Title Page
-
Site Name
-
Location
-
Conducted on
-
Prepared by
Section 1 - Administrative Procedures
1.1 Risk Management
-
Construction Phase Plan and Pre-Construction Information available?
-
Method Statements, Risk Assessments & COSHH Assessments?
-
Permits to Work?
1.2 Training
-
Training evidence available?
1.3 Site Monitoring and Inspections
-
Statutory inspections (PUWER, LOLER, P.A.T., Temporary Electric)
-
Scaffold Inspection (including podiums and towers) and handover certificates?
Section 2 - Physical Environment
2.1 First Aid
-
First aid provisions including eye wash and first aid cover?
2.2 Work Environment
-
Standard of housekeeping?
-
Adequate access, egress and working space arrangements?
-
Material storage?
-
Temporary works / stability of structures?
-
Sufficient lighting?
-
Signage, barriers and guarding?
-
Sufficient control of dust and fumes?
-
Work near / over water?
-
Adverse weather?
2.3 Work at Height
-
Risk of falls?
-
Risk of falling materials?
-
Unsafe scaffolding / towers including incomplete, damaged or SWL exceeded?
2.4 Excavations
-
Stability of excavations?
-
Guarding and access arrangements?
2.5 Plant and Equipment
-
Unsafe or damaged plant/equipment (including missing or damaged guards)?
-
Safe use of plant or equipment?
2.6 Lifting Operations
-
Lifting operations including SWL exceeded or damaged equipment?
2.7 Live Services
-
Contact with live services (above and below ground)?
-
Temporary electrics?
2.8 Fire
-
Fire precautions?
2.9 Public Protection and Security
-
Safety of the public and site security?
2.10 Personal Protective Equipment
-
Lack of or inadequate PPE?
Section 3 - Health
-
Manual handling
-
Noise / Vibration
-
Asbestos/ dust
-
Hazardous substances/ biological agents
-
Temperature
Section 4 - Environmental
-
Waste management
-
Storage of fuel / substances including spill control
Section 5 - Comments, Observations and Other
-
Other
Section 6 - Non-rectification of previous issues
-
Detail any previous issues that have not been rectified
Sign Off
-
Auditors signature
-
On site representative
