Information

  • Project Number

  • Project Team

  • Client

  • Conducted on

  • Number of operatives on site

Previous Report Date:

  • Have all previous reports internal/external been closed out

Site safety

  • Access Equipment/Edge Protection/Scaffolding

  • Score

  • Action Code

  • Clear Routes/Walkways/Housekeeping/Materials

  • Action Code

  • Score

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

  • Action Code

  • Score

  • Fire appliances/fire alarm systems/drills/signage

  • Action Code

  • Score

  • Others (electricity, confined spaces, asbestos)

  • Action Code

  • Score

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

Public/Visitors/Operatives

  • Protection/Appearances

  • Action Code

  • Score

  • Trip/Slip/Fall Hazard

  • Action Code

  • Score

  • PPE/RPE

  • Action Code

  • Score

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

  • Action Code

  • Score

  • Has site been CCS registered (date)

  • Action Code

  • Score

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

Welfare/Health

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

  • Action Code

  • Score

  • HAVs Control/ Manual Handling

  • Action Code

  • Score

  • Notices/Posters

  • Action Code

  • Score

  • Accidents

  • Action Code

  • Score

  • COSHH/Noise/Dust/Asbestos

  • Action Code

  • Score

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

Management

  • Safety Records/Statutory Registers/Permits to Work

  • Action Code

  • Score

  • RAMS

  • Action Code

  • Score

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

  • Action Code

  • Score

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

  • Action Code

  • Score

  • Environmental Issues/SWMP/Waste Disposal/Spill Kit

  • Action Code

  • Score

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

Audit Completion

  • Inspectors Overview

  • KPSS Inspector

  • Project Representative:

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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.