Required Now, as out of date N/A

  • In Date
  • Testing Required this month, but currently within date
  • Required Now, as out of date
  • N/A

22. Confined Spaces:

• Applicable to this project at this stage?

  Yes

  No

• Competent personnel available for task:

  Yes

  No

  N/A

• Air Monitoring equipment in place & working correctly:

  Yes

  No

  N/A

• Works carried out as approved RAMS:

  Compliant

  Non-Compliant

  N/A

23. Work at Height:

• Scaffold:

  Safe

  At Risk

  N/A

• Openings & Voids:

  Safe

  At Risk

  N/A

• Mobile Towers:

  Safe

  At Risk

  N/A

• Ladders / Stepladders / Hop-ups:

  Safe

  At Risk

  N/A

24. Sales/Show house:

• Are sales on site at this stage?

  Yes

  No

• Access & Egress (in & around sales area):

  Safe

  At Risk

  N/A

• Fire Extinguishers / First Aid Provisions:

  Compliant

  Opportunity for improvement

  Non-Compliant

  N/A

• Signage (Insurance / H&S Law Poster, Etc.) in place & displayed:

  Yes

  No

  N/A

• Display Screen Equipment (DSE):

  Compliant

  Non-Compliant

  N/A

• Lone Working (People Safe around neck of individual & operational):

  Compliant

  Non-Compliant

  N/A

Sign Off:

• I Confirm that the contents of this inspection report have been explained to the Site Manager

• Auditor:

  Sign

Closure of report:

• The below items highlighted as flagged within this report, have been closed out as follows:

  Select No Non Conformities raised on this Inspection Action Required (as sections highlighted below)

  • No Non Conformities raised on this Inspection
  • Action Required (as sections highlighted below)

• Sec 1:

  Action

• Sec 2:

  Action

• Sec 3:

  Action

• Sec 4:

  Action

• Sec 5:

  Action

• Sec 6:

  Action

• Sec 7:

  Action

• Sec 8:

  Action

• Sec 9:

  Action

• Sec 10:

  Action

• Sec 11:

  Action

• Sec 12:

  Action

• Sec 13:

  Action

• Sec 14:

  Action

• Sec 15:

  Action

• Sec 16:

  Action

• Sec 17:

  Action

• Sec 18:

  Action

• Sec 19:

  Action

• Sec 20:

  Action

• Sec 21:

  Action

• Sec 22:

  Action

• Sec 23:

  Action

• Sec 24:

  Action

• Site Manager to Print, Sign & Date, to close out the flagged items, within this report:

• Print: Sign: Date: