Title Page
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Date
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Region
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Auditor
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Address
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Project ID
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Senior Operations Manager
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Operations Manager
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Principal Contractor
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Sub Contractor
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Site Register
A01 - Induction, Training & Consultation
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Site Safety or Project induction Records?
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CSCS/ECS card or equivalent?
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CPCS/NPORS card or equivalent?
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IPAF card or equivalent?
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Site supervisors SSSTS or similar?
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NRSWA for Operatives (LA + O1 to O8 / 001 to 009)
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NRSWA for Supervisors (LA + S1 to S7 / 001 + 010 to 016)
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SWQR card available?
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SmartPassport card Available?
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PIA accreditation according to the activity being carried out?
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Any other type of training not mentioned? - Please add a note.
A02 - Project Management
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Site Manager Appointed?
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CPP available?
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If applicable, is F10 notice available?
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Liability Insurance?
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H&S Policy?
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H&S Poster/Card?
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Environmental Plan/Waste Management?
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If applicable, is the Street Work Permit conditions available?
A03 - RAMS & Emergency Arrangements
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Task Risk Assessments?
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Method Statements?
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Manual Handling Assessments?
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COSHH Assessments?
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Noise & Vibration Assessments?
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First Aiders identified?
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Near-miss/Accident book/Reporting Procedure?
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Confined Space Emergency rescue plan?
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WAH Emergency rescue plan?
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Lone Worker Emergency system?
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Procedures for inadvertent Asbestos exposure?
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RAMS briefing?
B01 - Emergency Preparedness
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Is the work Internal?
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Fire alarm?
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Fire action notices?
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Fire assembly point?
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Escape routes?
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Emergency lighting?
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Fire extinguishers identified, inspected and secured?
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First Aid Kit in date and well stocked?
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Sufficient Eyewash available and in date?
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WAH Emergency equipment accessible/used?
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Confined Space Emergency equipment accessible/used?
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Lone Worker system implemented?
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Asbestos work controlled?
B02 - Breaking Ground
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Does the work being carried out include Breaking Ground?
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Utility prints available?
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Cable avoidance tools used?
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Services marked out?
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Dust suppression kit used?
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Safe access and egress to the excavation?
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Spoil and plant stored away from excavation?
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Tree protection zone guidance followed?
B03 - Occupational Health Control
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Hazardous substances clearly identified?
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Hazardous substances adequately stored?
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Hazardous substances bunded where necessary?
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General COSHH practice?
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Manual Handling aids used correctly and in good order?
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Features of the environment suitable for Manual Handling operations?
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Manual Handling good practice applied?
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Are operatives on-site aware of the vibration and noise limits identified?
B04 - Welfare & Environmental Considerations
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Spill kits / drip trays available?
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Housekeeping/Waste provision?
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Roads kept clean from site waste?
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Environmental nuisance controlled?
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Sufficient sanitary conveniences available, serviced and in a clean condition?
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Sufficient washing facilities?
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Supply of drinking water?
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Changing rooms and drying facilities provided?
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Suitable rest areas provided?
B05 - Plant, Tools & Equipment
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Plant, tools and equipment with appropriate guards and being used safely?
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Vehicle beacons and Chevrons?
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Seatbelt worn where required?
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Plant and equipment secured when not in use?
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SWL marked on equipment?
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LOLER certificates?
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Calibration/PAT testing/Inspection tags?
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Are there sufficient gas detector units availble and<br>in use?
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Are there sufficient gas detector units available and<br>in use?
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Tools properly stored when not in use?
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Whip checks in pressurized lines?
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Body Harnesses and lanyards?
B06 - Site Supervision
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Work and site suitably supervised?
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Site access controlled/Sign in?
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Authorised staff identified and ID cards?
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Signs to warn members of the public?
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Site restricted zones controlled?
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Materials safely stacked and stored within the site perimeter?
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Sufficient and suitable lighting available?
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Traffic hazards identified and controls put in place?
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Sufficient PPE provided?
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PPE worn where required?
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PPE in serviceable condition?
B07 - Street Works
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Is Street Work being carried out?
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Contact information clear and correct, with the full permit number displayed?
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If breaking ground, is the Street Work Supervisor available?
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Correct Signs on site and placed?
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Signs clean and in good condition?
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Sufficient and correct barriers in place and clipped together?
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Signs and barriers weighted where required?
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Where applicable, is a safety zone established?
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Sufficient good and clean cones in place?
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Portable signals in good condition?
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SLG distances maintained?
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Road/Footway plates and kerb ramps in place and secured?
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Pedestrian route adequate and identified?
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Red book available on site?
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Permit complied with?
B08 - Working at Height
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Is Working at Heights being undertaken?
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Work area identified and isolated?
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Access and egress?
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Edge protection/safe distance maintained (People and materials)?
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Precautions for working on fragile surfaces?
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Ladders rated BS EN 131 and in good condition?
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Are ladders adequately secured?
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Pole without visible damage? (hedge cutter damage, rusted stays, lose steps, etc)
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Pole at least 1 metre from spiked railings, glass topped wall or similar?
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Pole pre-climb test carried out?
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Pole pre-climb label attached?
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Hoist ground operator aware of emergency procedure?
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Precautions from overhead power cables?
C01 - Conclusion
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Overall impression of the site visit?
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Signature