Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Contractor

  • Contractor

  • Team Lead Name

  • Team Members

  • Number of people in team

  • Time spent

Planning

  • Is there evidence that the job has been planned correctly?

  • Please comment on the following: Job Packs/Mark Up/SLG

  • Are there any follow ups required in relation to planning? If yes, please note.

Temporary Traffic Management

  • Is a TTM Plan required for the site? If yes, please add photo

  • Is the TTMP suitable for the works in this location in accordance with Chapter 8? Please note any findings.

  • Please record the name of the SLG holder on site

  • Have all signs been secured on site during advere weather conditions?

Documentation

  • Does the crew have the relevant documentation to hand, signed and up to date?

  • Please tick folders available on site. Note any new folders required.

  • Has operative conducted Daily Vehicle Inspection checks for each vehicle. Please upload photo

  • Was Toolbox Talk delivered during audit? If yes, please state topic and upload photo.

Competency

  • Do operatives on site hold appropriate training/licences?

  • Please list/add photos of training records.

  • Do operatives require any new/additional training? Please note.

PPE

  • Is the minimum PPE worn on site? Hard Hat (with chin strap if climbing), Safety Boots, Class 3 Hi Vis Long Sleeve Vests & Trousers, Gloves etc. Please add photo

  • Do operatives require any additional/new PPE. Please note

Emergency Preparedness

  • Are adequate emergency equipment and controls in place?

  • Do operatives have access to a list of Emerency Contacts/Emergency Processes (Nearest A&E, etc)

  • Please state the name of the First Aid responder on site

  • Do operatives have a First Aid Kit in each vehicle - appropriately stocked and in date?

  • Do operatives have Eye Wash? Please note expiry date.

  • Do operatives have a Spill Kit available in each vehicle?

  • Do operatives have a fully charged Fire Extinguisher in each vehicle?

  • Is the Fire Extinguisher mounted?

  • Please note expiry date of Fire Extinguisher

  • Is fuel stored in Gerry Can - marked and bunded?

Tools and Equipment

  • Are the correct tools and equipment available and in good condition?

  • Is Gas Detection Unit available and certified? (Calibration 6months). Please note expiry date

  • Is Cat + Genny available and certified? (Calibration 12months). Please note expiry date

  • Are there any harnesses/lanyards (LOLER) on site. Please note serial no.

  • Are all hand tools insulated?

  • Please list/add photos of any other tools available on site and note expiry dates.

  • Are there any visible defects? Please note.

Vehicles

  • Are vehicles in good condition, clean and operated correctly. Please note any observations

  • Please list or add photos of vehicles on site (BCP no. or Number Plate).

  • Are vehicles parked safely - not restricting visibility or warning signage?

  • Are keys removed from ignition and vehicles locked?

  • Are towing vehicles or trailers being used on site? If yes, please note observations. (Chains, break away cable, load, lights, tyres etc.)

House-Keeping

  • Are housekeeping standards suitable and adequate for the task?

  • Are walkways clear and free from slip/trip hazards?

  • Are materials/tools stacked and stored safely?

Quality Procedures

  • Is the work undertaken in accordance with the relevant quality procedures including record keeping and data security?

Environmental

  • Is all waste and hazardous materials suitably controlled, stored, used and disposed of correctly?

  • Is waste being segregated?

  • Are Waste Transfer dockets completed (signed by all parties), and number of loads recorded?

Additional Comments/Observations.

  • Please note/add photos of any additional observations made.

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.