• Site Profile:

  • Photograph of Site:

Scoring

  • n/a - not applicable to this contractor/site
    0 - No evidence of compliance
    1 - in the early stages of development
    2 - Evidence available - needs updating/review
    3 - Fully compliant

Previous Recommendations

  • Have all previous recommendations been actioned?

  • Observation:

  • Action Taken:

  • Recommendation:

Personnel/Supervision/Training

  • Are there adequate numbers of scaffolding supervisors/foremen onsite?

  • Do the scaffolding supervisors/foremen hold suitable qualifications (CISRS Supervisor, SSSTS)?

  • Do site operatives hold the appropriate CISRS card or similar?

  • Have site operatives undertaken certified manual handling training?

  • Have site operatives undertaken asbestos awareness training?

  • Are there a suitable number of first aid trained operatives onsite?

  • Are toolbox talks being given regularly?

  • Observation:

  • Recommendation:

  • Action Taken:

Risk Assessments / Method Statements

  • Are there risk assessments and method statement specific to the tasks being carried out?

  • Do risk assessments and method statements identify how scaffolding operatives will create scaffolder safe zones?

  • Have site operatives signed compliance registers?

  • Observation:

  • Recommendation:

  • Action Taken:

Working Practices

  • Are scaffolders conforming to SSoW including SG4:10 requirements for scaffolder safe zones?

  • Are scaffolding materials being unloaded/loaded, stacked and stored safely?

  • Are there adequate arrangements for accessing vehicles/WAH?

  • Are adequate housekeeping standards being maintained onsite?

  • Observation:

  • Recommendation:

  • Action Taken:

Work Equipment/Welfare

  • Are scaffolding materials inspected before use?

  • Is lifting equipment including rope and wheel and hi-abs with associated lifting equipment being inspected weekly?

  • Are power tools being safely used onsite?

  • Is PPE (including harnesses and fall arrest/restraint equipment) being used and inspected correctly?

  • Are there adequate welfare arrangements onsite?

  • Observation:

  • Recommendation:

  • Action Taken:

Other Site Issues

  • The following section is to be used to highlight any health and safety issues that have been observed during the site audit. This section does not affect the overall scoring of the report.

Signatures

  • Signed by Site Manager

  • Signed by Safety Advisor

  • Onsite Client Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.