Title Page

  • Document No.

  • Project Name/Location

  • Contractor / Site

  • Conducted on

  • Site Contact/Manager/Supervisor

COVID-19 Coronavirus

  • Is there clear signage for Covid-19 and social distancing at the entrance and around site

  • Is there staggered start times for workers

  • Is there a Covid-19 Risk Assessment in place, signed by all operatives

  • Are enhanced cleaning procedures being completed for working areas

  • Is there a one way system and signage in place

  • Are toilets cleaned regularly and recorded evidence in place

  • Is welfare adequate and 2m social distancing achieved

  • If work practices were 2m social distancing is not possible, is there adequate controls in place

  • Is there a list/procedure if a worker falls ill or is in isolation

Health and safety information

  • Health and Safety File present

  • Method Statements Present

  • Risk Assessments present

  • COSHH Data Sheets Present

  • F10 Displayed

  • Health and Safety Poster Displayed

  • Fire Plan displayed

  • Fire Risk assessment displayed

  • Permit to Work System - dig, hot works, height etc

  • Designated Traffic Routes displayed

  • Training Records Present

  • Toolbox Talks completed/register

  • First Aid Notices/Information Present

  • First Aiders Identified

  • First Aid Box/Provision Adequate

  • Accident Book Present

  • Site Induction - register completed

  • Signing in/out Procedure in place/completed

On Site Safety Information

  • Emergency Information Displayed

  • Site safety signs displayed

  • Safety Notices/Boards displayed

  • Fire Extinguishers Provided by PC

  • Smoke detector heads covered/uncovered - register

On Site Electrical Equipment

  • Electrical Equipment PAT tested - Tools, Equipment, Chargers

Site Welfare

  • Site Canteen - provided and in good condition

  • Toilets - clean condition and stocked

Site PPE/RPE

  • Site PPE correctly worn

  • Specialist PPE/RPE provided/worn

  • Safety Footwear Worn

Site Security/Segregation

  • Site Access/Egress adequate and clear

  • Site Security correct

  • Public/Student segregation adequate

  • Fencing/Barriers/Hoarding correct

Working at Height

  • Protection of Public adequate

  • Working Platforms inspected

  • Ladders/Step Ladders used correctly

  • Ladders/Step Ladders inspected

  • Scaffolding Inspected

Temporary Works

  • Temporary Works - Electrical adequate and certificated

  • Fencing/Hoarding adequate and secure

  • Temporary Works - Scaffolding adequate and inspected

  • Temporary Works - excavations adequate and inspected

Site Conditions

  • Work area free from Hazards - slips/trips/falls

  • General Lighting/Task Lighting adequate

  • Material storage - COSHH adequate

  • Occupational Health - Dust/Fumes/Vibration controlled

  • Manual Handling carried out correctly

  • Waste Disposal adequate

  • Fire exits clear and floor coverings secure

  • Remedial action from last report

  • Site managers comments

  • Any further action

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.