• Site Address

  • Job Ref No

  • Engineer Name

  • Employee / Sub contractor

  • Company name

  • Work Activity

  • Date of Inspection

  • Inspected by

  • Document No.

First Impressions - Engineer & Appearance

  • Is vehicle parked correctly and at a suitable location?

  • Is vehicle clean outside?

  • Is vehicle tidy inside?

  • First Aid kit on vehicle?

  • Is it within expiry date?

  • Engineer must replace items or kit and ensure adequate First Aid kit is carried on vehicle

  • Is engineer wearing Correct uniform?

  • Is it clean and well presented?

  • Is company I.D being worn?

  • Is engineer wearing a Hi-Vis vest?

  • Is engineer wearing safety boots?

  • Is the site in a tidy condition?

Health & Safety

  • Has site induction and/or sign in taken place?

  • Copy of Risk Assessment and method statement present?

  • Is it suitable and sufficient, adequately controlling hazards to an acceptable level?

  • Are contractors working to the requirements of the permit issued?

  • For a site to be notifiable under CDM 2015 it must meet the following requirements:

    - last longer than 30 working days and have more than 20 workers working simultaneously at any one time or;
    - exceeds 500'person days

  • Is the site notifiable under CDM 2015?

  • Have all operatives signed in?

  • Are welfare facilities adequate?

  • Is the Construction Phase Plan adequate for activities?

  • Has the Construction Phase Plan been reviewed and recorded?

  • Are copies of inductions and certificates of competences held on site?

  • Copy of F10 valid and displayed?


  • Are dust creating activities being adequately controlled?

  • Are noise creating activities being adequately controlled?

  • Is any COSHH items being adequately controlled?

  • Is any hazardous waste being created?

  • Are the facilities for disposal adequate?

Working at Heights

  • Is MEWP being used?

  • Has full handover of plant been carried out and sheet present?

  • Is Operators Manual present?

  • Has Plant inspection been carried out?

  • Is Fall Arrest system being used?

  • Is correct PPE Being worn?

  • Is a scaffold tower being used?

  • Is it erected correctly?

  • Has the engineer received full training how to use / erect correctly?

  • Are Step Ladders being used?

  • Are they set up on Level Ground?

  • Advise engineer of the risks associated with non level ground and corrective actions to be carried out

  • Are steps in safe condition and free from damage?

  • Are they being used safely and in the correct manner?

  • Are they tagged and in date?

  • Were Leaning Ladders being used at time of visit?

  • Ladders in good condition and free from damage?

  • Ladders tied in with ratchet straps and eyebolts?

  • Rope on Ladder?

  • Engineer wearing Harness with cows tail & rope grab?

  • Ladder stand off (micro-lite) used?

  • Ladder stabiliser used?

  • Ladder leveller used?

  • Ladder at correct angle? (1 in 4)

  • Could 3 points of contact be maintained whilst ascending & descending?

  • Hard hat worn whilst on ladder?

  • Any comments or corrective actions taken place

  • Photos of Ladder setup (if required)

  • Is there evidence of WAH kit used, I.E-eyebolts or drill holes, kit left out etc?

  • Photos of WAH evidence

  • Is Fixed Scaffold being used?

  • Has Scaffold been inspected within the last 7 days?

  • Work is to cease immediately pending Scaffold Tag inspection and if applicable the client is to be contacted.

  • Do engineers have permission to access scaffold?

  • Permission from client is to be sought immediately.

Working at Heights - Roof work

  • Was Roof Access required?

  • Pitched roof or Flat roof?

  • Does the flat roof have edge protection?

  • Was the engineer safe and risk of falls minimised?

  • Was a 2m exclusion zone set up around the roof edge?

  • Were suitable Anchor points available?

  • Was a man anchor required? (Dead mans anchor)

  • Details

  • Was the man anchor set up correctly with full fall restraint system in place?

  • Eyebolts drilled/Anchor points used and fall restraint system set up correctly?

  • Was Roof ladder set up correctly? (Strapped to triples etc)

  • Any comments or corrective actions taken place

  • Photos of roof areas, set up if required

Manual Handling

  • Have mechanical means been used?

  • Are safe lifting techniques being observed?


  • Has electrical isolation taken place?


  • Is electrical equipment in good condition?

  • Remove from service

  • Is any work equipment safe and free from wear and tear??

  • State which pieces and remove from service

Personal Protective Equipment (PPE)

  • Eye protection used when drilling?

  • Ear protection used? (Defenders or plugs)

  • Hand protection worn when required?

  • Dust masks worn when required?

  • Overshoes worn? (If applicable)

  • Where PPE is not required is it stored appropriately?

  • Explain to engineer the importance of correct storage of PPE

Signage & Barriers

  • Were road or pathway cordons set up?

  • Should road or pathway cordons have been implemented to protect the public etc?

  • Details and corrective actions taken place

  • Photos of areas that should have been cordoned off

  • Correct use of Cones?

  • Correct use of Barrier tape?

  • Correct use of signage? (Cable in progress etc)

  • Photos of cordons put in place


  • Has asbestos been identified on site?

  • Have asbestos precautions been followed?

  • Work must be stopped immediately, H&S department and line manager contacted and the asbestos register consulted.


  • Is risk from exposure from vibration being adequately controlled?


  • Is lighting suitable for task?

  • Ensure task has sufficient lighting before continuing


  • Has a full H&S kit inspection been carried out within the last 6 months?

  • A full Health & Safety kit inspection is to be carried out by a competent person. H & S department to be contacted

  • Date of last Kit Inspection

  • Document number

  • Any comments

  • Engineer Training required?

  • Details of training to be given

  • Is escalation / further investigation required?

  • Details

  • Engineer 1

  • Engineer 2

  • Senior Supervisor or H&S manager

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. You should independently determine whether the template is suitable for your circumstances.