Title Page

  • Conducted on

  • Prepared by

  • Site Address
  • Client

Information and Score

  • General Overview

  • Site / Project Managers Present

  • Contractor Companies On Site

  • Number of Operatives on Site

  • Non - Conformance (NC) Scoring System:
    NC1- Immediate action required - Possible prohibition notice / improvement notice
    NC2- Action should be taken within an agreed time frame - possible improvement notice / fee for intervention
    NC3- Action to be taken as soon as reasonably practicable - Non -conformance relating to client management system.

  • Non - Conformances Recorded

  • Advice Provided

  • Audit score

  • Signed by site / project manager

Asbestos

  • Is there an up to date R&D survey in place?

  • Has it been cross referenced with the scope of works?

  • Has any asbestos been removed?

  • Have clean air certificates / certificates of reoccupation and waste consignment notes been collated?

  • Have in- date asbestos awareness certificates been collated for operatives?

Dust Control

  • Are activities that create dust being carried out?

  • Is dust being actively suppressed or extracted at source?

  • Are operatives exposed to dust wearing FFP3 masks?

  • Are there relevant face fit certificates for all operatives wearing masks?

Noise Control

  • Are noisy works being carried out?

  • Are engineering controls being used such as acoustic screens?

  • Have hearing protection zones been established?

  • Is hearing protection being worn as per RAMS?

  • Is noise monitoring being carried out and recorded?

Vibration

  • Are hand tools being used?

  • Is HAVS information available for all work equipment?

  • Is job rotation taking place?

  • Are vibration exposure levels being recorded?

Manual Handling

  • Are manual handling operations being carried out?

  • Is mechanical handling equipment or pant being used where possible?

  • Are manual handling assessments in place for non- mechanical lifting activities?

  • Are all operatives trained in manual handling?

Occupational Health

  • Is there occupational health information available in the welfare facilities?

Welfare / Housekeeping

  • Is there clear access around site?

  • Are materials and waste stored / managed to prevent trip hazards?

  • Are cables managed to prevent trip hazards?

  • Are tools and materials stored safely and securely?

  • Is there a drying room available?

  • Are the required toilet facilities available? <br>

  • Are toilets clean with all requirements?

  • Is there hand wash and means to dry hands available?

  • Is there hot and cold water available?

  • Is there drinking water available?<br>

  • Are canteen facilities available?

  • Are the facilities kept clean?

  • Is there first aid provisions available and the contents in date?

Fire

  • Are all fire exits clear and free from obstructions / trip hazards?

  • Are fire points in place in the work areas and welfare areas?

  • Do fire points contain suitable fir extinguishers, push button sounders and fire plans?

  • Are all fore extinguishers in date?

  • Does internal sheeting comply with LPS 1207 standard?

  • Does external sheeting comply with LPS 1215?

  • Are highly flammable liquids used and stored correctly?

  • Are LPG cylinders stored correctly in a locked gas cage at least 3m away from buildings and site boundaries?

  • Has the site manager issued any hot works permits?

  • Is there evidence of hot works being carried out on site?

  • Are hot works permits being issued / closed out?

  • Have all combustible materials been cleared from the area?

  • Are there 2 fire extinguishers in place in the vicinity in addition to the fire points?

  • Are fire retardant covers being used?

  • Is there a fire watcher in place?

Plant and Equipment

  • Is plant being operated correctly?

  • Is plant being stored correctly?

  • Is a Banksman being used with plant where necessary?

  • Is plant suitable for the task?

  • Is all plant maintained and inspected?

  • Is there evidence of PAT testing for all electrical equipment?

Segregation / Storage

  • Are all work areas adequately segregated to protect others outside the area?

  • Is there adequate signage on the hoardings / fencing?

  • Is there signage on distribution boards?

  • Is there a sign on the site entrance / work area entrance to inform visitors to sign in at the site office?

  • Are there signs on the entrances to controlled access areas to alert all operatives they need a permit?

Personal Protective Equipment

  • Are vis vests being worn?

  • Are hard hats being worn?

  • Are gloves fit for purpose being worn?

  • Is suitable protective footwear being worn as site rules?

  • Is PPE / RPE defined by risk assessments being worn?

Temporary Works

  • Are there site cabins that have been lifted into place?

  • Is there a lifting plan in place?

  • Are there temporary electrical certificates for all site cabins?

  • Are there internal or external hoardings on site?

  • Is a design required and is it available?

  • Are daily inspections carried out for all hoardings?

  • Are crane lifts planned or completed?

  • Is a lifting plan in place?

  • Are all lifting equipment certificates in place?

  • Are competency records in place for the slinger / Banksman / operator / supervisor?

  • Is there a scaffold on site?

  • Is a design required?

  • Evidence of design?

  • Built to design?

  • Is there a structural engineers report obtained where required for scaffold cited on canopies etc?

  • Has the site manager signed and accepted the scaffold had over certificate?

  • Is there evidence of pull tests for scaffold ties?

  • Is the scaffold inspected weekly and after adverse weather conditions etc?

  • Is the scaff tag up to date?

  • Is the scaffold segregated from the public / traffic routes etc?

Lighting

  • Is there adequate lighting in the site compound?

  • Is there adequate lighting in all work areas?

Work at Height

  • Is work at height being carried out?

  • Are mobile tower scaffolds being used?

  • Has a permit to work been issued

  • Are scaff tags being used?

  • Do step ladders conform to BSI standard class 1?

  • Has a step ladder permit been issued?

  • Are podiums fit for purpose?

  • Are all MEWPs fully segregated to avoid others entering the work area?

  • Do they require a Banksman?

  • Are harnesses being used on scaffolds, and articulated boom lifters?

  • Are harness inspections in place

  • Is there a rescue plan in place and all operatives familiar with the procedure?

Roof Works

  • Are roof works being carried out?

  • Has a roof permit been issued for all personnel?

  • Is roof access sufficient?

  • Is edge protection sufficient?

  • Is there other collective fall arrest equipment in use?

  • Are there fire points on the roof?

Excavations

  • Are excavation works taking place?

  • Has an excavation permit been issued?

  • Has existing drawings been cross referenced?

  • Have CAT scans been carried out prior to works being carried out?

  • Are services marked on the surface?

  • Has the work area been fully segregated?

  • Have excavation inspections been carried out?

Confined Spaces

  • Are there any works in confined spaces being carried out?

  • Has a permit been correctly issued?

  • Are all operatives trained in confined space entry?

  • Is there a rescue plan in place and operatives familiar with the procedure?

  • Is there rescue equipment available?

Environmental

  • Are there segregated skips on site?

  • Is all waste stored correctly?

  • Are there secured COSHH bins on site?

  • Are spill kits available

  • Are there liquids that require bundling on site?

  • Is the binding fit for purpose?

Promulgation of Notices

  • Is the F10 on display?

  • Are policy statements on display?

  • Are insurance documents on display?

  • Is there a Health and safety law act poster displayed?

  • Is first aid information on display?

  • Are site rules on display?

Site Folders

  • Is the pre construction information available?

  • Is there a construction phase health and safety plan?

  • Appointment of Principal Contractor letter?

  • Is there asbestos information available?

  • Are all accidents / near misses being recorded?

Attendance / Tool Box Talks

  • Are all operatives signing in and out?

  • Is there an up to date programme of works?

  • Have weekly tool box talks been carried out?

  • Has a the site fire risk assessment been carried out?

  • Are fire plans on display in all work areas?

  • Have any fire drills been carried out?

  • Are weekly fire inspections being completed?

  • Are plant inspections up to date?

  • Have thorough examination certificates been received for all items of plant?

Risk Assessments / Method Statements

  • Are suitable and sufficient risk assessments received from all contractors?

  • Have all operatives signed the risk assessments?

  • Have all risk assessments been signed and approved by the site manager?

  • Are there COSHH Assessments for all substances on site?

  • Have all operatives completed induction forms?

  • Have all induction forms been signed by site managers?

Individual Competencies

  • Is there evidence of CSCS cards for all operatives?

  • Are there asbestos awareness certificates for all operatives who require them?

  • Are there SMSTS certificates for site managers?

  • Have face fit certificates been received for P3 masks?

Work Permits

  • Are permits being issued and controlled correctly?

  • Are they being signed off?

  • Are all control measures being followed?

Temporary Works

  • Has a temporary works register been completed?

  • Are all designs and calculations available for all temporary works on site?

  • Are hand over certificates filed?

Quality Assurance Checks

  • Have quality assurance checks been carried out? <br>

  • Any other items that require mention?

  • Photo's

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.