Title Page
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Document No.
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Project Name/Location
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Contractor / Site
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Conducted on
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Site Contact/Manager/Supervisor
COVID-19 Coronavirus
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Is there clear signage for Covid-19 and social distancing at the entrance and around site
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Is there staggered start times for workers
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Is there a Covid-19 Risk Assessment in place, signed by all operatives
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Are enhanced cleaning procedures being completed for working areas
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Is there a one way system and signage in place
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Are toilets cleaned regularly and recorded evidence in place
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Is welfare adequate and 2m social distancing achieved
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If work practices were 2m social distancing is not possible, is there adequate controls in place
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Is there a list/procedure if a worker falls ill or is in isolation
Health and safety information
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Health and Safety File present
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Method Statements Present
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Risk Assessments present
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COSHH Data Sheets Present
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F10 Displayed
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Health and Safety Poster Displayed
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Fire Plan displayed
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Fire Risk assessment displayed
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Permit to Work System - dig, hot works, height etc
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Designated Traffic Routes displayed
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Training Records Present
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Toolbox Talks completed/register
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First Aid Notices/Information Present
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First Aiders Identified
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First Aid Box/Provision Adequate
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Accident Book Present
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Site Induction - register completed
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Signing in/out Procedure in place/completed
On Site Safety Information
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Emergency Information Displayed
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Site safety signs displayed
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Safety Notices/Boards displayed
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Fire Extinguishers Provided by PC
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Smoke detector heads covered/uncovered - register
On Site Electrical Equipment
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Electrical Equipment PAT tested - Tools, Equipment, Chargers
Site Welfare
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Site Canteen - provided and in good condition
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Toilets - clean condition and stocked
Site PPE/RPE
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Site PPE correctly worn
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Specialist PPE/RPE provided/worn
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Safety Footwear Worn
Site Security/Segregation
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Site Access/Egress adequate and clear
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Site Security correct
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Public/Student segregation adequate
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Fencing/Barriers/Hoarding correct
Working at Height
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Protection of Public adequate
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Working Platforms inspected
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Ladders/Step Ladders used correctly
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Ladders/Step Ladders inspected
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Scaffolding Inspected
Temporary Works
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Temporary Works - Electrical adequate and certificated
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Fencing/Hoarding adequate and secure
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Temporary Works - Scaffolding adequate and inspected
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Temporary Works - excavations adequate and inspected
Site Conditions
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Work area free from Hazards - slips/trips/falls
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General Lighting/Task Lighting adequate
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Material storage - COSHH adequate
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Occupational Health - Dust/Fumes/Vibration controlled
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Manual Handling carried out correctly
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Waste Disposal adequate
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Fire exits clear and floor coverings secure
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Remedial action from last report
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Site managers comments
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Any further action