Title Page
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Conducted on
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Prepared by
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Location
JanDec
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Site name
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Date
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1.1 All Actions Completed
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1.2 All Sub con checked on PSL
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2.1 Final Check form complete
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2.2 PD review form completed
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2.3 Day 1 site set up form complete (& Emailed)
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2.4 Site Manager's Guided Signed & Emailed
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2.5 Asbestos survey issued to sigma & site
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2.6 F10 displayed ( if required )
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2.7 HSE Law Poster displayed
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2.8 Sigma insurance displayed
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2.9 Suitable CP Plan on site
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2.10 Relevant & Suitable site plan visible on site
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2.11 Relevant & suitable traffic Management plan in place ( where required )
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2.12 Site managers Certs on site
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2.13 Site inductions being carried out & recorded
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2.14 Relevant & suitable RAMS on site ( Not hot works )
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2.15 RAMS signed by relevant operatives
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2.16 Rams reviewed
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2.17 Coshh File on site ( Small works )
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2.18 Relevant Coshh Assessments on file and register filled in
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2.19 Operatives Asbestos Certs on site ( paper )
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2.20 Operatives Ffit Certs on site ( where relevant )
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2.21 All operatives competence varified ( CSCS/ECS )
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2.22 Pre Start meeting notes on site ( Asda only )
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3.1 General Site PPE being worn ( 4 Point )
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3.2 Task specific PPE being used as per RAMS
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3.3 Is the site generally tidy
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3.4 All ( Non COSHH ) Mats stacked & stored safely
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3.5 All COSHH materials stored in Container/cage ( where applicable )
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3.6 Adequate general site signage
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3.7 Site Perimeter secure
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4.1 first Aider on site
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4.2 Contractors first aid box on site
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4.3 Is the first aid box fully stocked
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4.4 Sufficient Contractors eye wash stations on site
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4.5 Are the eye wash bottles sealed
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4.6 Are the welfare facilities adequate & Clean
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4.7 Sufficient drinking water available ( External works Only )
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5.1 Relevant & Suitable fire evacuation plan on site
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5.2 Suitable Contractor FFE in place on site
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5.3 Backup fire alarm in place
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5.4 Can all operatives be accounted for
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5.5 No Smoking rules clear and adhered to
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5.6 All Fire Exists clearly signed
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6.1 Access & Egress easy & safe
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7.1 Suitable excavation barriers / edge protection in place
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7.2 Safe Access & egress from excavation
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7.3 Buried services checked & marked
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7.4 Permit to excavate in place
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8.1 Fixed scaffold erected safely including access ladders
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8.2 TG:20 design in place
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8.3 Scaff tags in place
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9.1 Mobile toweres erected correctlyLadders & height
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9.2 Toe guards & Hand rails correctly installed
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9.3 PASMA Competency checked
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9.4 Ladders, steps & mobile scaffold in safe order
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9.5 Ladder permit in place
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9.6 Ladder permit complied with
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10.1 All site electrical equipment tested and in good order
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10.2 Lighting & power
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10.3 Site cabling Safety
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10.4 LOTO & isolation carried out where required
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11.1 Suitable risk assessment in place for Hot Works
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11.2 Hot works permit in place
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11.3 HWP being complied with
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11.4 Previous HWP recorded
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11.5 Any gas bottles/hoses/pipe work in good order
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11.6 Fuel / gas stored safely
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12.1 Pre use checks & paperwork where required
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12.2 Plant operatives trained
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12.3 Statutary Hire paperwork checked
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13.1 Precautions in place to reduce dust
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13.2 Precautions in place to protect against dust
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13.3 Precautions in place to reduce noise exposure
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13.4 Precautions in place to protect against noise
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13.5 Precautions in place to protect against vibration
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14.1 Monitoring PPE
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14.2 Monitoring discipline
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14.3 Monitoring Welfare
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14.4 Monitoring ladders & Scaffold( Use & Condition 0
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14.5 Monitoring COSHH
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15.1 Permits being issued (Not Hot works)
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15.2 Permits register being used
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15.3 Permits being complied with
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16.1 Signing in
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16.2 Signing out
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17.1 TBTs being carried out
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17.2 TBT's signed
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18.1 Accidents recorded
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18.2 Near misses recorded
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18.3 H&S Man/Team informedAccidents
