Title Page

  • Conducted on

  • Address

  • Activities taking place

  • Name of inspector and job title

  • Accompanied by and job title

  • Operative(s) name and job title

  • Contractor(s) name and job title

1.0 Site Documentation

  • 1.1 Risk Assessments / Method Statements / COSHH Assessments are available for work activities (wdh/contractors)

  • 1.2 Asbestos surveys available and site personnel aware of contents

  • 1.3 Dynamic Assessments are available and appropriately completed (Hot works, ladder, loft, penetrate ground)

  • 1.4 Information folder available within the property (voids only)

  • 1.5 Operatives signing in and out of the property (voids only)

  • 1.6 Work equipment register is up to date and completed for equipment used by operatives (harnesses, ladders, power tools)

  • 1.7 First Aider (operatives are aware of whom they are and the accident reporting procedures)

2.0 Site Activities

  • 2.1 Access / egress routes free of obstruction

  • 2.2 Site personnel wearing appropriate PPE / RPE for the task

  • 2.3 Appropriate warning and barriers

  • 2.4 Hazardous substances and hand tools are not left outside property unattended

  • 2.5 Materials safely stacked

  • 2.6 Electrics safely isolated during full / partial re-wire, wet trade activities

  • 2.7 Property is in a safe condition and work areas tidy

  • 2.8 Appropriate control measures implemented where dynamic assessments have been completed

  • 2.9 Fire extinguisher available for hot works at the workface, functional and serviced in last 12 months

  • 2.10 Ladders / platforms are in good order

  • 2.11 Ladders / platforms tagged and in date

  • 2.12 Platforms are erected appropriately and used in a safe manner

  • 2.13 Site personnel working safely

  • 2.14 Vehicles parked in a safe manner

  • 2.15 Materials and equipment are stored in the vehicles in a safe manner

  • 2.16 PAT Testing

  • 2.17 Hazardous substances are used safely and appropriately stored

  • 2.18 Site personnel are aware of the welfare) arrangements

  • 2.19 Work area are appropriately lit

  • 2.20 Operatives are appropriately trained (PASMA, paslode nail gun, abrasive wheels, plant operators, etc)

  • 2.21 Tenant’s goods are appropriately protected

  • 2.22 Operatives are aware of the emergency arrangements

  • 2.23 Lone worker policy adhered to

3.0 Other

4.0 Work activities viewed at time of inspection

5.0 Action taken at time of inspection

  • Checklist number followed by action

6.0 Supporting Evidence

  • Add media

7.0 Site Performance

  • 7.1 Site Performance Target: 85%

8.0 Performance Rating

  • 8.1 90% and above - Excellent

  • 8.2 80 to 89% - Very good

  • 8.3 70 to 79% - Average

  • 8.4 0 to 69% - Unacceptable

  • Add name before signing

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.