Health Space Project Inspection

• Project Number

• Project Team

• Client

• Conducted on

  Date

• Number of operatives on site

Previous Report Date:

• Have all previous reports internal/external been closed out

  Yes

  No

  N/A

Site safety

• Access Equipment/Edge Protection/Scaffolding

  Safe

  At Risk

  N/A

• Score

• Action Code

  OBV

  A

  B

  C

  D

• Clear Routes/Walkways/Housekeeping/Materials

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Plant, Machinery & Lifting Equipment/ Appliances (Test Certification)

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Fire appliances/fire alarm systems/drills/signage

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Others (electricity, confined spaces, asbestos)

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Project Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Public/Visitors/Operatives

• Protection/Appearances

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Trip/Slip/Fall Hazard

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• PPE/RPE

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Road Street Works Management (is adequate control in place for deliveries)

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Has site been CCS registered (date)

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Project Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Welfare/Health

• Suitability/Cleanliness (offices, toilets, welfare facilities) (CDM 15 Requirements)

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• HAVs Control/ Manual Handling

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Notices/Posters

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Accidents

  accident/incident

  No accidents or Incidents

• Action Code

  OBV

  A

  B

  C

  D

• Score

• COSHH/Noise/Dust/Asbestos

  Safe

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Project Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Management

• Safety Records/Statutory Registers/Permits to Work

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• RAMS

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Safety Reviews/Safety Tours/Communication/ Training Certification<br>Action Code:<br>Score:

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Site Security/Site Entry/Safety Visible/Corporate Image<br>Action Code:<br>Score:

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Environmental Issues/SWMP/Waste Disposal/Spill Kit

  Yes

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Project Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Audit Completion

• Inspectors Overview

  Safe

  At Risk

  N/A

• KPSS Inspector

  Sign

• Project Representative:

  Sign

Guideline to the scoring matrix

• A=. Same Day.
  B=. Within 24hrs.
  C=. Within 3 days.
  D=. Within 7 Days.
  O=. Observation
  
  
  Guide to scoring
  10. = Excellent Approach to H&S
  8. = Meets company policy
  1-7 = Concerns
  0. = Uncontrolled Risks/No Safe System of Work (SSOW)
  
  80 - 100. Excellent approach to health and safety
  70-80. Good safe systems of work and meets Company Expectations
  50-70. Site just set up/ A better proactive approach to H&S required
  <50. Standards below Company requirements