HSE Inspection (Form HS3) For Cameron/ Galliers Homes Sites

• Site Name

  Select

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

  Select Gold Green Amber Red Black N/A

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • N/A

• Date of Inspection

  Date

• Site Manager/ Persons Present

• Production Manager/ Build Manager Name

• HSE Manager/ Advisor Name

• HSE Manager/ Advisor Signature

  Sign

• Comments:

Please Note: 3 Amber scored Items cannot obtain an overall Gold report. 2 Red scored items cannot obtain an overall Gold report.

• A "Green" score given for a subject matter category does not necessarily indicate that this area received in in-depth review during the inspection process. It may be no non-conformity was observed or detected during the inspection process.

• 1: Site Induction

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 2: Toolbox Talks

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 3: Outstanding Corrective actions

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 4: Risk Assessments

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 5: Method Statements

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 6: Construction Phase Plan

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 7: Workforce Communication

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 8: Competent Persons

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 9: Statutory Documents

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 10: First Aid

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 11: Monitoring (Site Manager & Production Manager Inspections)

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 12: Permit to Work

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 13: Site Security and Public Safety

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 14: Contractor Pre-start/ Pre-order meetings

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 15: Pre-Planning & Forthcoming Works

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 16: Occupation Strategy

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 17: Emergency Procedures

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 18: Welfare & Wellbeing

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 19: Food Hygiene

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 20: Safety Signs

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 21: Safe Access

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 22: Housekeeping & Workplace Cleanliness

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 23: Traffic Management

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 24: Lifting Operations

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 25: Scaffolding

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 26: Ladders

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 27: Work at Height

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 28: Falling Objects

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 29: Excavations & Spoil

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 30: Confined Space

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 31: Work Equipment

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 32: Hand Arm Vibration

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 33: Noise

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 34: Hot Works

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 35: Electricity

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 36: Supervision

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 37: Personal Protective Equipment

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 38: Structural Safety

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 39: Mobile Work Equipment

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 40: Environment & Sustainability

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 41: Asbestos

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 42: Fire

  Select Gold Green Amber Red Black Not Applicable/ Recorded

  • Gold
  • Green
  • Amber
  • Red
  • Black
  • Not Applicable/ Recorded

• 43: Storage

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 44: Materials & Manual Handling

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 45: COSHH & Hazardous Substances

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 46: HFL/ LPG

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 47: Waste Management

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 48: Sales & Show Home Area

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 49: Other

  Select Green Amber Red Black Gold Not Recorded/ Applicable

  • Green
  • Amber
  • Red
  • Black
  • Gold
  • Not Recorded/ Applicable

• 50: Service Strike (Within the last reporting period)

  Yes

  No

  N/A