Health, Safety & Environmental Site Inspection

• Document No.

• Conducted on

  Date

• Auditor

• Auditee

• Site

  Select
• Location
  Address

• Contract Manager Name

  Select Blair Adam Derek Robertson Paul Thomson Raymond Burns Scott Lambie William Hunter

  • Blair Adam
  • Derek Robertson
  • Paul Thomson
  • Raymond Burns
  • Scott Lambie
  • William Hunter

• Site Management Contact Details

General

• Current activities being undertaken on site

Inspection

• Administration

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Welfare Facilities

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Housekeeping (including storage area)

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Site Security / Public Interface

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Safe use of Plant and Machine Interface

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Excavation Safety

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Confined Spaces

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Work at Height

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Temporary Works

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Lifting Operations

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Work Equipment

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• COSHH

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Fire

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Emergency Arrangements

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Electrical Safety

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Occupational Health

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• PPE

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A

• Environmental / Waste

  Select Below compliance, immediate risk to life, property & environment Below compliance, no immediate risk to life or property & environment Compliant Above Compliance N/A

  • Below compliance, immediate risk to life, property & environment
  • Below compliance, no immediate risk to life or property & environment
  • Compliant
  • Above Compliance
  • N/A
Additional Findings

• Good

  Fair

  Poor

  N/A

Positive Intervention

• Details of safety conversations had on site with employees (include name of employee and topic)

Additional Comments

• Any additional comments

• Please add any corrective actions to the appropriate questions above before completing this report

Auditor(s)

• Name & Signature of Auditor

  Sign
Auditee(s)

• Name & Signature of Auditee

  Sign