Title Page

  • Document No.

  • Location
  • Client

  • Conducted on

  • Prepared by

  • Site Supervisor

  • Personnel

  • Add signature

Plant and Materials

COSHH

  • Are all COSHH Data Sheets for materials on site available

  • Are all materials stored correctly

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  • Are Spill kits available on site

  • Are there any other COSHH issues

Small Tools

  • Check tools PAT Test and Condition

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  • Are small tolls all stored securely on site/in vehicles

Plant and Machinary

  • Check all Records of Thorough Examination

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  • Check that all Plant Inspections have been carried out

  • Check that Site Plant lists have been kept up to date and Submitted to Office

  • Check that all lifting equipment is fit for purpose and has correct certification

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Extinguishers and Blankets

  • Are there Fire Extinguishers and Blankets on site

  • Are they in date for test/maintenance

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Health and Safety

PPE

  • Are all Site Personnel wearing the correct PPE

  • Is all PPE in Good Condition

  • Are PPE stocks available on site

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Competence

  • Does Everyone have the relative competence for the activities that they are carrying out.

  • Are all site training needs being met

  • Who is the First Aider on site

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Welfare Facilities

  • Have adequate Welfare Facilities been provided

  • Have adequate toilet and washing facilities been provided

  • Are all Welfare facilities clean and tidy

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Documentation, Activities and Briefings

  • Have all staff had a recorded Task Briefing from the WPP/TB/SSOW

  • Are all of the required Permits to Work in place

  • Has a Toolbox Talk been conducted

  • Have all staff been inducted

  • Is there adequate Site Signage in place

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Access, Scaffolds and Edge Protection

  • Checks and Tags

  • Toe boards and guardrails in place

  • Stairs and Ladders

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Excavations

  • Are Guards/Barriers in place

  • Are Shoring/Batters in place - If not why

  • Is safe access/egress available

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General Site Safety

  • Are there sufficient Plant/Pedestrian segregation measure in place - Are here Banksman present

  • Is there a sufficient First Aid Kit on site - are it's contents sufficient

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HAVS

  • Is HAVS being monitored and recorded on site

  • Are adequate rotation periods being employed<br>

Environment

Air Pollution Control

  • Is the site watered to minimise dust

  • Are large stockpiles of dusty materials covered

  • Is dust suppression being employed in breaking/demolition activities

  • Are dusty roadways cleaned/watered down

  • Is there any black smoke emitted from Plant

  • Are there any other Air Pollution issues on site

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Water Pollution Control

  • Are Water discharge licenses in place and are they being adhered too

  • Are u channels and Manholes free from Silt and Sediment

  • Are manholes sealed and protected

  • Is Domestic Water Discharged to a septic tank or chemical toilets

  • Have provisions been made for concrete wash out

  • Are there any other water pollution issue on site

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Noise

  • Is there a section 61 in place and the restrictions being adhered to

  • Has Plant and Equipment been silenced<br>

  • Have any noise mitigation measures been employed

  • Are Noise warning signs in place

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Waste Management

  • Is the site Clean and Tidy

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  • Are waste segregation measures in place

  • Is waste being collected by approved and registered Waste Carriers

  • Are Waste Conveyance notes compliant

  • Has provision for COSHH waste been made

  • Have fuel/oil drums and plant been provided with drip trays

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  • Are Spill kits available on site

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  • Are there any other waste management issues

Flora, Fauna and Heratage

  • Are Disturbances to Flora minimised

  • Are Disturbances to Fauna minimised

  • Are there any Heritage issues on site

Quality

Inspection and Test Plans

  • Is there an Inspection and Test Plan in place

  • Have Concrete Pour records in place

  • Have concrete cube test been undertaken and do they conform with the project requirements

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.