Title Page

  • Location / Site

  • Please list any interface communication today if any.

  • Prepared by

  • Conducted on

CDM Area

CDM Area

  • Is fuel storage secure?

  • why not?

  • Are spill kits readily available?

  • Why is it not on site.

  • Is there a fire extinguisher in the welfare unit?

  • Does the notice board contain relevant information?

  • Are the emergency contact details up to date?

  • Is there an in date PAT test certificate?

  • When was the last TBT issued?

  • Are waste transfer notes being collected and sent to the office?

  • Is site lighting adequate?

Welfare van

Welfare van

  • Is it clean and clutter free?

  • Is the AED stored inside?

  • Where is it?

  • Does it have an in-date fire extinguisher?

  • Does the welfare van have a spill response kit?

On Site

On Site

  • Has everyone signed in?

  • Have inductions been carried out?

  • Have helmet stickers been issued?

  • Personal details form has been filled out?

  • All personnel to be inducted on site.

  • why not?

  • Do all operators hold CSCS and task specific certification?

  • CSCS is mandatory

  • Have they read and signed onto the relevant RAMS?

  • all operators must be signed onto the RAMS

  • Full PPE being worn?

  • COSHH assessments and SDS available and on site?

  • Are chemicals on site.

  • Do you have a constraints map?

  • Are existing service, drainage and utilities shown on it?

  • A map is required on site.

  • Is there additional first aid in either the car or welfare van?

  • Is the point of work relevant to the task?

  • Why not?

  • Is signage required?

  • Are you breaking ground?

  • Has a permit to dig been issued to the competent person?

  • Reasons for no signage.

  • Do you require additional communication devices?

  • What type?

  • Are exclusion zones required?

  • How are you implementing this?

  • Have felling boundaries been marked?

  • Has the ecologist visited the site?

  • Are any constraints marked out?

  • Is silt netting required?

  • Has it been placed correctly?

  • Are measures in place to prevent contact with overhead cables?

  • Why not?

  • Is the GS6 information being displayed correctly, with contact details visible?

  • Is waste being suitably managed?

  • Are substances on site being used, stored and disposed of in line with the information provided on the COSHH assessment?

  • Is noise being suitably managed?

Chainsaw work

  • Are chainsaws being used?

  • Have all operators filled out their daily inspection sheets?

  • Do all operators have relevant and in date first aid kits?

  • Will they be refueling?

  • Are spill trays being used?

  • Is fuel being stored at least 50m away from water courses and ditches?

  • Will operators be working from height?

  • Do operators hold additional certification for the task?

  • Has all lifting equipment been inspected for use?

  • Do you hold a harness register?

Plant / Machinery

  • Is plant required on site?

  • Has the daily inspection sheet been completed?

  • Are seatbelts being worn?

  • Is there a green flashing beacon?

  • Is there a fire extinguisher?

  • Is the operator suitably trained to operate the plant on site?

  • Is there a competent banksmen / Plant vehicle marshal available?

  • Have keys been removed when the plant is not in use?

  • Is additional spill kits available?

  • Are thorough examination certificates available for the plant being used?

Sign

  • Additional comments

  • Signature

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