Title Page

  • Conducted on

  • Project Name

  • Location
  • Audited by

  • Brief Description of Works

  • Inspection Reference Number

  • Project Manager

  • Overall Inspection Score

  • Report Status

Documentation

  • PAT testing inspection records / electrical installation test records / landlord’s electrical & gas certs:

  • Pre-commencement meetings undertaken with sub-contractors and minutes kept:

  • Daily Signing In Complete:

  • Fire risk assessment and Fire Safety plan been compiled. Displayed and communicated?:

  • Site security plan, compiled, displayed and communicated:

  • Is the PPE register Being Utilised:

  • Induction register utilised together with Pre-commencement Safety Questionnaire:

  • F10 displayed on site, Correctly filled in and all duty holders named.: :

  • Has an Environmental Emergency Preparedness Plan been Completed.

  • Young person’s risk assessment in place where appropriate:

  • Plant / equipment operators (CPCS) and Trade (CSCS) competency certificates available:

  • Permits in use e.g. to discharge, digging, temporary works, lifting, confined space, commissioning, electrical etc::

  • Latest toolbox talks / Environmental & Safety alerts posted and briefed ::

  • Site notice boards: Statutory notices posted, policies, insurances as per PMP section 9.1:

  • Emergency drills: fire, spillage, confined spaces carried out where necessary:

  • Emergency Plans and Arrangements (inc Out of hours Emergency plan in place & workable) reviewed monthly, displayed and communicated:

  • Confined space inspection records in place (including Check List, Permit, Qualifications, Tools & Equipment):

  • Waste Carriers Certificate displayed:

  • Flood plan (if applicable):

  • Waste Carriers Certificates/Disposal Permits for external waste companies used (EA Checked):

  • Has the Site Inspection Checklist been completed weekly/monthly:

  • Site Register of Inspections (SRI) being Completed:

  • Has a Site Safety, Health & Environmental Setup Checklist been completed (SSHESUC):

  • POWRA's (Completed at the point of work):

  • Temporary Electrical Installations (Cabin, cabin feeds, over pumping etc..) are in good working order, appear free from damage and recorded in SRWI (F91 equivalent), includes RCD testing.:

  • Is there a waste exemption / permit for site activity and is it being complied with::

  • Can the Site Manager demonstrate how to use the HSEQ Portal?:

  • Evidence that Operatives have received Manual Handling training in the last 3 years:

  • Have confined Spaces been correctly identified? If so are all controls in place as per assessment.

  • Site induction adequate arrangements effective:

  • Temporary works controls in place. Temp works register in place, evidence of design approval, duty holders appointed. Signed permits to proceed in place:

  • Design Risk Assessments (DRAs) available on site and sufficient.:

  • Residual risks have been communicated to construction drawings and CPP.:

  • CDM area plan agreed with the STW Wholesale Operations, Authorisation to work and site safety agreements and in place.:

  • Permits to load/strike/remove in place.:

  • Operatives on third party sites have adequate site induction and signed in:

  • PUWER Inspections carried out and carried out in accordance with company procedures including PAT testing:

  • LOLER Inspections carried out and evidenced (12 months for lifting, 6 months for accessories):

  • Lifting plans in place, lift supervisor appointed:

  • Adequate Ladders & scaffolds used, checked and Recorded within the Ladder Register and tagged :

  • Excavation register / permits to dig in place / In date and Signed off Daily:

  • Evidence of Daily Plant & Machinery Inspection records in place and checked by Site Management:

  • Evidence of competency checks being conducted.:

  • Liaison with power suppliers undertaken where required.:

  • Liaison regarding archaeology undertaken where required.:

  • Liaison regarding land drainage undertaken where required.:

  • Liaison with Network Rail undertaken where required.:

  • Liaison with Fire Service undertaken where required.:

  • Land entry notices in place. Land and Planning consultant appointed where required.:

  • Planning considerations being managed effectively.:

  • Are Pre Commencement Safety Questionnaires being completed, managed and Controlled as per the Induction & GDPR process

RAMS

  • Noise / vibration / dust monitoring and suppression as stipulated in your RAMS and With COSHH assessments (attached):

  • PPE being used as per the Operatives RAMS and in good condition, Site rules and COSHH assessments attached to RAMS:

  • RAMS in place to cover deliveries, loading and off loading:

  • Manual handling assessments in place:

  • Have the RAMS been communicated to and understood by the site team, signed:

  • Do the RAMS address site specific significant environmental and H&S risks::

  • Completion and attachment of the Method Statement Cover Sheet (MSCS) for supply chain RAMS:

  • All changes in technique recorded appropriately within the workpack and RAMS reviewed:

  • Working at height controls in place as per RAMS and SSRA:

Welfare

  • Clean hot and cold, running water available and soap:

  • Toilets should be suitable and sufficient, and clean:

  • Welfare unit van adequate for number of operatives kept clean and tidy:

  • Vehicle interiors kept clean & tidy:

  • Are mobile works facilities provided at a central location accessible within a reasonable distance or time:

  • Drinking water provided or made available at readily accessible and suitable places:

  • Eyewash Available and within Expiry Date:

  • Drying / changing rooms with hooks, benches and heating:

  • Cleanliness of site cabins/canteen, adequate number of tables and chairs with backs:

Site Activities

  • Adequate safety arrangements for demolition, structural stability, temporary supports:

  • Fire escapes Clear and warning signs Displayed:

  • Controlled access to site including secure hoardings, fencing, site security Arrangements in place:

  • Safe access and egress to work locations including security and task lighting, CCTV working?:

  • Fire Extinguishers / Fire Blankets, Smoke Alarms and maintenance records in date and checked weekly:

  • Adequate number of First Aiders on site with contact details displayed, First Aid equipment sufficient for numbers of personnel on site and is adequately stocked and in within expiry date:

  • General tidiness / housekeeping - elimination of slips, trips and falls:

  • Proper storage of flammables / LPG / Gases:

  • Adequate control measure in place for working on or near water:

  • Excavations shored as required including fenced off with good access / egress arranged and where applicable with vehicle bump stops in place:

  • FFP3 Dust Masks and Face Fitting Being Carried out:

  • Company name boards in place and in Good Order:

  • Plant operating in accordance with GS6 in vicinity of overhead cables (Attach photo of controls in place )

  • Evidence of use of permit to work procedures e.g. excavation, electrical, confined space, lifting.:

  • COSHH items clearly labelled, sealed, stored and bunded within a lockable cabinet/ Stores clearly Identified with COSHH Contents and assessments available for briefing:

  • Materials storage – stored correctly, protected from elements, stack heights, access to storage area adequate etc:

  • Use of vibratory tools, reduced by job rotation, low vibration level tools chosen and Tool trigger cards for controlling hand arm vibration in use:

  • Vehicles, trailers and plant in good working order, fully equipped and used correctly:

  • Traffic management plan in place suitable for the works being carried out.:

Safe Dig

  • Service Plans: Legible and in colour:

  • Service Plans: Gas, linesearch in date ( no older than 1 month):

  • Service Plans: Electricity, Virgin in date ( no older than 3 months):

  • Service Plans: BT, Water in date ( no older than 6 months):

  • Was area scanned prior to work starting:

  • Has the CAT Data been downloaded and Analysed on CAT Analysis Tool?

  • Has the CAT been used in all 4 modes:

  • Has the Genny been utilized :

  • Are exposed services protected and supported:

  • Are Excavation Tags Displayed at the point of the excavation, is it filled out appropriately daily for all excavations:

  • Is the Bucket changing area barriered off with signage displayed and being used?:

  • Quick Hitch Inspection Log (QHIL) and Quick Hitch Daily Inspection Record (QHDIR) is being completed:

  • Have New Starters using CAT and Genny, who hold a valid ticket, been competency assessed within 2 weeks of starting on a live site and lasting for 2hrs or more?:

  • Have those using CAT & Genny Completed re-certification training of the competency assessment at no greater than 3 year intervals?:

  • Are post incident competency assessments completed with site teams before re-starting work following an incident?:

  • Does the Incident Form for service damage investigations have equivalent content to the enhanced USAG form?:

  • Has the incident investigation form been completed fully including insurance mitigation details, has these been sent to HSEQ Ireland and entered on the Incident App CAT download and photos?:

  • Are located services clearly marked up on site and markings maintained for duration of works?:

  • SSOW/RAMS contains: CAT & Genny checks must be carried out throughout the duration of excavation operations. Scan before breaking ground, re-scan after removal of surface and as frequently as practical to avoid striking a service, not exceeding 300mm:

  • Does CAT & Genny data download weekly to SPX software indicate use in accordance with statement in SSOW?:

  • Does CAT have data download facility?:

  • Is CAT data downloaded and analysed after an incident and attached to the incident investigation form?:

  • Is Flame Retardant clothing worn as outer clothing when breaking ground or working near exposed services?:

  • Potential loadings adjacent to excavations have been assessed:

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.