Page 1: Initial questions
-
Conducted on
-
Prepared by
-
Location
-
Crew
-
Type of works being undertaken ?
Page 2: HSE Inspection
-
Do workers have a safe route to their place of work on the site?
-
Is the area of work secure so that the technician can carry out their works?
-
Are other people protected from works that are being carried out e.g. with warning signs and barriers?
-
Are Welfare & First-Aid facilities in place and do workers know where they are?
-
Are appropriate safety signs in place e.g. traffic routes?
-
Is there a risk of collapsing trench sides? If yes, is there adequate bracing?
-
Is the work vehicle in good condition?<br>(Photo(s))<br>
-
Is there any safety defects on the workers vehicle? If yes, describe any defects and include photos.
-
Are there beacon lights fitted to the work vehicle? If yes, do they work?
-
Does the worker have all the necessary PPE? If no, what items are the missing/needs replacing?
-
Has the work vehicle got ramps to remove pumps generators etc. ?
-
Is there a First-Aid kit in the works vehicle? If yes, when does it expire?
-
Is there a fire extinguisher in the works vehicle? If yes, when does it need to be serviced?
Equipment Inspection
-
Does the worker have Electrofusion welder ? If yes, what is the number of the welder?
-
Does the worker have Butt Fusion Welder ? If yes what is the number of the welder ?
-
Does the worker have a welding generator ? If yes what is the S/N of the generator ?
-
Is there any equipment with any defects? If yes, please explain?
-
Additional
-
undefined