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

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