Title Page
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Conducted on
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Prepared by
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Location
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Nature of Work being Undertaken
Details Team Being Inspected
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Employer / Contractors Name
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Name of Supervisor / Team Leader
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Names of Other Team Members
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JFL Supervisor is on Site
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Photograph any issues prior to site set up (damage to property, infrastructure, parked cars etc)
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Personal Protective Equipment
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All Site Members have appropriate minimum PPE
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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PPE being used is in good condition and being used appropriately
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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All site members understood the importance of the PPE, how to store/ care for it and replace it.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Respirators are suitable for the task being undertaken ie correct filters type and level of protection.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Respirators are suitable for the individuals wearing it - enable get a face seal or powered respirator
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Face fit test proof available where required.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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None disposable RPE is maintained correctly - demonstrate monthly recorded inspection.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Test 1
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Test 2
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Management Controls to be Reviewed -POWRA, Permits, RAMS etc
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Has a Suitable Risk Assessment or Point of Work Risk Assessment being completed.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Are Site specific RAMS available on site and are work force aware of these
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Have suitable control measure been identified, understood and being followed by all team members
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site Induction Undertake by Site team
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Training Records and Competency of Site Team Available
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site set up to be reviewed
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Streetworks assessment undertaken and signing lighting and guarding set up appropriately.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Information board clearly displayed and appropriate highways permit number displayed.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Suitable arrangements in place pedestrians, including signage, ramps and guards.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Vulnerable groups have been identified and suitable controls provided.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Traffic management in place and working effectively
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Sand bags provided on signs and guards - appropriate to conditions.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Guards are securely clipped and adequate for site.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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There is a suitable safety zone provided - to protect the site team or additional separation if required to protect the public.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Excavation and Service avoidance to be reviewed
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Permit to Dig completed and all site team aware of controls
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Are all utility plans available on site and can the team demonstrate they have used these
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Have the site team identify scaring, utility furniture and property connections / boxes to enable them it identify safe digging locations.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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CAT and Genny available on site - with evidence of service and calibration
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site team demonstrated effective use of CAT and Genny - used all 4 modes for initial survey - clipped on to BT poles/street lights etc.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Identified utilities have been clearly marked within and close to the digging area eg paint spray, flags or posts.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Trial holes have been undertaken by hand before use of mechanical methods such as mole plough, chain trencher.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Safe digging methods identified and being used - appropriate for the location.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Spoil has been placed in a safe location to avoid surcharge and having regard for damage
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Cat and Genny being used effectively as the team dig - minimum of 150mm
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Is there evidence of exposure utilities being protected form damage - supported, protection boards etc.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Temporary works, access and edge protection provided when necessary - suitable design demonstrated.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Deep excavation has been battered or stepped back to provide suitable protection against collapse
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Plant and Equipment being used on Site
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There are trained and competent operators on site - can demonstrate appropriate training
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Plant or Equipment has received a suitable daily or per-use inspection
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Plant or Equipment has received suitable servicing, PAT test, inspection or LOLER examination
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Plant and equipment is in good order and provided with suitable guards.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Plant /Equipment being used correctly having regard for health, safety and environmental risk.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Electrical equipment used is 110 volt or battery operators to ensure safety of users.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Plant and equipment correct stored and secured for transporting in van, truck or trailer
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Diggers secures by 3 ratchet straps in good condition or other suitable system.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Good House Keeping being Reviewed
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Vehicles in good order - no smoking stickers displayed, tidy and clean
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site maintained in a tidy condition, tools/plant and materials stored to avoid tip hazards
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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The ground conditions are maintained clear of mud, chemical slippages or other slip hazards.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site set up having regard for safety - good layout and placement of spoil etc
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Plant and materials all contained within barriers.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Welfare Facilities being Reviewed
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Suitable washing facilities are on site - including hot water, soap, hand cream and sanitizer
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site team could demonstrate that they were aware of WC facilities available within easy reach
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Suitable arrangements in place to enable site team to have food and drink having regard to weather conditions.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Emergency Arrangements and Facilities being Reviewed
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Suitable first aid kits and eye wash available on site
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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First aiders are available on site and known to site team.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Suitable fire extinguisher available on site
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Trained personnel are available who can use the fire extinguishers available
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Emergency plan is in place appropriate for the type of work being undertaken - eg work at height, confined space
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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COSHH - Hazardous Substances in Use
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COSHH assessments for hazardous substances are available on site
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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All site members using hazardous substances were taking suitable precautions and using correct PPE
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Fuel and other hazardous substances are stored correctly -secure and suitable bunds
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Precautions are taken when using refuelling plant - undertaken on nappy sacks
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Dust Generation Activities in Progress
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All site members have received training about the risk of dust and understand the which operations could generate hazardous dust.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Equipment suitable for the task and has correct cutting piece/ blade for task
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Suitable dust supression methods used for all operations which can generate hazardous dust - cutting, drill etc
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Manual Handling Activities being Undertaken
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All Site members have received manual handling training and understand the importance of correct posture.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site team have parked the vehicle to reduce the distance plant and equipment needs to be carried
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Site team have reduced the need for manual handling by use of mechanical aids or modifying method
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Manual handling activities seen on site follow good ergonomic techniques.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Vibration Exposure is Relevant to the Work being Undertaken and is to be Reviewed.
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Operators of mechanical hand operated tools understand the risk of vibration.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Operatives have received training about the health risks and how to reduce the risk of injury.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Operators understand the vibration levels of equipment and time of use to maintain their exposure to below 2.5m/s2 100 points
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Operators understand the vibration levels of the equipment and ensure they do not exceed 5m/s2 or 400 points
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Operatives have received health surveillance medicals appropriate to the use and conditions relating to vibration exposure.
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Operatives understood controls in cold weather and were taking suitable steps to reduce the risk
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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Operatives understand the importance to share tools to reduce individual exposure
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
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There is evidence of vibration monitoring and vibrations levels recording on equipment
- good practice
- compliant
- some learning
- poor
- N/A
- repeat failures
Other Issues / Good Practice observed
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Issues / Good Practice Observed
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Photographs of issues / Good Practice