HSE/003 - Health, Safety and Environmental Report

• Site Name

  Select

• Overall Site Report Category (Gold, Green, Amber, Red or Black)

  Green

  Gold

  Amber

  Red

  Black

• Contracts Manager (s)

• Site Supervisor (s)

• Conducted on

  Date

• HSE Manager / Advisor Name

• HSE Manager / Advisor Signature

  Sign

• Works at time of visit

Office

• Signing in/out

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Site Safety File/CPP

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Risk Assessments

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Inductions

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Toolbox Talks

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Traffic Management

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Relevant documentation displayed - Insurance / Policies / Accreditations

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• 7 Day Mobile Plant Sheets

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• 7 Day Small Plant Sheets

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• 7 Day LOLER Sheets

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Vibration Log

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Excavation Log/Temporary Works

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Plant / Lifting Certificates

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Permits to work - Permit to Dig / Hot Works / Confined Spaces / Pumping

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Training Certificates / Matrix

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Service Drawings - As Laid / Existing

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Office - Cleanliness / Organisation

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Electricity - PAT/EICR

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

PC Role

• Compound Setup - Where working as Principle Contractor

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• F10 - Where working as Principle Contractor

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Welfare / Toilets - Where working as Principle Contractor

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Site Security - Where working as Principle Contractor

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

Site Operations

• Material Storage

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Housekeeping

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• PPE

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Walkways

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Segregation

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Edge Protection

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Excavations

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Cutting/Grinding

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Lifting Operations

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Confined Spaces

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Underground/Overhead Services

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Plant Safety

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Bucket Change Areas

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Supervision

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Training Requirements

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Waste/Hazardous Materials

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Signage

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Road conditions

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Environmental Issues / Tree Protection

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Pumping Operations

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Silt Management

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Refuelling Point

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Mixing Areas

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Dust/Occupational Health

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Parking

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Other Trades

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Actions from Previous Report

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Other

  Select Compliant Major N/C Minor N/C Best Practice Black Item Not Inspected Not Applicable

  • Compliant
  • Major N/C
  • Minor N/C
  • Best Practice
  • Black Item
  • Not Inspected
  • Not Applicable

• Brief summary of visit