Information

  • Note: The scoring of this Report is based on Section compliance with Statutory or Regulatory requirements. The ratings are:- Compliant (4) Minor Actions Req'd (3) Improvement Required (1) Non Conformance (0) Critical (0). Where an NCR is recorded against a Standard or legislative requirement please record the level i.e. Minor, Major or Critical. Where there is evidence of going beyond compliance, record the evidence in 'Going Beyond Compliance' and choose the relevant Section from the drop down list and noting what has been done.

  • Project Contract No. and Name.

  • Principal Contractor or Client Name

  • Conducted on

  • Inspected by

  • Site Location
  • Personnel i.e. Management Team

Site Inspection

Site Information.

  • Site Manager / Supervisor at the time of Inspection

  • CDM Duty

  • Weather at the time of Inspection

  • Date and Time of Inspection

Going Beyond Compliance (exceeding legal obligations)

  • Have minimum standards of compliance been exceeded ?

  • Which Section is it relevant to and what has been done?

Previous Report Actions

  • Have all previous Inspection / Audit 'Failings' or 'Actions' been effectively closed out ?

  • Are there circumstances preventing close out ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

HSQE Documentation (IMS filing system being used, current version, Notice Board all up to date and complete).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Add Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

RAMS and Misc. permits. (Briefed, Signed, Suitable for the Task). COVID-19 Briefing

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Training and Competency. (CSCS, CPCS, NPORS, CISRS other trade specific cards/certification).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Emergency Arrangements. (RIDDOR, First Aid Provision, Fire Arrangements/Plan, Rescue Plans).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Site Security and Fencing/Barriers.(Heras double clipped and secure, water butts filled and connected together, security provision).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Personal Protective Equipment. (LEP, RPE, Harnesses etc. inspected and fit for purpose).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Housekeeping.

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Welfare (in accordance with CDM15 Schedule 2). Including COVID-19 Guidance compliance.

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Work Area Safety (Slips, trips and impalement hazards).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Material and Waste Storage. (Segregation of waste, safe storage and access to materials).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Site Access. (Pedestrian Routes and Segregation from plant movements). COVID-19 Social Distancing

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Work at Height (Scaffolds with NASC compliance i.e. TG20, Towers, Ladder Classification/Inspection, MEWPs etc. (PASMA, IPAF)).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Manual Handling.

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Occupational Health (Dust, Noise & Vibration). Include COVID-19 compliance.

  • Is noise to be considered ? If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

  • Is dust to be considered ? If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

  • Is vibration to be considered ? If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

PUWER. (Certification, Weekly Recorded Inspections, Calibration Certificates).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

LOLER/BS 7121 (12 Month Test/Inspection Certs, Weekly Rec'd Inspections, 6 Monthly Lifting Tackle & Accessories (inc.lifting persons). Lift Plans, Appointed Persons, Lift Supervisors, Slinger B'man identified).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Heavy Plant (Dumpers, Excavators, Piling/Augering Rigs, Cranes, Telehandler, FLT etc. (Certification, Operator Pre Use Checks, Seatbelt compliance)

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Electrical Safety. (PAT, Cabin Installations, Certification).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

COSHH (Assessments, MSDS, Suitable Storage, PPE, User Briefing).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Gases. (Storage, Carriage, Use, Permits, Flashback Arrestors, Gas Lines (visible cracks next to clips and correct connectors(No Jubilee Clips !))).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Temporary Works Arrangements. (TW Register up to date, Designated Competent Individuals, Designs, Signatures (Designer/Checker) etc.)

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Excavations. (Ref: Temp Works, Fall Protection, Inspection, Support e.g. shoring or battered/benched sides).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Confined Spaces. (Gas Monitoring, Registers, Permit, Rescue Arrangements, Access and Egress, Environmental Impacts (water ingress etc.)).

  • Is this Section to be inspected ?<br>If 'Yes' Open 'Paper Clip' and detail findings in 'Add Notes', add photos and assign any corrective actions in 'Action' tab.

  • Have any failings been identified ?

  • Identify failed areas from the drop down list.

  • Section Rating

  • Identify level of Non Conformance if appropriate.

Consultation and Communication

  • Do you want to consult with the workforce ?

  • Approach site team and consult them on health, safety and environmental site issues.

  • Consultation
  • Do you think all site hazards and risks have been suitably addressed on site ?

  • Have you had a Pre Start Briefing and was it adequate ?

  • Do you have any further suggestions on how we can improve on health, safety and environmental control ?

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

Before you go !

  • Any further comments or recommendations arising from this inspection?

  • Are there are any findings that may affect others ? then create a Safety Alert / Bulletin and circulate to Site Managers.

  • Have all required corrective actions been added as Actions to this inspection?

Sign Off

  • Name & Signature of Inspector

  • Name & Signature of Manager.

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.