Health Check Visits

• Conducted on

  Date

• Prepared by

• Location
  Address

Section 1 - Site Setup and Storage

• 1.1 -Are materials and equipment stacked/stored in a safe manner? No risk of falling materials.

  Yes

  No

  N/A

• 1.2 - Have suitable welfare facilities been provided on site for the current and foreseen workforce.

  Yes

  No

  N/A

• 1.3 - Are walkways and pedestrian routes maintained in a safe condition?

  Yes

  No

  N/A

• 1.4 - Is site accommodation, access and egress and signage appropriate?

  Yes

  No

  N/A

• 1.5 - Are all significant risks and impacts identified and controlled?

  Yes

  No

  N/A

• 1.6 - Does the site compound have a secure perimeter and Is fencing appropriate for size of the compound?

  Yes

  No

  N/A

• 1.7 - Are welfare facilities / Storage Facilities maintained to a suitable standard?

  Yes

  No

  N/A

• 1.8 - Is all signage professionally manufactured?

  Yes

  No

  N/A

• 1.9 - Has site security been considered and control measures implemented?

  Yes

  No

  N/A

• 1.10 - Has the site compound and/or set up been properly organised?

  Yes

  No

  N/A

• 1.11- Are there designated secure areas for skips?

  Yes

  No

  N/A

• 1.12 - Is there an external site information board displayed and an internal project board?

  Yes

  No

  N/A

Section 2 - Public Protection and Community Relations

• 2.1 - Are all significant hazards in areas where the public have access controlled? E.G Access to work Areas and site perimeter.

  Yes

  No

  N/A

• 2.2 - Are all risks and impacts identified and controlled?

  Yes

  No

  N/A

• 2.3 - Is temporary floor protection adequately managed?

  Yes

  No

  N/A

• 2.4 - Is adequate warning signage provided for the public?

  Yes

  No

  N/A

• 2.5 - Where existing lighting is obscured/disconnected/removed have alternatives been provided?

  Yes

  No

  N/A

• 2.6 - Is segregation of public carried out using suitable pedestrian barriers with tapping rail where applicable?

  Yes

  No

  N/A

• 2.7 - Are emissions from processes adequately controlled (noise / dust / fumes)?

  Yes

  No

  N/A

Section 3 – Administration and Management (Health and Safety)

• 3.1 - Is the Construction Phase SHE Plan available and regularly reviewed and updated if required?

  Yes

  No

  N/A

• 3.2 - Are all works in progress covered by a suitable and sufficient Risk Assessment and Method Statement and evidence that these have been briefed to the workforce?

  Yes

  No

  N/A

• 3.3 - Does the site have suitable First Aid cover and complete first aid supplies relevant to works on site with the contents in date?

  Yes

  No

  N/A

• 3.4 - Is statutory information displayed on the project board (F10, HSE poster, insurance, policies, nearest hospital and eye clinic)?

  Yes

  No

  N/A

• 3.5 - Have all previous Corrective Actions been closed out from previous visits? (GO Visits, Health Checks)

  Yes

  No

  N/A

• 3.6 - Have permits to work been used correctly where required and are they recorded on the permit log?

  Yes

  No

  N/A

• 3.7 - Have statutory inspections been carried out as required and are they filed, including SHE weekly inspections?

  Yes

  No

  N/A

• 3.8 - Is there a process for signing in/out?

  Yes

  No

  N/A

• 3.9 - Is there evidence that all people have been inducted on site using the Induction PowerPoint Presentation and site-specific project board?

  Yes

  No

  N/A

• 3.10 - Have all relevant bulletins and TBT been briefed?

  Yes

  No

  N/A

• 3.11 - Are records of all competences being maintained? E.g. CSCS, Gas Safe

  Yes

  No

  N/A

• 3.12 - Are site wide risk assessments completed and required risk assessments in place?

  Yes

  No

  N/A

• 3.13 - Does the Site Manager(s) have the necessary competences for operations being undertaken on site?

  Yes

  No

  N/A

• 3.14 - Is there a site specific aspects and impacts assessment available?

  Yes

  No

  N/A

• 3.15 - Are copies of appropriate licences held on site? E.g. water, waste, ecological, heritage.

  Yes

  No

  N/A

• 3.16 - Are records of incidents and complaints maintained? Visits by regulatory agencies recorded and communicated to the SHE Team?

  Yes

  No

  N/A

• 3.17 - Is there evidence of Near Misses being reported on site?

  Yes

  No

  N/A

• 3.18 - Is there evidence of CM audits being undertaken and communicated to site teams?

  Yes

  No

  N/A

Section 4 – Workplace and Housekeeping

• 4.1 - Is the potential of falls from height controlled?

  Yes

  No

  N/A

• 4.2 - Are falling objects adequately controlled?

  Yes

  No

  N/A

• 4.3 - Are work areas and walkways free from major hazards?

  Yes

  No

  N/A

• 4.4 - Are All significant risks controlled?

  Yes

  No

  N/A

• 4.5 - Is housekeeping to an adequate standard? Is site free from litter, mud etc.

  Yes

  No

  N/A

• 4.6 - Is the interface between different trades managed so as to prevent exposure to risks from others?

  Yes

  No

  N/A

• 4.7 - Is the level of lighting adequate for the operation being undertaken inc. Task lighting?

  Yes

  No

  N/A

• 4.8 - Have suitable work benches been provided for use of power tools?

  Yes

  No

  N/A

• 4.9 - Is site drainage kept free from blockage?

  Yes

  No

  N/A

• 4.10 - Is cable management adequate?

  Yes

  No

  N/A

Section 5 – Scaffolding

• 5.1 - Is the scaffold free from significant defects? (including ties, tubes and fittings, foundations and boards)?

  Yes

  No

  N/A

• 5.2 - Are incomplete sections of scaffold signed?

  Yes

  No

  N/A

• 5.3 - Is any area where there is a risk from falling objects closed off?

  Yes

  No

  N/A

• 5.4 - Are the design drawings and calculations available for 'design' scaffolds?

  Yes

  No

  N/A

• 5.5 - Have scaffolds been erected in accordance with TG20:13 or the design?

  Yes

  No

  N/A

• 5.6 - Are scaffolders working to SG4:15? E.g. advanced guardrail and correct fall arrest.

  Yes

  No

  N/A

• 5.7 - Is the scaffold handover certificate available, are details correct and is scaffold being used in line with the handover certificate?

  Yes

  No

  N/A

• 5.8 - Are test results available for drilled in fixings and calibration certificates available?

  Yes

  No

  N/A

• 5.9 - Have inspections been carried out as required?

  Yes

  No

  N/A

• 5.10 - Are other significant risks and impacts controlled?

  Yes

  No

  N/A

• 5.11 - Is housekeeping during scaffold erection and dismantling managed?

  Yes

  No

  N/A

• 5.12 - Has the competency of scaffolders been checked? - copies of CISRS cards must be on site. E.g. design scaffolds supervised by advanced scaffolders.

  Yes

  No

  N/A

• 5.13 - If a gin wheel is in use are LOLER certificates available?

  Yes

  No

  N/A

• 5.14 - Are all ladders fixed in position and of correct orientation?

  Yes

  No

  N/A

• 5.15 - Are brick guards fixed where required?

  Yes

  No

  N/A

• 5.16 - Is debris netting and/or monoflex in place where required, and fixed correctly?

  Yes

  No

  N/A

• 5.17 - Are all minor risks and impacts controlled?

  Yes

  No

  N/A

• 5.18 - Is there evidence that scaffolds are made safe at the end of each working day?

  Yes

  No

  N/A

Section 6 - Mobile Towers and Other Access Equipment

• 6.1 - Has the most appropriate form of access equipment been chosen?

  Yes

  No

  N/A

• 6.2 - Have overhead obstructions been considered?

  Yes

  No

  N/A

• 6.3 - Is all equipment in good order?

  Yes

  No

  N/A

• 6.4 - Are scaffold towers erected in accordance with manufacturer’s instructions and are guardrails, toe board in place, are wheels locked. Is bracing required?

  Yes

  No

  N/A

• 6.5 - Is the scaffold tower or other equipment sat on a level and stable foundation?

  Yes

  No

  N/A

• 6.6 - Are ladders of the correct type / grade and is the use of ladders adequately controlled?

  Yes

  No

  N/A

• 6.7 - Are incomplete scaffold towers marked as incomplete?

  Yes

  No

  N/A

• 6.8 - Are All significant risks controlled?

  Yes

  No

  N/A

• 6.9 - Is equipment being stored correctly when not in use?

  Yes

  No

  N/A

• 6.10 - Are those erecting and/or responsible for mobile towers competent ENGIE or PASMA trained?

  Yes

  No

  N/A

• 6.11 - Are copies of inspections for all access equipment available?

  Yes

  No

  N/A

Section 7 – Powered Access Equipment

• 7.1 - Are certificates of ‘thorough examination’ available on site, and current?

  Yes

  No

  N/A

• 7.2 - Are all moving parts and controls for operating guarded?

  Yes

  No

  N/A

• 7.3 - Is the equipment in good condition and fit for purpose?

  Yes

  No

  N/A

• 7.4 - Is the equipment appropriate for the task?

  Yes

  No

  N/A

• 7.5 - Are there overhead services, obstructions? Has an exclusion zone been set up around the equipment?

  Yes

  No

  N/A

• 7.6 - Are the operators of scissor and boom type MEWPS clipped in or is there a risk assessment in place to substantiate otherwise?

  Yes

  No

  N/A

• 7.7 - Are counterweights for cradles locked in place?

  Yes

  No

  N/A

• 7.8 - Is the equipment isolated and the keys removed when left unattended?

  Yes

  No

  N/A

• 7.9 - Are all significant risks controlled?

  Yes

  No

  N/A

• 7.10 - Is there evidence that pre-use daily and weekly checks on MEWPS, cradles etc. are being carried out?

  Yes

  No

  N/A

• 7.11 - Are test results available for drilled in fixings?

  Yes

  No

  N/A

• 7.12 - Is there a detailed operators manual available on site?

  Yes

  No

  N/A

• 7.13 - Does the equipment have its SWL indicated?

  Yes

  No

  N/A

• 7.14 - Are cradle moves being undertaken by competent persons (where required)?

  Yes

  No

  N/A

• 7.15 - Are those operating MEWPS, plant etc. competent – IPAF?

  Yes

  No

  N/A

• 7.16 - Has safe access into/out of the equipment been considered?

  Yes

  No

  N/A

• 7.17 - Is there an appropriate emergency plan in place?

  Yes

  No

  N/A

• 7.18 - Have copies of operator’s training/competence been copied into the site file?

  Yes

  No

  N/A

• 7.19 - Evidence of familiarity checks for operator?

  Yes

  No

  N/A

Section 8 – Temporary Works

• 8.1 - Are detailed designs and drawings available for any temporary works?

  Yes

  No

  N/A

• 8.2 - Has a competent person checked the temporary works after construction/erection?

  Yes

  No

  N/A

• 8.3 - Has the temporary works been modified/amended since erection without being rechecked?

  Yes

  No

  N/A

• 8.4 - Are the works in good order? E.g. Not showing signs of distress and/or excessive deflection.

  Yes

  No

  N/A

• 8.5 - Are all significant risks controlled?

  Yes

  No

  N/A

• 8.6 - Has a competent person been nominated as the 'temporary works co-ordinator'?

  Yes

  No

  N/A

• 8.7 - Is there evidence of regular checks on the temporary works?

  Yes

  No

  N/A

• 8.8 - Is a design check appraisal available?

  Yes

  No

  N/A

• 8.9 - Have copies of operator’s training/competence been copied into the site file?

  Yes

  No

  N/A

• 8.10 - Are copies of qualifications for 'temporary works co-ordinator' maintained within the site file?

  Yes

  No

  N/A

Section 9 – Mobile Plant

• 9.1 - Does the operator hold a CPCS Card or equivalent and is it of the correct type?

  Yes

  No

  N/A

• 9.2 - Is the plant in good order and suitable for the purpose for which it is provided or used?

  Yes

  No

  N/A

• 9.3 - Is the plant maintained so that it remains mechanically sound and are there records available?

  Yes

  No

  N/A

• 9.4 - Is the plant stable in use? Is there a safe way to get into and out of the cab and any other parts of the vehicle that need regular access?

  Yes

  No

  N/A

• 9.5 - Is the plant being operated in a safe manner? i.e. is the area segregated, hazard light on and banked if required by RA.

  Yes

  No

  N/A

• 9.6 - Are vehicle lights, reversing lights, a horn and other warning devices such as rotating beacons or reversing alarms fitted?

  Yes

  No

  N/A

• 9.7 - Is the plant fitted with Roll Over Protection System (ROPS) where necessary?

  Yes

  No

  N/A

• 9.8 - Are dangerous vehicle parts, such as power take –off, chain drives, exposed hot exhaust pipes appropriately guarded?

  Yes

  No

  N/A

• 9.9 - Is the vehicle suitable for any loads carried?

  Yes

  No

  N/A

• 9.10 - Is there a Manufacturers Operation Manual available to the Mobile Plant Operator?

  Yes

  No

  N/A

• 9.11 - Has security been considered and is the unauthorised use of plant prevented?

  Yes

  No

  N/A

• 9.12 - Are all significant hazards controlled?

  Yes

  No

  N/A

• 9.13 - Are seat belts fitted and used correctly?

  Yes

  No

  N/A

• 9.14 - Are mirrors and or closed circuit TV (CCTV) systems fitted and fit for purpose?

  Yes

  No

  N/A

• 9.15 - If used on the road is the vehicle registered etc and operator has a current UK Driving Licence?

  Yes

  No

  N/A

• 9.16 - Is equipment Manufacturers tag on machine? E.g Plate containing serial number etc

  Yes

  No

  N/A

• 9.17 - Is any towing/quick hitch in good order and spares available? – correct pin?

  Yes

  No

  N/A

• 9.18 - Are daily and weekly checks being carried out and recorded?

  Yes

  No

  N/A

• 9.19 - Is equipment that may be used for lifting marked with a SWL?

  Yes

  No

  N/A

• 9.20 - Is equipment that may be used for lifting thoroughly examined/tested and in date?

  Yes

  No

  N/A

Section 10 – General Work Equipment

• 10.1 - Are all safety devices in place and operational?

  Yes

  No

  N/A

• 10.2 - Is the equipment being used for the purpose that it was designed?

  Yes

  No

  N/A

• 10.3 - Are there specific assessments for noise, dust and vibration with adequate controls in place?

  Yes

  No

  N/A

• 10.4 - Are operatives competent to use the equipment?

  Yes

  No

  N/A

• 10.5 - Are tools and equipment in good condition?

  Yes

  No

  N/A

• 10.6 - Is there evidence that defective equipment is removed from use?

  Yes

  No

  N/A

• 10.7 - Are All significant risks controlled?

  Yes

  No

  N/A

• 10.8 - Are whip checks fitted to airlines?

  Yes

  No

  N/A

• 10.9 - Are test certificates available for specialist equipment?

  Yes

  No

  N/A

• 10.10 - If there is a requirement for an exclusion zone has this been established?

  Yes

  No

  N/A

• 10.11 - Are maintenance / inspection records available for the equipment?

  Yes

  No

  N/A

• 10.12 - Are copies of the training records available in the site file? E.g Abrasive wheels

  Yes

  No

  N/A

Section 11 – Lifting

• 11.1 - Are all lifting operations reviewed by a competent person and is there a Lifting Plan available for Cranes /Forklifts etc?

  Yes

  No

  N/A

• 11.2 - Are lifting operations adequately supervised and carried out in a safe manner?

  Yes

  No

  N/A

• 11.3 - Are test and examination certificates available for all equipment and accessories being used and in date?

  Yes

  No

  N/A

• 11.4 - Is all equipment in good visual order?

  Yes

  No

  N/A

• 11.5 - Are those involved with planning and executing the lift competent as specified by the lifting plan risk assessment?

  Yes

  No

  N/A

• 11.6 - Is the lift area secure? e.g. No lifting over live work areas, pedestrian management or whilst zoning is taking place.

  Yes

  No

  N/A

• 11.7 - Are licenses required? e.g. Oversailing work near railway lines, over public walkways, over schools, etc.

  Yes

  No

  N/A

• 11.8 - Are sufficient and appropriate insurance cover arranged for all liabilities, agreed and documented between all parties, before any lifting operations commence?

  Yes

  No

  N/A

• 11.9 - Is the Safe Working Load (SWL) clearly indicated on all cranes and lifting appliances?

  Yes

  No

  N/A

• 11.10 - Are only contract lifts used on site?

  Yes

  No

  N/A

• 11.11 - Are all significant risks controlled?

  Yes

  No

  N/A

• 11.12 - Are loads stable and secure with no projections and in accordance with the lifting plan?

  Yes

  No

  N/A

• 11.13 - Is the lifting plan being followed?

  Yes

  No

  N/A

• 11.14 - Are competent slinger / signaller / banksman being used and is there an effective system of communication between the operator and the slinger / signaller / banksman?

  Yes

  No

  N/A

• 11.15 - If applicable – Is there a risk assessment in place for an excavator being operated as a crane/hoist and gin wheels?

  Yes

  No

  N/A

• 11.16 - Has the correct lifting equipment been selected, used and stored in a safe manner? i.e. using a hoist rather than a gin wheel.

  Yes

  No

  N/A

• 11.17 - Is there a “Permit to Lift” in place for all operations involving conventional or mobile cranes?

  Yes

  No

  N/A

• 11.18 - Are lifting operations recorded in the Construction Phase SHE Plan?

  Yes

  No

  N/A

• 11.19 - Are height restrictors fixed to cranes / excavators that limit the height to which the job will reach and the limit to which a machine can slew?

  Yes

  No

  N/A

• 11.20 - Are copies of all certificates and training details maintained in the site file?

  Yes

  No

  N/A

• 11.21 - Is there evidence of adequate information, instruction, training and supervision available to all operatives involved in lifting operations?

  Yes

  No

  N/A

• 11.22 - Is there evidence that the lifting plan is reviewed in meetings for future adaptions to the plan?

  Yes

  No

  N/A

Section 12 – COSHH

• 12.1 - Have all substances which may be hazardous to health been identified, assessed, and use controlled and MSDS available?

  Yes

  No

  N/A

• 12.2 - Are all significant risks controlled?

  Yes

  No

  N/A

• 12.3 - Are hazardous materials being stored in accordance with MSDSs and COSHH assessments and recorded on register?

  Yes

  No

  N/A

• 12.4 - Has COSHH information been briefed out to those affected? - Record required.

  Yes

  No

  N/A

• 12.5 - Are control measures identified in COSHH assessment being operated?

  Yes

  No

  N/A

• 12.6 - Are the necessary first aid measures in place?

  Yes

  No

  N/A

• 12.7 - Is the COSHH storage identified on the site plan with appropriate signage displayed?

  Yes

  No

  N/A

• 12.8 - Where substances have WEL/STEL in place is adequate control and surveillance in place?

  Yes

  No

  N/A

• 12.9 - Have harmful products been substituted for less harmful products where possibly?

  Yes

  No

  N/A

Section 13 – PPE

• 13.1 - Is all PPE identified by Risk and COSHH assessments etc. being provided?

  Yes

  No

  N/A

• 13.2 - Is PPE provided of the correct type/grade?

  Yes

  No

  N/A

• 13.3 - Is appropriate RPE being utilized and Face fit test certification in place?

  Yes

  No

  N/A

• 13.4 - Are All significant risks controlled?

  Yes

  No

  N/A

• 13.5 - Is PPE/RPE being used in good order?

  Yes

  No

  N/A

• 13.6 - Is PPE/RPE being worn correctly or not at all (multiple failures)?

  Yes

  No

  N/A

• 13.7 - Where necessary have operatives been given instruction/training on use of PPE? - Evidence required.

  Yes

  No

  N/A

• 13.8 - Does the site have a sufficient supply of replacement PPE?

  Yes

  No

  N/A

• 13.9 - Are all but minor misuses of PPE eliminated?

  Yes

  No

  N/A

• 13.10 - Signage in place where required?

  Yes

  No

  N/A

• 13.11 - Where required, are maintenance records for PPE available?

  Yes

  No

  N/A

Section 14 – Manual Handling

• 14.1 - Have all manual handling operations been identified, assessed and managed and control measures briefed out?

  Yes

  No

  N/A

• 14.2 - Where mechanical aids been identified within RAMS are they being used?

  Yes

  No

  N/A

• 14.3 - Has manual handling training been provided where required? E.g. Manual Handling training (High risk) TBT to cover everything else.

  Yes

  No

  N/A

• 14.4 - Are weight of items known?

  Yes

  No

  N/A

Section 15 – Noise and Vibration

• 15.1 - Have areas where noise is likely to exceed the Lower Exposure Action Level 80 dB (A) been identified?

  Yes

  No

  N/A

• 15.2 - Have hearing protection zones been established for areas where noise exceeds 80 dB (A)?

  Yes

  No

  N/A

• 15.3 - Where required has a S61 consent been obtained and is there evidence of monitoring and compliance in accordance with it?

  Yes

  No

  N/A

• 15.4 - Have work practices where hand-arm vibration is likely to exceed the daily exposure limit value [5 m/s² A (8)] been identified?

  Yes

  No

  N/A

• 15.5 - Have work practices where whole-body vibration is likely to exceed the daily exposure limit value [1.15 m/s² A (8)] been identified?

  Yes

  No

  N/A

• 15.6 - Are All significant risks controlled?

  Yes

  No

  N/A

• 15.7 - Has noise above 80 dB (A) been controlled at source where possible?

  Yes

  No

  N/A

• 15.8 - Have others who may be affected by the noise been considered and consulted?

  Yes

  No

  N/A

• 15.9 - Does the site or task have working hour restrictions and are these complied with?

  Yes

  No

  N/A

• 15.10 - Is there adequate signage for hearing protection zones 85dB (A) and above?

  Yes

  No

  N/A

• 15.11 - Has information on hearing protection zones been briefed out? - Evidence required.

  Yes

  No

  N/A

• 15.12 - Has hearing protection been assessed to ensure compliance with other PPE?

  Yes

  No

  N/A

• 15.13 - Has a risk assessment been carried out for vibrating equipment which includes a soundly based estimate of the employees’ exposure to vibration?

  Yes

  No

  N/A

• 15.14 - Have all ENGIE Regeneration employees and site operatives been made aware of the risks and control measures in place for Noise and Vibration?

  Yes

  No

  N/A

• 15.15 - Are hearing protection zones identified on the site plan?

  Yes

  No

  N/A

Section 16 – Fire Prevention

• 16.1 - Are all potential sources of ignition, including waste and fuel identified, stored and controlled adequately??

  Yes

  No

  N/A

• 16.2 - Is the site operating a 'Hot Works' permit system and are the controls detailed within the permit being complied with?

  Yes

  No

  N/A

• 16.3 - Has the site developed a written fire plan, drawn fire plan and an associated risk assessment for all work areas and is it sufficient for the work place?

  Yes

  No

  N/A

• 16.4 - Are all significant risks controlled?

  Yes

  No

  N/A

• 16.5 - Is there suitable means of escape and are they kept clear?

  Yes

  No

  N/A

• 16.6 - Are fire extinguishers suitable for the types of fire likely to be encountered?

  Yes

  No

  N/A

• 16.7 - Is there suitable means of warning and an interlinked fire alarm where required?

  Yes

  No

  N/A

• 16.8 - Are fire points established and maintained?

  Yes

  No

  N/A

• 16.9 - Are fire extinguishers serviceable and maintenance records available?

  Yes

  No

  N/A

• 16.10 - Is there evidence that the fire plan is briefed out and/or included in the induction?

  Yes

  No

  N/A

• 16.11 - Is there a nominated and trained Fire Marshal(s)?

  Yes

  No

  N/A

• 16.12 - Where relevant, emergency arrangements give consideration to other occupiers/users?

  Yes

  No

  N/A

• 16.13 - Fire Drill held in accordance with the site fire plan?

  Yes

  No

  N/A

• 16.14 - Is the drawn fire plan displayed on the project board?

  Yes

  No

  N/A

Section 17 – Excavations

• 17.1 - Has the RAMS for excavation works been issued and relevant for Task?

  Yes

  No

  N/A

• 17.2 - Has service Drawings been obtained or PAS 128 survey been carried out?

  Yes

  No

  N/A

• 17.3 - Has a CAT and Genny been used to establish underground services on site and calibration certificates available?

  Yes

  No

  N/A

• 17.4 - Has training / Competency been obtained for Use of Cat and Genny?

  Yes

  No

  N/A

• 17.5 - Is there a permit to dig system in place?

  Yes

  No

  N/A

• 17.6 -Are excavations properly supported?

  Yes

  No

  N/A

• 17.7 - Is the excavation guarded to prevent people, material and plant falling in?

  Yes

  No

  N/A

• 17.8 - Have stop blocks been provided for plant?

  Yes

  No

  N/A

• 17.9 - Are all significant risks controlled?

  Yes

  No

  N/A

• 17.10 - Has a safe means of access/egress been provided for the excavation?

  Yes

  No

  N/A

• 17.11 - Is there an emergency procedure in place for excavations?

  Yes

  No

  N/A

• 17.12 - Is spoil stored at a safe distance from the sides of the excavation?

  Yes

  No

  N/A

• 17-13 - Has undermining of nearby structures been considered?

  Yes

  No

  N/A

• 17.14 - If other services have been exposed are they adequately protected and supported?

  Yes

  No

  N/A

• 17.15 - Record of inspections for the excavation available on site?

  Yes

  No

  N/A

Section 18 – Asbestos Management

• 18.1 - Is there asbestos information available and is it adequate for the works being undertaken?

  Yes

  No

  N/A

• 18.2 - Are works in progress covered by a risk assessment and/or plan of work and is the work correctly described and categorised?

  Yes

  No

  N/A

• 18.3 - Is non-licensable 'minor' work being undertaken by competent and trained personnel with the required insurances and approved by Regional SHEQ Manager?

  Yes

  No

  N/A

• 18.4 - Are licensable asbestos works being undertaken by a licensed company?

  Yes

  No

  N/A

• 18.5 - Has the HSE been notified using the ASB5 Notification form?

  Yes

  No

  N/A

• 18.6- Is the potential for accidental release of asbestos fibres identified and controlled?

  Yes

  No

  N/A

• 18.7 - Are all significant risks identified?

  Yes

  No

  N/A

• 18.8 - Has all asbestos information been communicated to relevant personnel?

  Yes

  No

  N/A

• 18.9 - Is there evidence that face fit testing has been carried out for the RPE being used with asbestos?

  Yes

  No

  N/A

• 18.10 - Are occupational health checks being carried out for Asbestos removal operatives?

  Yes

  No

  N/A

• 18.11 - Has a general briefing / toolbox talk on asbestos been carried out?

  Yes

  No

  N/A

• 18.12 - Are site managers carrying out Asbestos Checklists?

  Yes

  No

  N/A

• 18.13 - Has the Site Manager got access to the Emergency Release asbestos procedure and is it understood?

  Yes

  No

  N/A

• 18.14 - Relevant flow charts extracted from the asbestos standards are displayed on the site notice boards?

  Yes

  No

  N/A

Section 19 – Gas Safety

• 19.1 - Have gas appliances and flues been surveyed, identified, tested and documented? (smoke testing)

  Yes

  No

  N/A

• 19.2 - Have works that impact on gas appliances and flues been identified? (e.g. changes to ventilation during window replacement and working within 1m of a live flue)

  Yes

  No

  N/A

• 19.3 - Are all ‘gas works’ undertaken by Gas Safe registered persons? (excludes bayonet fittings)

  Yes

  No

  N/A

• 19.4 - Is there a gas flue ‘Permit to Work’ system in use for all works that impact on live gas flues, and is the system correctly implemented?

  Yes

  No

  N/A

• 19.5 - Are all significant risks posed by gas identified?

  Yes

  No

  N/A

• 19.6 - Is information on GAS SAFE registered persons used on site recorded and easily accessible?

  Yes

  No

  N/A

• 19.7 - Has the Site Manager undertaken the ENGIE Gas Safety training?

  Yes

  No

  N/A

• 19.8 - Are specific risk assessments and method statements available for works which may impact on gas appliances and flues, and are works undertaken in accordance with the planned method of work?

  Yes

  No

  N/A

• 19.9 - Is Stars and Stripes TBT delivered to all personnel?

  Yes

  No

  N/A

• 19.10 - Is commissioning paperwork available for all new live appliances?

  Yes

  No

  N/A

• 19.11 - Have those disconnecting/reconnecting bayonet fittings been trained and records kept? Do they have access to leak detection spray?

  Yes

  No

  N/A

• 19.12 - Are the Gas procedures available on site?

  Yes

  No

  N/A

• 19.13 - Are flue tags in use?

  Yes

  No

  N/A

• 19.14 - Are GAS SAFE registrations verified?

  Yes

  No

  N/A

• 19.15 - Does the site paperwork link an individual GAS SAFE registered person back to individual items of work?

  Yes

  No

  N/A

Section 20 – Electrical Safety

• 20.1 -Have RAMS been issued and are relevant for Electrical works on site?

  Yes

  No

  N/A

• 20.2 - Is the need for 'live' working eliminated?

  Yes

  No

  N/A

• 20.3 - Are works in the vicinity of live circuits adequately controlled? (e.g. safe isolation).

  Yes

  No

  N/A

• 20.4 - Has the risk from overhead services or live conductors been identified, and are suitable control measures in place?

  Yes

  No

  N/A

• 20.5 - Are all conductors properly insulated where required or 'permit to work' in place?

  Yes

  No

  N/A

• 20.6 - Are statutory undertaker’s plans available on site (where relevant)?

  Yes

  No

  N/A

• 20.7 - Are all significant risks controlled?

  Yes

  No

  N/A

• 20.8 - Are test certificates for temporary supplies available?

  Yes

  No

  N/A

• 20.9 - Are all site supplies certified with no visual defects?

  Yes

  No

  N/A

• 20.10 - Are all electrical appliances (including extension cables) PAT tested and in date?

  Yes

  No

  N/A

Section 21 – Traffic Management

• 21.1 - Is there a Traffic Management Plan (written and drawn) in place, implemented and displayed with corresponding risk assessment?

  Yes

  No

  N/A

• 21.2 - Is the need for vehicles to reverse either eliminated or managed?

  Yes

  No

  N/A

• 21.3 - Are transport and pedestrian routes segregated / protected and signposted?

  Yes

  No

  N/A

• 21.4 - Are risks to the public adequately controlled?

  Yes

  No

  N/A

• 21.5 - Are all significant risks and impacts controlled?

  Yes

  No

  N/A

• 21.6 - Are Internal / external roads maintained in a clean condition?

  Yes

  No

  N/A

• 21.7 - Are clearly identified and trained Vehicle Banksmen used for access / egress to site (where appropriate)?

  Yes

  No

  N/A

• 21.8 - Are there wheel cleaning facilities available on site where applicable?

  Yes

  No

  N/A

• 21.9 - Are deliveries planned to avoid congestion at site?

  Yes

  No

  N/A

• 21.10 - Are vehicles maintained in a clean and road worthy condition?

  Yes

  No

  N/A

Section 22 – Ecology, Archaeology and Heritage

• 22.1 - Is a bio diversity action plan completed for the site? (where required)

  Yes

  No

  N/A

• 22.2 - Have buildings likely to contain protected bats, nesting birds or other species been surveyed by the Client?

  Yes

  No

  N/A

• 22.3 - Have Tree Preservation Orders (TPO) or Client protected trees been identified?

  Yes

  No

  N/A

• 22.4 - Have listed buildings been identified and planning restrictions communicated?

  Yes

  No

  N/A

• 22.5 - Are areas likely to contain archaeological resources been surveyed by the Client?

  Yes

  No

  N/A

• 22.6 - Have areas with noxious and / or invasive plants been identified?

  Yes

  No

  N/A

• 22.7 - Are all significant impacts controlled?

  Yes

  No

  N/A

• 22.8 - Has a mitigation programme for protected species been developed?

  Yes

  No

  N/A

Section 23 – Water Resource Management

• 23.1 - Have water discharge points been identified and appropriate license in place?

  Yes

  No

  N/A

• 23.2 - Is bulk storage of fuel in accordance with oil storage regs?

  Yes

  No

  N/A

• 23.3 - Are all significant impacts controlled?

  Yes

  No

  N/A

• 23.4 - Is Oil / fuel drums maintained in bunded areas?

  Yes

  No

  N/A

• 23.5 - Is drainage from the office / canteen facilities to mains sewer or septic tank?

  Yes

  No

  N/A

• 23.6 - Is concrete wash-out collected in appropriate container (no discharge to ground)?

  Yes

  No

  N/A

• 23.7 - Is there a drainage plan on site (where appropriate)?

  Yes

  No

  N/A

• 23.8 - Is the drainage system maintained and free from blockages?

  Yes

  No

  N/A

• 23.9 - Are bunded areas free from rainwater, litter, oil, fuel etc.?

  Yes

  No

  N/A

• 23.10 - Is there evidence of spill clean up training delivered to site personnel, where applicable and spill kit available?

  Yes

  No

  N/A

Section 24 – Waste Management & Carbon

• 24.1 - Are Waste Transfer Notes and Consignment Notes held on site for all waste movements and are compliant with correct details?

  Yes

  No

  N/A

• 24.2 - Is all waste stored and segregated where possible with physical barriers and signed?

  Yes

  No

  N/A

• 24.3 - Are all significant impacts controlled?

  Yes

  No

  N/A

• 24.4 - Have all waste streams been identified and suitable storage obtained?

  Yes

  No

  N/A

• 24.5 - Have all hazardous waste streams been identified and suitable storage obtained?

  Yes

  No

  N/A

• 24.6 - Is there evidence of Internal waste transfer notes and are they completed properly for ENGIE and Subcontractors (where required)?

  Yes

  No

  N/A

• 24.7 - Is there a copy of ENGIE/Subcontractors Waste Carriers Licence in relevant ENGIE/Subcontractors vehicles?

  Yes

  No

  N/A

• 24.8 - Where possible energy usage (electricity / gas / other site fuel) is monitored and recorded (monthly) on the online recording system.

  Yes

  No

  N/A

• Completed By -

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• Received By -

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