Title Page
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Conducted on
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Address
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Activities taking place
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Name of inspector and job title
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Accompanied by and job title
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Operative(s) name and job title
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Contractor(s) name and job title
1.0 Site Documentation
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1.1 Risk Assessments / Method Statements / COSHH Assessments are available for work activities (wdh/contractors)
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1.2 Asbestos surveys available and site personnel aware of contents
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1.3 Dynamic Assessments are available and appropriately completed (Hot works, ladder, loft, penetrate ground)
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1.4 Information folder available within the property (voids only)
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1.5 Operatives signing in and out of the property (voids only)
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1.6 Work equipment register is up to date and completed for equipment used by operatives (harnesses, ladders, power tools)
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1.7 First Aider (operatives are aware of whom they are and the accident reporting procedures)
2.0 Site Activities
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2.1 Access / egress routes free of obstruction
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2.2 Site personnel wearing appropriate PPE / RPE for the task
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2.3 Appropriate warning and barriers
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2.4 Hazardous substances and hand tools are not left outside property unattended
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2.5 Materials safely stacked
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2.6 Electrics safely isolated during full / partial re-wire, wet trade activities
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2.7 Property is in a safe condition and work areas tidy
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2.8 Appropriate control measures implemented where dynamic assessments have been completed
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2.9 Fire extinguisher available for hot works at the workface, functional and serviced in last 12 months
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2.10 Ladders / platforms are in good order
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2.11 Ladders / platforms tagged and in date
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2.12 Platforms are erected appropriately and used in a safe manner
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2.13 Site personnel working safely
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2.14 Vehicles parked in a safe manner
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2.15 Materials and equipment are stored in the vehicles in a safe manner
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2.16 PAT Testing
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2.17 Hazardous substances are used safely and appropriately stored
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2.18 Site personnel are aware of the welfare) arrangements
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2.19 Work area are appropriately lit
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2.20 Operatives are appropriately trained (PASMA, paslode nail gun, abrasive wheels, plant operators, etc)
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2.21 Tenant’s goods are appropriately protected
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2.22 Operatives are aware of the emergency arrangements
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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
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Checklist number followed by action
6.0 Supporting Evidence
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Add media
7.0 Site Performance
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7.1 Site Performance Target: 85%
8.0 Performance Rating
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8.1 90% and above - Excellent
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8.2 80 to 89% - Very good
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8.3 70 to 79% - Average
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8.4 0 to 69% - Unacceptable
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Add name before signing