Title Page
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Site Name
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Location
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Conducted on
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Prepared by
Section 1 - Administrative Procedures
1.1 Project Planning
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Statutory Signage (F10, H&S Law Poster, Insurance etc.)
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Construction Phase Plan including Pre-Construction Information?
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Traffic Management Plan?
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Emergency arrangements suitable and displayed?
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Lift Plan available and reviewed?
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Demolition Plan?
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Scaffold Design?
1.2 Risk Management
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Method Statements, Risk Assessments & COSHH Assessments?
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Permits to Work?
1.3 Training
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Inductions records available?
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Training evidence available?
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On site training / tool box talks?
1.4 Site Monitoring and Inspections
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Statutory inspections (PUWER, LOLER, P.A.T., Temporary Electric)
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Scaffold Inspection (including podiums and towers) and handover certificates?
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Workplace inspections including excavations?
Section 2 - Physical Environment
2.1 Welfare Facilities
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Adequate welfare facilities (toilets, hand washing, canteen, drying room etc.)?
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First aid provisions including eye wash and first aid cover?
2.2 Work Environment
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Standard of housekeeping?
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Adequate access, egress and working space arrangements?
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Material storage?
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Temporary works / stability of structures?
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Sufficient lighting?
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Signage, barriers and guarding?
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Sufficient control of dust and fumes?
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Confined space arrangements?
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Work near / over water?
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Adverse weather?
2.3 Work at Height
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Risk of falls?
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Risk of falling materials?
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Unsafe scaffolding / towers including incomplete, damaged or SWL exceeded?
2.4 Excavations
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Stability of excavations?
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Guarding and access arrangements?
2.5 Plant and Equipment
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Unsafe or damaged plant/equipment (including missing or damaged guards)?
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Safe use of plant or equipment?
2.6 Lifting Operations
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Lifting operations including SWL exceeded or damaged equipment?
2.7 Traffic Management
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Vehicle and pedestrian management?
2.8 Live Services
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Contact with live services (above and below ground)?
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Temporary electrics?
2.9 Fire
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Fire precautions?
2.10 Public Protection and Security
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Safety of the public and site security?
2.11 Personal Protective Equipment
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Lack of or inadequate PPE?
Section 3 - Health
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Manual handling
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Noise / Vibration
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Asbestos/ dust
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Hazardous substances/ biological agents
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Temperature
Section 4 - Environmental
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Waste management
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Storage of fuel / substances including spill control
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Wash out / wheel wash
Section 5 - Comments, Observations and Other
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Other
Section 6 - Non-rectification of previous issues
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Detail any previous issues that have not been rectified
Sign Off
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Auditors signature
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On site representative
