Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
1.Site Perimeter
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Any debris leaving our site ? Any coffee caps, cigarette buts , cans , food trays ect?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Safety signage in place and displayed in prominent locations ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
2. Offices
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Offices surroundings free from debris ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Waste segregation being carried out in the offices ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Electrical equipment PAT tested?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Welfare facilities in good conditions ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
3. Training Room
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Training room surroundings free from debris ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Waste segregation being carried out ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Electrical equipment PAT tested?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
4. Welfare Facilities
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Are welfare facilities in good working order and well maintained ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Bins not overflowing?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Cigarette waste bin not full?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
5. Weigh Bridge
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Is the area clear of debris ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Are the dustbins empty ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Has the weigh bridge been calibrated ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
6. Skips
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Is the waste has been segregated correctly ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Is there any items that should not be in the skip ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Is the area around the skips tidy ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
7. Storage Arrangements
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Storage of Gas Cylinders?
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In storage area, oxygen cylinder must be stored at least 3m away/separated by a fire wall from fuel gas such as acetylene, propane, methane, etc.
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Gas cylinders secured and properly restrained?
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Cylinders clearly labelled to show content and associated hazards?
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Spill kits available on site ?
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Are the COSHH substances properly stored ?
8. Car Park
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Waste segregation being carried out ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Any spills, leaks , debris present ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
9. Material Storage
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Are materials being stored safely ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Are all liquids on bunds ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
10. Plant and Equipment
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Daily forklift checks recorded ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Forklift drivers training records available ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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LOLER certs in date ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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All staff being trained on the safe use of plant and equipment ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Power Tools being used ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
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Training records available ?
- Yes-Corrective Action Required
- No
- N/A
- Yes
- No-Corrective Action Required
- Improvement required
11. Sign Off
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Name of person completing this report
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Name of the site person receiving this report- I confirm the contents of this report have been discussed with myself and I am aware of any issues highlighted in the body of this report.
12. Closure
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I confirm all actions highlight in this report have been actioned on:
