HSE Inspection - V2 (October 2022)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Project Manager

• Site Manager

• Location
  Address

• MARKING CRITERIA – RISK AND ACTION BASED MARKING
  Notes:
  a) Use the most dominant column in the schedule to determine score allocated.
  b) Depending on the circumstances, one or more columns may be dominant e.g., ‘Vibration White Finger’ may be a ‘1’ but clearly would not cause a fatality or ‘No Welfare’ could be a ‘0’ but would not be extremely dangerous.
  MARK - TITLE - SEVERITY - EFFECT - ACTION
  
  Scoring:
  1 Very Poor (Stop Works)
  2 Poor (Immediate Action Required)
  3 Non-Conformance (Improvement Required)
  4 Good Practice
  5 Very Good / Excellent (Exceeding company expectations / H&S Innovation)
  Yes/No = automatic score of 0 or 5
  Overall Scores:
  85.1-90% Excellent
  82.1-85% Good
  80.1-82% Unsatisfactory
  0-80% Urgent Action Required
  The author believes that the information contained within this report to be correct at the time of printing.

1. Access & Egress

• 1.1 Site Entrance Conditions

  Select N/A 1 2 3 4 5

  • N/A
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• 1.2 Signage and Information

  Select N/A 1 2 3 4 5

  • N/A
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• 1.3 Gates and Doors Secured

  Select N/A 1 2 3 4 5

  • N/A
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• 1.4 Site Security

  Select N/A 1 2 3 4 5

  • N/A
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• 1.5 Hoarding and Fencing

  Select N/A 1 2 3 4 5

  • N/A
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• 1.6 Internal Walking Routes

  Select N/A 1 2 3 4 5

  • N/A
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• 1.7 Falling Object Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 1.8 Green Route

  Select N/A 1 2 3 4 5

  • N/A
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• 1.9 Vehicle Routes

  Select N/A 1 2 3 4 5

  • N/A
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• 1.10 Site Register

  N/A

  No

  Yes

• Add photos to section

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• Additional Comments

2. Emergency Systems

• 2.1 Means of Raising Alarm

  Select N/A 1 2 3 4 5

  • N/A
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• 2.2 Fire Points

  Select N/A 1 2 3 4 5

  • N/A
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• 2.3 First Aid Arrangements

  Select N/A 1 2 3 4 5

  • N/A
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• 2.4 Training

  Select N/A 1 2 3 4 5

  • N/A
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• Add photos to section

  Media

• Additional Comments

3. Housekeeping

• 3.1 Office / Meeting Rooms

  Select N/A 1 2 3 4 5

  • N/A
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• 3.2 Welfare areas

  Select N/A 1 2 3 4 5

  • N/A
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• 3.3 Underfoot Conditions

  Select N/A 1 2 3 4 5

  • N/A
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• 3.4 Site Cleanliness

  Select N/A 1 2 3 4 5

  • N/A
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• 3.5 Cable Management

  Select N/A 1 2 3 4 5

  • N/A
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• 3.6 Storage of Materials

  Select N/A 1 2 3 4 5

  • N/A
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  Media

• Additional Comments

4. PPE

• 4.1 Compliance with 3 point PPE policy

  N/A

  No

  Yes

• 4.2 Orange PPE (for banksman, marshals, slingers, and groundworkers)

  N/A

  No

  Yes

• 4.3 Hand Protection

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 4.4 Eye Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 4.5 Hearing Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 4.6 Respiratory Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 4.7 General PPE Arrangements

  Select N/A 1 2 3 4 5

  • N/A
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• 4.7 Visitor PPE

  Select N/A 1 2 3 4 5

  • N/A
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  Media

• Additional Comments

5. Work at Height

• 5.1 Leading Edges and Edge Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 5.2 Harness (Restraint and Fall Arrest)

  Select N/A 1 2 3 4 5

  • N/A
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• 5.3 Falling Object Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 5.4 Tower

  Select N/A 1 2 3 4 5

  • N/A
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• 5.5 Peco, Podium, Hop-Up, Ladder

  Select N/A 1 2 3 4 5

  • N/A
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• 5.6 MEWP (Scissor Lift / Cherry Picker)

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

6. Scaffold Conditions

• Is this section applicable?

  Yes

  No

• 6.1 Ladder Access

  Select N/A 1 2 3 4 5

  • N/A
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• 6.2 Footing

  Select N/A 1 2 3 4 5

  • N/A
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• 6.3 Bracing

  Select N/A 1 2 3 4 5

  • N/A
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• 6.4 Boards

  Select N/A 1 2 3 4 5

  • N/A
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• 6.5 Edge Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 6.6 Ties

  Select N/A 1 2 3 4 5

  • N/A
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• 6.7 Falling Object Protection

  Select N/A 1 2 3 4 5

  • N/A
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• 6.8 Loading Bays

  Select N/A 1 2 3 4 5

  • N/A
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• 6.9 Safe Working Load

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

7. Welfare

• 7.1 Designated Smoking Area

  Select N/A 1 2 3 4 5

  • N/A
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• 7.2 Means of heating Food and Water

  Select N/A 1 2 3 4 5

  • N/A
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• 7.3 Tables and Chairs with back rests

  Select N/A 1 2 3 4 5

  • N/A
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• 7.4 Drying room

  Select N/A 1 2 3 4 5

  • N/A
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• 7.5 Handwashing Facilities (Hygiene)

  Select N/A 1 2 3 4 5

  • N/A
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• 7.6 Toilet facilities

  Select N/A 1 2 3 4 5

  • N/A
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• 7.7 Drinking water available

  N/A

  No

  Yes

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• Additional Comments

8. Information and Signage

• 8.1 Noticeboard

  N/A

  No

  Yes

• 8.2 CCS Signage and Information

  Select N/A 1 2 3 4 5

  • N/A
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• 8.3 Warning Signage

  Select N/A 1 2 3 4 5

  • N/A
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• 8.4 Prohibition Signage

  Select N/A 1 2 3 4 5

  • N/A
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• 8.5 Mandatory Signage

  Select N/A 1 2 3 4 5

  • N/A
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• 8.6 Safe Condition Signage

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 8.7 Fire Safety Signage

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 8.5 Subcontractor Safety League Board

  N/A

  No

  Yes

• 8.6 EHS Promotional Material (Posters, Spotlights, Safety Alerts)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• Additional Comments

9. Electrical

• 9.1 Isolation Certificates

  Select N/A 1 2 3 4 5

  • N/A
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• 9.2 Installation Certificates

  Select N/A 1 2 3 4 5

  • N/A
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• 9.2 110v Equipment in use

  Select N/A 1 2 3 4 5

  • N/A
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• 9.3 Portable Appliance Tests and Temporary Electrical Installation Inspections

  Select N/A 1 2 3 4 5

  • N/A
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• 9.4 Fit for purpose

  N/A

  No

  Yes

• 9.5 Warning Signage and Protection

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

10. Plant and Work Equipment

• 10.1 Safe Operation of Plant

  Select N/A 1 2 3 4 5

  • N/A
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• 10.2 Vetting and Training, Competent Staff

  Select N/A 1 2 3 4 5

  • N/A
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• 10.3 Maintenance, Inspections, Examination

  Select N/A 1 2 3 4 5

  • N/A
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• 10.4 Correct Use and Storage of Tools

  Select N/A 1 2 3 4 5

  • N/A
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• 10.5 Guards and Stop Controls

  N/A

  No

  Yes

• 10.6 Workstations

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

11. Lifting Equipment, Appliances and Operation

• 11.1 Planning and SSOW

  Select N/A 1 2 3 4 5

  • N/A
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• 11.2 Lift Observations

  Select N/A 1 2 3 4 5

  • N/A
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• 11.3 Loading and Unloading Areas

  Select N/A 1 2 3 4 5

  • N/A
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• 11.4 Vetting and Training/Competent Staff

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 11.5 Maintenance, Inspection, Examination

  Select N/A 1 2 3 4 5

  • N/A
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• 11.6 Rescue Plan (inc training and kit)

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

12. Manual Handling

• 12.1 Assessments in place

  Select N/A 1 2 3 4 5

  • N/A
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• 12.2 Vertical Transportation of Materials

  Select N/A 1 2 3 4 5

  • N/A
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• 12.3 Horizontal Transportation of Materials

  Select N/A 1 2 3 4 5

  • N/A
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• 12.4 Training for operatives (including evidence of MHO TBT)

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

13. Asbestos

• Is the section applicable?

  Yes

  No

• 13.1 Asbestos Survey, Register and Management Plan

  Select N/A No Yes

  • N/A
  • No
  • Yes

• 13.2 Safe Working Practices

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 13.3 Reassurance Monitoring & Clearance Certificate

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 13.4 Awareness Training

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• Additional Comments

14. Excavation

• Is this section applicable?

  Yes

  No

• 14.1 Planning of Works (surveys, scans and permits)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 14.2 Access and Egress Arrangements

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 14.3 Excavation Wall Support

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 14.4 Edge Protection (pedestrian and plant)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 14.5 Excavation Inspection

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 14.6 Confined Spaces Monitoring and Rescue Plan

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• Additional Comments

15. Induction and Training

• 15.1 Induction materials available & records maintained

  N/A

  No

  Yes

• 15.2 Induction Register

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 15.3 Workforce Competency & Compliance Checks

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 15.4 Toolbox Talks (TBT)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 15.5 Daily Briefing (DABS)

  N/A

  No

  Yes

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• Additional Comments

16. CDM Documentation

• 16.1 Pre-Construction Information (PCI)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 16.2 Construction Phase Plan (PCC)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 16.3 Traffic Management Plan (TMP)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 16.4 Communication with CDM parties

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 16.5 General Awareness / Training

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 16.4 HSE Meetings

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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  Media

• Additional Comments

17. Temporary Works

• Is this section applicable?

  Yes

  No

• 17.1 Appointments of T.W.C and T.W.S

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 17.2 Temporary Works Register

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 17.3 Design Information (briefs, check certs, calcs, RA, drawings)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 17.4 TW Permit (erect, load, dismantle)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 17.5 Inspections

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• Additional Comments

18. Fire and First Aid

• 18.1 Fire Risk Assessment and Fire Strategy

  N/A

  No

  Yes

• 18.2 Storage and Removal of Flammables

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 18.3 Storage and Removal of Combustibles

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 18.4 Fire Drill

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 18.5 Weekly Fire Safety Inspections and Alarm Tests

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 18.6 First Aid Assessment

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 18.7 Emergency Procedures and Plan

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 18.8 Evacuation Routes and Fire Exits

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• Additional Comments

19. Supervision and Monitoring

• 19.1 Site Supervisors Daily Inspections

  N/A

  No

  Yes

• 19.2 Site Managers Daily Inspections

  N/A

  No

  Yes

• 19.3 Actions completed since the last audit

  N/A

  No

  Yes

• 19.4 Sub-Contractor on-site Manager/Supervisor

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 19.5 Management Training Records

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 19.6 Good Catch / Near Miss Reporting

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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  • 5

• 19.7 Accident / Incident Reporting

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 19.8 Co-Ordination Meetings)

  N/A

  No

  Yes

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• Additional Comments

20. Risk Assessments and Method Statements

• 20.1 CCL RAMS (for all CCL works)

  N/A

  No

  Yes

• 20.2 Sub-Contractors RAMS

  N/A

  No

  Yes

• 20.3 CCL RAMS Review

  N/A

  No

  Yes

• 20.4 Chemical (COSHH Assessments, Dust, Explosives, radiation)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
  • 2
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• 20.5 Biological (Contamination, Leptospirosis, Legionella, Covid-19)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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  • 5

• 20.6 Noise & Vibration (Occupational)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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  • 5

• 20.7 Permit To Work Systems

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• Additional Comments

21. Environmental

• 21.1 Site Environmental Management Plan

  N/A

  No

  Yes

• 21.2 Spill Kits and Hazardous Waste Bins.

  Select N/A 1 2 3 4 5

  • N/A
  • 1
  • 2
  • 3
  • 4
  • 5

• 21.3 Storage of Chemicals and Fuel

  Select N/A 1 2 3 4 5

  • N/A
  • 1
  • 2
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  • 5

• 21.4 Storage of Aggregates/Contaminants

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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  • 5

• 21.5 Protection of Watercourses

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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  • 5

• 21.6 Protection of Fauna and Flora

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• Additional Comments

22. Waste Management

• 22.1 Waste Management Plan

  N/A

  No

  Yes

• 22.2 Material and Waste Reduction

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 22.2 Skips / Bins (secure, waste separated, signposted, contained)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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  • 5

• 22.3 Waste Transfer Notes / Consignment Notes (WTN/CN)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 22.4 Waste Carriers License (WCL)

  Select N/A 1 2 3 4 5

  • N/A
  • 1
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• 22.5 Waste Water

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

23. Environmental Impact

• 23.1 Noise & Vibration (Environmental)

  Select N/A 1 2 3 4 5

  • N/A
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• 23.2 Dust

  Select N/A 1 2 3 4 5

  • N/A
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• 23.3 External appearance of site

  Select N/A 1 2 3 4 5

  • N/A
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• 23.4 Public Walking Routes

  Select N/A 1 2 3 4 5

  • N/A
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• 23.5 Neighbourhood communication (meetings, community noticeboard, newsletter).

  Select N/A 1 2 3 4 5

  • N/A
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• Additional Comments

24

• Any Comments and/or Advice for key upcoming works

• Signed by HSE Inspector

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• Signed by Site/Project Manager

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