Health, Safety, Quality and Environmental Inspection Report

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Contractor on site

• Contractor Site Contact

• Position

  Supervisor

  Contracts Manager

  Senior Manager

  Other

• Position

Summary of Inspection

• undefined

• Temporary Works Designs / TG20 Compliance Sheets Provided?

  Yes

  No

  N/A

• What action is recommended and by whom?

• Is a design matrix available on site and maintained up to date?

  Yes

  No

  N/A

• What action is recommended and by whom?

• Site/Task specific RA/MS in place?

  Yes

  No

  N/A

• Recommended action and by whom?

• Where available for review, are current RA/MS signed by those present on site?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are daily task briefings / Point of Work Risk Assessments conducted?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are toolbox talks conducted on site?

  Yes

  No

  N/A

• Recommended action and by whom?

• Is the harness inspection register available on site? Is it maintained up to date?

  Yes

  No

  N/A

• Recommended action and by whom?

Site Conditions

• Is the relevant site safety signage in place? (Emergency procedures, First Aid provision and locations, Pedestrian Routes etc?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are welfare facilities provided by the principal contractor?

  Yes

  No

  N/A

• If not provided by the PC, what suitable arrangements are provided by the contractor as required under CDM?

• Are welfare facilities maintained in a suitable condition?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are pedestrian routes appropriately segregated and signed?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are exclusion zones established around lifting operations, overhead work or excavations?

  Yes

  No

  N/A

• Recommended action and by whom?

• General housekeeping standards

  Good

  Fair

  Poor

  N/A

• What hazards are identified and action required?

• Presence of slips, trips or falls on the same level

  Yes

  No

  N/A

• What hazards are identified and action by whom?

• Suitable levels of natural or task lighting provided?

  Yes

  No

  N/A

• Recommended action and by whom?

• Is the site or work area adequately protected from unauthorised access?

  Yes

  No

  N/A

• Recommended action and by whom?

Personal Protective Equipment Employees/Visitors

• Is all site and task specific PPE worn as identified in the RA/MS?

  Yes

  No

  N/A

• What items are not worn/used? What action is recommended and by whom?

• Hard hats worn correctly? No caps/hoodies etc worn underneath?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are safety glasses worn? (site or task specific)?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are high visibility vests or jackets worn? (good condition)

  Yes

  No

  N/A

• Recommended action and by whom?

• Is respiratory protection used where required? (drilling or cutting etc)

  Yes

  No

  N/A

• Recommneded action and by whom?

• If respiratory protection is in use, have operatives been face fit tested and clean shaven?

  Yes

  No

  N/A

• Recommended action and by whom?

• Is appropriate safety footwear worn and in good condition?

  Yes

  No

  N/A

• Recommended action and by whom?

• Is a harness inspection register available on site? Is it maintained up to date?

  Yes

  No

  N/A

• Recommended action and by whom?

• Is fall arrest or fall prevention equipment worn correctly and in serviceable condition?

  Yes

  No

  N/A

• Recommended action and by whom?

Fall Protection

• Is there a risk of objects falling from height?

  Yes

  No

  N/A

• What hazard or hazards have been identified? Recommended action and by whom?

• Is rescue equipment available on site where specified in the rescue plan?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are sufficient numbers of operatives trained in rescue techniques and equipment provided by the company?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are employees adequately protected from falls from height (working to SG4 etc).

  Yes

  No

  N/A

• Recommended action and by whom?

• Do working platforms have the correct guardrails and toe boards in place? (Scaffolding and pre-fabricated towers)

  Yes

  No

  N/A

• Recommended action and by whom?

• Is the correct equipment available on site as specified in the RA/MS (Rescue equipment/Scaff-steps etc).

  Yes

  No

  N/A

• What equipment is not provided? Action required by whom?

Tools and Equipment

• Are system products in use on site? (Haki/Layer etc?)

  Yes

  No

  N/A

• Do employees hold the relevant SSPTS?

  Yes

  No

  N/A

• Recommneded action and by whom?

• Are power tools/chargers, transformers, cables etc. in good order and PAT tested?

  Yes

  No

  N/A

• Recommended action and by whom?

• Is suitable firefighting equipment available on site?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are ladders in use in good condition? (no significant damage to stiles or rungs - feet fitted)

  Yes

  No

  N/A

• Recommended action and by whom?

• Are ladders secured at the correct angle?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are ladders adequately secured using NASC recommended guidance?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are ladders not in use secured to prevent unauthorised use?

  Yes

  No

  N/A

• Recommended action and by whom?

• Machine and tool guards in place?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are tools in use in good safe working condition?

  Yes

  No

  N/A

• Recommended action and by whom?

Ties and Stability

• Where drilled anchors are specified, have the appropriate number of tests been conducted?

  Yes

  No

  N/A

• Recommended action and by whom?

• Is anchor testing equipment calibrated within the last 12 months?

  Yes

  No

  N/A

• Recommended action and by whom?

• Have operatives responsible for conducting anchor testing hold relevant training?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are stability measures compliant with any bespoke designs or TG20 compliance sheets issued for the work?

  Yes

  No

  N/A

• Recommended action and by whom?

Special Structures - Bridging / Loading Bays / Stair Towers etc.

• Is structures installed compliant with bespoke designs or TG20 compliance sheets where issued?

  Yes

  No

  N/A

• Detail non-compliance and recommended action

• Where loading bays are provided, have these been installed in compliance with issued designs or compliance sheets?

  Yes

  No

  N/A

• Detail non-compliance and recommended action

• Where system or Tube and Fitting stair towers are provided, have these been installed in accordance with the manufacturers instruction or TG20 Guidance?

  Yes

  No

  N/A

• Detail non-compliance and recommended action

Lifting Operations

• Are gin wheels in use on site?

  Yes

  No

  N/A

• Are wheels in use clearly identifiable as within inspection schedule?

  Yes

  No

  N/A

• Recommended action and by whom?

• If lifting operations are conducted by the contractor, are operatives adequately trained and competent? (slinger/bankman trained?)

  Yes

  No

  N/A

• Recommended action and by whom?

Environmental Aspects

• Are products subject to COSHH in use by the contractor?

  Yes

  No

  N/A

• Is a COSHH assessment available for each product in use?

  Yes

  No

  N/A

• Recommended action and by whom?

• Recommended action and by whom?

• Is the contractor creating excessive waste on site?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are waste materials being disposed of in the correct facilities on site?

  Yes

  No

  N/A

• Recommended action and by whom?

• Are appropriate waste management facilities provided by the principal contractor?

  Yes

  No

  N/A

• Are hazardous products stored safely on site?

  Yes

  No

  N/A

• What hazards are identified? Recommended action and by whom?

• Are noise nuisance or dust issues identified by the activities of the contractor?

  Yes

  No

  N/A

• What issues are of concern and what action is recommended?

First Aid

• Is First Aid provision provided by the principal contractor on site?

  Yes

  No

• Is sufficient First Aid provision provided by the contractor

  Yes

  No

• Recommended action and by whom?

• Are First Aid kits available and suitably stocked? (Mobile Workforces)

  Yes

  No

  N/A

• Recommended action and by whom?

• Does the contractor employ suitable numbers of First Aid trained staff on site?

  Yes

  No

• Recommended action and by whom?

Contractor feedback

• Was the principal contractor available to provide feedback on the contractors compliance?

  Yes

  No

• Overall impression of the contractor?

  Good

  Fair

  Poor

  N/A

• What deficiencies are highlighted?

• Compliance with safety standards?

  Good

  Fair

  Poor

  N/A

• What deficiencies are highlighted?

• Overall interaction with the workforce?

  Good

  Fair

  Poor

  N/A

• What deficiencies are highlighted?

Consultant Sign Off

• Yes

  No

  N/A

• Name

• Position

• Signature

  Sign