Information
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Site Address
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Job Ref No
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Engineer Name
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Employee / Sub contractor
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Company name
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Work Activity
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Date of Inspection
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Inspected by
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Document No.
First Impressions - Engineer & Appearance
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Is vehicle parked correctly and at a suitable location?
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Is vehicle clean outside?
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Is vehicle tidy inside?
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First Aid kit on vehicle?
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Is it within expiry date?
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Engineer must replace items or kit and ensure adequate First Aid kit is carried on vehicle
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Is engineer wearing Correct uniform?
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Is it clean and well presented?
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Is company I.D being worn?
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Is engineer wearing a Hi-Vis vest?
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Is engineer wearing safety boots?
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Is the site in a tidy condition?
Health & Safety
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Copy of Survey & Risk Assessment present?
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Site Specific Risk Assessment present and filled in correctly?
Working at Heights
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Is MEWP being used?
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Has full handover of plant been carried out and sheet present?
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Is Operators Manual present?
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Has Plant inspection been carried out?
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Is Fall Arrest system being used?
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Is correct PPE Being worn?
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Is a scaffold tower being used?
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Is it erected correctly?
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Has the engineer received full training how to use / erect correctly?
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Are Step Ladders being used?
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Are they set up on Level Ground?
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Advise engineer of the risks associated with non level ground and corrective actions to be carried out
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Are they being used safely and in the correct manner?
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Are they tagged and in date?
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Were Leaning Ladders being used at time of visit?
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Ladders tied in with ratchet straps and eyebolts?
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Rope on Ladder?
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Engineer wearing Harness with cows tail & rope grab?
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Ladder stand off (micro-lite) used?
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Ladder stabiliser used?
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Ladder leveller used?
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Ladder at correct angle? (1 in 4)
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Could 3 points of contact be maintained whilst ascending & descending?
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Hard hat worn whilst on ladder?
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Any comments or corrective actions taken place
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Photos of Ladder setup (if required)
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Is there evidence of WAH kit used, I.E-eyebolts or drill holes, kit left out etc?
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Photos of WAH evidence
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Is Fixed Scaffold being used?
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Has Scaffold been inspected within the last 7 days?
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Work is to cease immediately pending Scaffold Tag inspection and if applicable the client is to be contacted.
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Do engineers have permission to access scaffold?
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Permission from client is to be sought immediately.
Working at Heights - Roof work
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Was Roof Access required?
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Pitched roof or Flat roof?
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Does the flat roof have edge protection?
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Was the engineer safe and risk of falls minimised?
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Was a 2m exclusion zone set up around the roof edge?
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Were suitable Anchor points available?
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Was a man anchor required? (Dead mans anchor)
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Details
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Was the man anchor set up correctly with full fall restraint system in place?
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Eyebolts drilled/Anchor points used and fall restraint system set up correctly?
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Was Roof ladder set up correctly? (Strapped to triples etc)
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Any comments or corrective actions taken place
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Photos of roof areas, set up if required
Personal Protective Equipment (PPE)
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Eye protection used when drilling?
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Ear protection used? (Defenders or plugs)
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Hand protection worn when required?
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Dust masks worn when required?
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Overshoes worn? (If applicable)
Signage & Barriers
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Were road or pathway cordons set up?
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Should road or pathway cordons have been implemented to protect the public etc?
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Details and corrective actions taken place
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Photos of areas that should have been cordoned off
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Correct use of Cones?
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Correct use of Barrier tape?
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Correct use of signage? (Cable in progress etc)
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Photos of cordons put in place
Completion
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Has a full H&S kit inspection been carried out within the last 6 months?
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A full Health & Safety kit inspection is to be carried out by a competent person. H & S department to be contacted
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Date of last Kit Inspection
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Document number
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Any comments
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Engineer Training required?
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Details of training to be given
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Engineer disciplinary required?
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Details
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Engineer 1
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Engineer 2
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Senior Supervisor or H&S manager