HEALTH, SAFETY, WELFARE & ENVIRONMENTAL REPORT - P&R MORSON SITE ACTIVITIES

• Site

• Client

• Site Manager

• P&RM Contract/Project Lead

• Conducted on

  Date

• Document No

• Prepared by

• Project Start Date

• Estimated Project Completion Date

P&RM Site Office

• Noticeboard

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Health and Safety Documentation

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Facilities eg printer, scanner, first aid etc

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Work Permits

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• PPE Stock

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• H&S Observations/Suggestions

  Select N/A None One Two Three Four Five More than Five

  • N/A
  • None
  • One
  • Two
  • Three
  • Four
  • Five
  • More than Five

• General Housekeeping etc

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

Work Area and Activities

• Working at Height

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Working at Ground Level

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• PPE

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Work Area Housekeeping

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Store Rooms / Storage Areas

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Use of Barriers

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

• Task Lighting

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Select Not Applicable Very Good - 10 Good - 9 Good - 8 Okay - 7 Okay - 6 Okay - 5 Okay - 4 Poor - 3 Poor - 2 Very Poor - 1 Very poor - 0

  • Not Applicable
  • Very Good - 10
  • Good - 9
  • Good - 8
  • Okay - 7
  • Okay - 6
  • Okay - 5
  • Okay - 4
  • Poor - 3
  • Poor - 2
  • Very Poor - 1
  • Very poor - 0

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

Main Contractor

• Any observations or recommendations arising from this inspection?

• Add any relevant photos

  Media

Sign Off

• Name & Signature of Inspector

  Sign