Title Page
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Client
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Project / site inspected
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Inspection date and time
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Person(s) carrying out inspection
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Inspection location / area
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Key Personnel involved in inspection
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Brief overview of activities being undertaken / scope of inspection
Client Requirements
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Have all attended client site induction or briefing on client requirements?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are all cleint specific requirements understood and being adhered to?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are all signing in and out / or wearing ID (if required)?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are our works segregated from the clients activities / or interface with other parties being controlled?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are we protecting client / 3rd party property, surrounding area/infrastructure from potential damage from our activities?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Other (state in text box)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
Community / Considerate
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Parking and unloading - vehicles not causing disruption / inconvenience / blocking safe use of footpaths, roads etc?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are all employees being professional and considerate (i.e. using bad or inappropriate language, using banned or loud radios, smoking/vaping outside designated areas, not dressed appropriately, being confrontational etc.)?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Have the team communicated with the client, neighbours etc about the nature, duration and plan of works?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Complaints / Compliments / Feedback
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
Scaffold - Erection teams
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RAMS available, signed and understood
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Daily briefing carried out - all signed onto completed Daily Log Sheet
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Emergency Plan and arrangements available and all know what to do / report to in the event of an incident?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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First Aid provision - arrangements suitable (as a minimum first aid kit available and contents complete)?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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TG20:21 compliance sheet(s) or design available and being followed
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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SG22:04 are falls being prevented by following the guidance i.e. safe steps use, advanced handrails, harnesses worn, incomplete safe zones, working from full boarded lifts (3 boards not acceptable) and fully transomed lifts with a minimum of a single guardrail at 950mm)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are any required exclusion zones, safety zones, barriers etc in place and working effectively?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are tools appropriately tethered (where required)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Is there clear access and egress to our works (ground conditions, obstructions, etc)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Are there any overhead cables (powerlines, BT) or overhead obstructions and if so safe system of work in place?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Welfare - are there client facilities or transient welfare arrangements in place?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Noise (nuisance) - are there any restrictions on use of ratchet tools, and if so spanners being used?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Protection - is scaffold foam protected up to 2m (where required)?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Ladders/access - ladders not damaged and lashed with 6mm cord, ladder guard fitted with padlock, or staircases secured and locked?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Housekeeping - work area organised and tidy, no fittings left on ground, materials safely stacked/stored?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Scaff-tags - fitted with correct information or "pulled incomplete no not use" during erection or defects?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Vehicle (falls) - harness being used for gantry access, no persons standing on buck / load area without fall protection?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Other (state in text box)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
PPE
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Hard hats being worn correctly (and chin strap used if required)?
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Gloves being worn and suitable for task as per risk assessment / requirements
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Eye protection being worn as per task / requirements (i.e. light eye protection, impact rated goggles, face shield etc)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Hearing protection available and being worn as per risk assessment / task
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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High visibility clothing being worn (and any additional Class 2 or 3 as per risk assessment / task / client)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Respirators / Masks available and being worn as per risk assessment / task, in good condition and records completed
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Safety harness and lanyard being worn as required, in good condition and inspection record completed
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Company branded clothing being worn as required
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Other (state in text box)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
Company Vans
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Defect Report Sheet Completed
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Defects Reported
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Vehicle - cab clean and tidy, no loose items on dashboard, load area tidy, organised, loads secured appropriately, vehicle not overloaded or over weight (checks?) vehicle check book being completed correctly
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
Environmental
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Drains / Sewers / Watercourses protected
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Dust suppression equipment
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Public roads, footpaths and client areas clear of mud / dirt
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Waste Transfer Notes available
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Spill kits available
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Fuel, oils, COSHH being stored correctly to prevent spills / contamination
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Nuisance (lighting, noise, vibration)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken
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Other (state in text box)
- Safe (acceptable / compliant)
- Advisory (improvement needed)
- At Risk (unsafe / unacceptable / poor compliance)
- N/A or not checked / being undertaken