Title Page
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Site Name and Site ID:
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Date of Inspection:
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Site Address and Post Code:
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Site Type:
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Client:
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Prepared by:
Site Personnel at Time of Inspection
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Tap "+"
Personnel
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Name
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Company
1.00 The Worksite
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1.01 Is there a supervisor on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.02 Has the supervisor carried out a Site Induction to all personnel on site? (inc. visitors)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.03 Can the supervisor deomonstrate adequate health and safety competence on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.04 Have site risks and hazards been identified and suitable controls implemented?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.05 Have the risks and hazards from the site works been identified and suitable controls implemented?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.06 Have site environmental risks and hazards been identified and suitable controls been implemented? (e.g. needles, leptospirosis, bird faeces)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.07 Are site rules in place and are they adequate and sufficient?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.08 Is there safe access/egress to the site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.09 Is housekeeping sufficient? (is the site clear, company vans tidy, adequate storage, waste managed and spoil stored correctly)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.10 Does the site demise have adequate barriers in place to segregate and protect the public? (i.e. compound fencing, chapter 8 barriers, pedestrian barriers)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.11 Is there suitable and sufficient safety signage in place with relevant company contact details displayed?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.12 Are there adequate first aid provisions on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.13 Are welfare facilities available on site? (if not, is the supervisor aware of the nearest welfare facilities)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.14 Are RF monitors available on site and being used where necessary? (have they been calibrated?)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.15 Are tools and equipment being used on site fit for purpose, in good condition and tested where necessary?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
Traffic Management
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1.16 Is traffic management required for site works?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.17 Is there a Traffic Management Plan available on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.18 Has the Traffic Management Plan been implemented correctly and safely?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.19 Do traffic management personnel have sufficient training and is there evidence on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.20 Are all chapter 8 barriers (or alternative) on site completely connected to create a secure closed site demise?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.21 Is pedestrian management suitable and sufficient? (i.e. is there a minimum of 1.2m width walkway available at all times? 1m absolute minimum)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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1.22 Is a copy of the permit number, ETON permit and streetworks permit available on site and have they been displayed?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
2.00 Site Personnel Safety Awareness
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2.01 Are identification cards available on site for all personnel? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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2.02 Is the relevant and correct PPE available and being worn by all personnel on site? (i.e. safety boots, hard hats, hi-vis clothing)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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2.03 Do employees understand the company accident, incident & near miss reporting process and forms?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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2.04 Are Emergency Arrangements in place? (evacuation, fire, muster points, accidents etc.)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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2.05 Are employees aware of the nearest A&E hospital?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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2.06 Are site personnel aware of any and all the site providers accident and emergency procedures and arrangements? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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2.07 Have employees received the latest tool box talks, safety alerts and H&S bulletins and is there evidence that they have been briefed to all site personnel?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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2.08 If asbestos is present is do employees know what action is to be taken
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
3.00 Documentation and Certification
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3.01 Is there an approved permit to work available on site? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.02 Have the relevant personnel booked on to site as per Client requirements?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.03 Is there a CPHSP available on site? Have all personnel been recorded on to the CPHSP following a site induction?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.04 Is there a site specific Risk Assessment available on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.05 Is there a Method Statement available on site? Is it accurate and adequate for the works taking place?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.06 Has a Dynamic Risk Assessment been carried out prior to the start of works? Is it thorough and accurate?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.07 Do all personnel on site have the necessary and relevant training to carry out their works and is there evidence on site? (i.e. certs for First Aid, Manual Handling, Electrical Competence, etc.)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.08 Is there an accident book available on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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3.09 Is an F10 displayed on site? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
4.00 Electricity
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4.01 Can the system that needs to be worked on be isolated? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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4.02 Is there a clearly defined method and electrical drawing for the works?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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4.03 Is a complete LOTO kit on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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4.04 Is there a proving unit on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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4.05 Is calibrated test equipment available on site, are leads fused?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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4.06 Are insulated hand tools available?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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4.07 Where applicable has equipment been PAT tested?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
5.00 Substances
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5.01 Has the site been identified as having asbestos containing materials and has it been reported?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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5.02 Is there an asbestos survey available on site and has it been read and understood? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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5.03 Has any gas, fume, dust or spray hazards been identified and have adequate controls been implemented?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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5.04 Are COSHH Assessments available on site with the relevant information and have they been completed and understood?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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5.05 Have adequate COSHH Control Measures been implemented on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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5.06 Is there safe and suitable storage for COSSH related materials and liquids? (i.e. flammable materials, spoil etc.)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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5.07 Have all 'other' risks been considered and the relevant controls implmented? (i.e. drains protected from spills)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
6.00 Excavation and Pre-Excavation Documentation
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6.01 Are excavation works taking place?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.02 Is there a STATS report available on site and dated within the last 3 months (28 days for gas)?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.03 Is there an adeqaute Trial Hole Report available on site showing relevant findings?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.04 Is there a Permit to Dig available on site and has it been completed by a competent person?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.05 Are the relevant drawings available on site and being followed correctly?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.06 Is a CAT Scanner and Genny available on site? (is it suitable and calibrated?)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.07 Is there evidence that the CAT Scanner and Genny have been used? (have services within the area been identified and marked?)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.08 Have the personnel on site been trained to use the CAT Scanner and Genny competently? (evidence of certification from an approved provider)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.09 Are safe digging practices being followed? As per HSG47, do employees have access to a copy of HSG47?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.10 Is plant used on site being operated in a safe manner? (i.e. has slewing zones been considered, is it being operated from a safe distance to excavation)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.11 Is there a Thorough Examination Report available on site for all plant?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.12 Has plant operator received the required training and is there evidence available on site? (tickets, certifications)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.13 Is there safe access and egress to excavation?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.14 Have adequate controls been implemented to protect nearby structures? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.15 Have adequate controls been implemented to protect nearby services? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.16 Have controls been considered to protect members of the public from excavations overnight or when there are no personnel present on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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6.17 Copy opening notice / Symology report available on site
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6.18 Permit number for Item 6.12 (Enter in comments/ Details column)
7.00 Working at Height
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7.01 Operatives had had appropriate training (e.g. roof top safety)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.02 Is working at height required for site works?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.03 Are all personnel taking part in Working at Height activities trainined to do so? (IPAF, PASMA, Rooftop Training, RF Awareness Certificates etc.)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.04 Is the relevant PPE available and worn where necessary for climbing activities? (Harness, Twin Lanyards)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.05 Is all PPE in good condition?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.06 Is required PPE tagged, seriallised and does it conform with expected standards?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.07 Are there PPE Inspection Reports on site for all climbing PPE and has it been inspected within the last 6 months?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.08 Are portable ladders in good order and inspected?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.09 Is there a suitable and adequate drop zone implemented for the works?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.10 Is there suitable means of communication in place for the Working at Height activities?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.11 Are site fixed ladders in good condition and are they tagged and inspected? (if relevant)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.12 Are all personnel taking part in Working at Height activities wearing RF monitors where working on a rooftop with RF generating equipment?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.13 Are all tools and equipment being used at height tethered?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
Rooftop
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7.14 Are safe walkways designated and used?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.15 Are site personnel aware of RF hazard exclusion zones?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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7.16 Have adequate plans and processes been implemented to ensure site equipment and tools are transported on to rooftop safely?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
8.00 MEWP Activities (Mobile Elevated Working Platform)
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8.01 Were MEWP activities being carried out on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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8.02 Is the MEWP in good condition and deployed safely?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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8.03 Are thorough examination records available and in date on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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8.04 Is the MEWP operator qualified and competent? (evidence of tickets and certifications)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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8.05 Is there a suitable and adequate berthing plan and has an adequate drop zone been implemented for the MEWP works?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
8.06 Is the operator aware of any height or ground load restrictions and have the restrictions been recorded?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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8.07 Are all personnel working in the MEWP basket wearing suitable fall arrest and restraint PPE?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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8.08 Are tools and equipment being used at height tethered?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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8.09 Have the relevant ground personnel been shown the MEWP emergency procedures?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
9.00 Lifting Operations (Crane, Hiab, Rigging etc.)
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9.01 Are lifting operations taking place on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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9.02 Has a lift plan been produced for the lifting works? Is it suitable, sufficient and being followed correctly?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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9.03 Is all site equipment which comes under LOLER in good condition, tagged and serialised?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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9.04 Are there LOLER Inspection Reports available on site for all equipment which comes under LOLER?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
Crane
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9.05 Has the crane been deployed safely and according to the Lift Plan?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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9.06 Are thorough examination reports available on site and are they in date?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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9.07 Are the relevant personnel taking part in the crane lifting operations qualified and competent? (i.e. crane operator, banksman, slinger with evidence of tickets)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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9.08 Have risks of slewing and the load moving been assessed and controlled?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
Hiab
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9.09 Has the Hiab been deployed safely and according to the Lift Plan?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
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9.10 Are thorough examination reports available on site and are they in date?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
9.11 Are the relevant personnel taking part in the crane lifting operations qualified and competent? (i.e. crane operator, banksman, slinger with evidence of tickets)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
9.12 Is fall protection either in place or being worn by personnel who require access to the Hiab trailer? (i.e. edge protection, guard rail or personal fall restraint PPE)
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
9.13 Have risks of slewing and the load moving been assessed and controlled?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
Other Lifting Operation Considerations
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9.14 Have the risks of overhead cables been assessed?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
9.15 Is there a suitable and adequate drop zone implemented for the lifting operations?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
9.16 Has the exclusion zone identified and non essential personnel/public excluded?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
10.00 Environmental
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10.01 Is site waste correctly segregated and stored in receptacles that are fit for purpose and prevent waste escape?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
10.02 Does the personnel involved in the removal of site waste hold the relevant waste licence?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
10.03 Are spill kits available and accessible on site in the event of a spill?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
10.04 Have site personnel been trained to use spill kits?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
10.05 Are surface water drains protected from run off and spills from site? Are spoil and/or diesel generators correctly positioned away from surface water drains?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
10.06 Are generators kept in drip trays or nappies?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
10.07 Has noise or air pollution been considered when using plant? Is adequate noise suppression or dust suppression in place?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
11.00 Other
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11.01 Is the correct type of fire extinguisher available, in charge and inspected?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
11.02 Are any suppliers/subcontractors on site approved for the works?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
11.03 Is there a COVID-19 Risk Assessment available on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
11.04 Are adequate COVID-19 provisions available on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
11.05 Are there aqeuate COVID-19 controls implemented on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
-
11.06 Are there any other issues employees are concerned with, which they feel are affecting their health and safety on site?
- Major NCR
- Minor NCR
- Observation
- Yes
- No
- N/A
Inspection Notes
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Report Summary:
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NCR & Observations Raised:
-
Coaching, Toolbox Talks and Advice carried out: