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
-
item 6
-
item 7
-
item 8
-
item 9
-
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