HEALTH AND SAFETY INSPECTION REPORT

• Health and Safety Inspection Report

• Contractor

• Project

• Location
  Address

• Prepared by

• Date

  Date

• Distribution : 1 week

1.PPE

• Hard Hats

  good

  average

  poor

  N/A

• Protective footwear

  good

  average

  poor

  N/A

• Gloves ( min. 4343 )

  good

  average

  poor

  N/A

• Glasses ( min 1F )

  good

  average

  poor

  N/A

• Other

• Comments

• Add media

  Media

• Action required

2. Access equipment / Plant

• Ladders

  good

  average

  poor

  N/A

• Towers

  good

  average

  poor

  N/A

• Podiums

  good

  average

  poor

  N/A

• Other

• Comments

• Add media

  Media

• Action required

3. Site Welfare

• Water supply

  good

  average

  poor

  N/A

• Washing facilities

  good

  average

  poor

  N/A

• Paint washout

  good

  average

  poor

  N/A

• Other

• Comments

• Add media

  Media

• Action required

4. Storage of materials

• Storage of materials

  good

  average

  poor

  N/A

• Other

• Comments

• Add media

  Media

• Action required

5. Documentation

• Documentation if required

  good

  average

  poor

  N/A

• Other

• Comments

• Add media

  Media

• Action required

6. First Aid

• First Aid

  good

  average

  poor

  N/A

• Other

• Comments

• Add media

  Media

• Action required

7. Other

• Signed on behalf of Cj Decorators Ltd

• Date

  Date

• Add signature

  Sign