Health and Safety Leadership Tour

• Conducted on

  Date

• Prepared by

• Location
  Address

• 1.1 Adequate welfare facilities, clean, tidy and maintained?

  Yes

  No

  N/A

• 2.2 Has public protection been provided?

  Safe

  At Risk

  N/A

• 3.7 Are the scaffold/ties correctly positioned and correctly fixed as per the design/drawings?

  NASC TG20 Compliance Sheet

  Special Design

  Engineer Input Required

• 4.2 Are all the spare materials in a neat and tidy condition?

  Compliant

  Non-Compliant

  N/A

• 5.1 Are the task-specific risk assessment and method statement present on-site?

  Yes

  No

  N/A

• 5.2 Is there a hand over certificate in place?

  Yes

  No

  N/A

• 5.3 Has the previous audit report been closed out?

  Yes

  No

  N/A

• 6.1 Name of person completing this report.

  Sign

• 6.2 Name of the site person receiving this report.

  Sign

I confirm the contents of this report have been discussed with myself and I am aware of any issues highlighted in the body of this report.

• 7.1 I confirm all actions highlight in this report have been actioned on:

  Date

Name of the person closing this report.

• Add signature

  Sign