Information
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Site Name
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Location
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Client
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Conducted on
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Prepared by
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Section 1- Administrative Procedures
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2. Emergency arrangements suitable and displayed?
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4. Traffic Management Plan (TMP)?
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5. Statutory signage (F10, H&S Law Poster, Insurance etc.)?
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6. Inductions for workers, contractors, visitors complete?
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7. Training records available (CSCS cards, SMSTS, Confined Space etc.)?
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8. Are trained First Aiders for all shifts available and first aid supplies sufficient?
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9. Method Statements, Risk Assessments & COSHH assessments. Reviewed & Communicated?
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11. Permits (Temporary Works, Permit to Dig, Hot Works, Confined Space, Leading Edge etc)?
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12. Statutory inspections (LOLER, temporary electrics, P.A.T. etc.)
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13. Small tools and work equipment inspections (PUWER)
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15. Routine inspections, including edge protection and excavations?
Section 2 - Physical Environment
1. Work at Height
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1.1. Risk of Falls?
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1.2. Risk of falling materials?
2. Work Environment & Welfare
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2.1. Adequate welfare facilities (toilets, hand washing, canteen, drying room etc)?
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2.2. Adequate housekeeping?
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2.3. Material storage?
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2.4. Adequate access and egress arrangements?
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2.5. Temporary Works / Stability of Structures?
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2.7. Lack of noise assessments and control?
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2.8 Confined space requirements?
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2.9. Fire precautions?
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2.10. Signage, barriers and guarding?
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2.11. Sufficient lighting?
3. Excavations
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3.1. Stability of excavations?
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3.2. Guarding and access arrangements for excavations?
4. Plant and Equipment
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4.1. Unsafe or damaged plant/equipment (including missing or damaged guards)?
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4.2. Safe use of plant or equipment?
5. Lifting
6. Traffic Management and Public Safety
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6.1. Safety of the public and site security?
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6.2. Vehicle and pedestrian management?
7. Live Services
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7.1. Contact with live services (above and below ground)?
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7.2. Temporary electrics?
8. Personal Protective Equipment (PPE)
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8.1. Lack of or inadequate PPE?
9. Health
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9.1. Manual Handling
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9.2. Noise
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9.3. Dust
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9.5. COSHH
10. Environmental Hazards
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10.1. Effective Waste Management?
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10.3. Spill control?
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10.4. Fuel storage?
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10.5. Storage of hazardous substances?
11. Good practice observations
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11.1. List any positive practice taking place.
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Add drawing
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Add media
12. Non rectification of previous issues
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12.1. Detail.
Overall Site Score (see page two for rationale). Total Items = 52-Not Applicable Items
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Sign Off
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On site representative - By signing the report you are accepting the responsibility for closing out all items
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Auditor's signature
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