Title Page

  • Site conducted

  • Project Name

  • Project Address
  • Conducted on

  • Principal Contractor

  • Contract Number

  • Report Prepared by

Site Conditions ,Security & Access and Egress

  • Site Perimeter Fencing ?

  • Security / Signage

  • Storage

  • Site Lighting Levels

  • Is there a "signing in and out" process in place ?

  • Site Tidiness

  • Edge Protection

  • Is access and egress on to site acceptable?

  • is access and egress acceptable in all areas on site ie roof spaces ?

  • Is there traffic management in place ?

  • Are there pedestrian walkways around site ?

  • Are Hazadours chemicals / Fuels being stored correctly?

Welfare - CDM Requirements

  • Are there facilities to wash with warm / hot water ?

  • Are there Male & Female Toilet facilities on site ?

  • Are the Toilets clean at time of visit ?

  • Is there access to fresh potable drinking water ?

  • Is there a rest area with high back seating ?

  • Is there means of heating food ?

  • Is there a Drying Room ?

  • Is their a designated Smoking Area ?

  • General Hygiene

  • Is there heating within welfare facilities ?

COVID19

  • Are there adequate wash stations so operatives can regularly wash hands ?

  • Are there hand sanitizer stations around site and in welfare areas ?

  • Are there ample supplies of hand soaps within welfare ?

  • Is 2m social distancing being adhered to ?

  • Are site areas (i.e. hand rails) and welfare being anti-bacterial cleaned ?

  • Is there a cleaning schedule displayed and signed off by main contractor ?

  • Is your site still operating a fingerprint sign in ?

  • Does your welfare facilities still have cups, plates and cutlery to share across site ?

Fire / Emergencies

  • Extinguishers / Fire points established

  • Accident Book on site

  • Escape Routes / Signs clearly indicated

  • Fire action plan / Liaison

  • Alarms

Notes and Recommendations (other than issues already listed in report)

  • item 1

  • item 2

  • item 3

  • item 4

  • item 5

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  • item 10

EMS Site Checklist

  • Are there adequate waste management procedures in place ?

  • Is the potential for noise pollution being adequately addressed ?

  • Is there evidence of uncontrolled emissions to air ?

  • Are there generators on site ?

  • Are fuel and hazardous substances being stored correctly ?

Photographic Evidence

  • is there photograpic evidence to support this report ?

Sign off Sheet

  • Signature of H&S advisor

  • H&S advisor print name

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