Kelburne Construction

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Principal Contractor

• Kelburne is the principal Contractor as per the CDM REGs 2015

  Yes

  No

  N/A

Previous inspection signed off

• Has the previous inspection points raised been signed off<br>

  Yes

  No

  N/A

• Actions outstanding are now

  Safe

  At Risk

  N/A

General site conditions

• Is the site secure

  Safe

  At Risk

  N/A

• Are work areas secure and have barriers to secure the work area from unauthorised access

  Safe

  At Risk

  N/A

• Are the works areas clear of slip trip falls, debris, protruding nails.<br>

  Safe

  At Risk

  N/A

• Is re bar safe from people falling. Is there plastic caps on.

  Yes

  No

  N/A

• Is house keeping good, clean and tidy.

  Yes

  No

  N/A

Plant and equipment

• Plant and equipment on site has beacons and mirrors or reversing cameras

  Safe

  At Risk

  N/A

• Excavators have quick hitch pins in place. Signs indicating type of quick hitch.

  Safe

  At Risk

  N/A

• All driven plant was used correctly. Keys removed if not in use. Seat belts were worn. Parked or driven in a safe manner, in accordance with the traffic management plan.

  Safe

  At Risk

  N/A

• Plant used for lifting has been connected correctly. SWL is clearly marked and is lifting within capacity.

  Safe

  At Risk

  N/A

• Equipment being used is in sound condition and fit for purpose.

  Safe

  At Risk

  N/A

• Water bottle on site for use with Stihl saw

  Yes

  No

  N/A

• Unsafe actions.

  Media

Excavations

• Excavations were shallow and did not pose a danger

  Safe

  At Risk

  N/A

• Excavations were more than 1 meter and had barriers and were shored with edge protection.

  Safe

  At Risk

  N/A

• Excavation more than 2 meters deep, had Shoreing in place edge protection and checked by a competent person at the start of each shift.

  Yes

  No

  N/A

• Services are supported across open excavations

  Yes

  No

  N/A

• Excavations are not confined spaces requiring gas tests,training and rescue equipment

  Yes

  No

  N/A

• Excavation more than 3 meters deep. Had temporary works co-ordinator signed off. Edge protection in place. Signed off if open more than seven days.

  Yes

  No

  N/A

• Unsafe actions.

  Media

Emergency arrangements

• There were First aiders on site relative to the risk. First notice displayed and up to date.

  Yes

  No

  N/A

• There was fire fighting equipment on site. Fire assembly point was displayed. Smoke detectors in canteen, fire blanket in the canteen.

  Yes

  No

  N/A

• Fire risk assessment was in place.

  Yes

  No

  N/A

Management procedures.

• Site inductions and tool box talks have been completed for operatives on site.

  Yes

  No

  N/A

• Site registers, are up to date and completed according to the CDM REGS 2015

  Yes

  No

  N/A

• Permits required for current works on site.

  Yes

  No

  N/A

• Copies of services are on site and marked up.

  Yes

  No

  N/A

• Certificates for plant were on site, including chains etc.

  Yes

  No

  N/A

• Training certificates were on site for operatives using plant and equipment.

  Yes

  No

  N/A

• Safety signs and poster including F10 where applicable

  Yes

  No

  N/A

• Management procedures are in place to reduce the risk of HAVS.<br>PRE Selection of equipment below 10 ms, details recorded on ACS HAV record sheet .

  Yes

  No

  N/A

Environmental

• Environmental procedures in place.

  Yes

  No

  N/A

• Spill kits and drip trays on site .

  Yes

  No

  N/A

Personal Protective Equipment

• All operatives on site were wearing Head Protection, in good order, the correct way round.

  Yes

  No

  N/A

• Operatives were observed wearing hearing protection correctly. They understood the requirement to wear them and dangers if not worn whilst working in noisy environment.

  Yes

  No

  N/A

• Operatives were observed wearing RPE. Correct type for the works, FFP3 for silica. Face fit tested and clean shaven.

  Yes

  No

  N/A

• Safety googles or glasses were being worn for the correct operation.

  Yes

  No

  N/A

• Gloves fit for the task were worn. <br>Where mandatory requirement of the principal contractor.

  Yes

  No

  N/A

Overhead and Underground Services

• Overhead cables have been identified, a GS6 agreement has been reached with the service provider.goal posts tape and bunting has been erected as per the GS6

  Safe

  At Risk

  N/A

• All services on site have been identified, drawings on site, area CAT scanned and ground marked.

  Yes

  No

  N/A

Traffic Management

• Traffic management plan is in place, displayed and being followed

  Yes

  No

  N/A

Laying kerbs, mono block or slabs

• Material moved close to the works by mechanical means.

  Yes

  No

  N/A

• Dust suppression used if cutting.

  Yes

  No

  N/A

• Grabber, vacuum lifter, or mechanical means to lay material .

  Yes

  No

  N/A

Confined spaces

• Type 2 confined space trench or manhole more than 2 meters deep or with special risks,<br>trained operatives, permit in place, gas monitor used, rescue plan in place.

  Safe

  At Risk

  N/A

• Type 3 confined space, full rescue plan, gas monitor, trained operatives with top man in attendance.

  Safe

  At Risk

  N/A

• Type of confined space is type 3 trench less than 2 meters no special requirements

  Yes

  No

  N/A

Signatures.

• Signed by site supervisor

  Sign

• Seen by Managing Director

  Sign

• Received by Contracts Manager

  Sign

• Time and date of inspection

  Date

• Remedial action to be completed by

  Date

• Add drawing

  Drawing