KP Safety Solutions Unispace Principal Contractor Audit -

• Project Name

• Project Number

• Project Team

• Conducted on

  Date

• Number of operatives on site

• Previous KPSS Inspection Date

• Further KPSS Inspections required

  Yes

  No

  N/A

Previous Report Date:

• Have all previous reports internal/external been closed out

  Yes

  No

  N/A

• accident/incident

  No accidents or Incidents

Audit Completion

• KPSS Overview

  Safe

  At Risk

  N/A

• KPSS Safety Consultant

  Sign

• Project Representative:

  Sign

Site safety

• Access equipment/ scaffolding/ edge protection

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Clear Routes/Walkways/Housekeeping/Materials

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Plant, Machinery & Lifting Equipment/ Appliances (Test Certification)

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Fire appliances/fire alarm systems/drills/signage

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Others (electricity, confined spaces, lighting levels)

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Construction Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Public/Visitors/Operatives

• Protection/Appearances

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Trip/Slip/Fall Hazard

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• PPE/RPE

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Road Street Works Management (is adequate control in place for deliveries)

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Has site been CCS registered (date)

  Applicable

  Not applicable

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Construction Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Welfare/Health

• Suitability/Cleanliness (offices, toilets, welfare facilities) (CDM 15 Requirements)

  Yes

  Observation

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• HAVS Control/ Manual Handling

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Notices/Posters

  Yes

  Observation

  No

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Accidents

  accident/incident

  No accidents or Incidents

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Have any hazards/ Near Misses been recorded

  Yes

  N/A

  No

• Action Code

  OBV

  A

  B

  C

  D

• Score

• COSHH/Noise/Dust

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Asbestos

  Safe

  Observation

  At Risk

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Construction Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Management

• RAMS

  Compliant

  Observation

  Non-compliant

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Safety Records/Statutory Registers/Permits to Work

  Compliant

  Observation

  Non-compliant

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Safety Reviews/Safety Tours/Communication/ Training Certification<br>

  Compliant

  Observation

  Non-compliant

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Site Security/Site Entry/Safety Visible/Corporate Image<br><br>

  Compliant

  Observation

  Non-compliant

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Environmental Issues/SWMP/Waste Disposal/Spill Kit

  Compliant

  Observation

  Non-compliant

  N/A

• Action Code

  OBV

  A

  B

  C

  D

• Score

• Construction Manager close out section<br>Signature<br>Date

  Yes

  No

  N/A

Supply Chain

• Mechanical

  Safe

  At Risk

  N/A

• Electrical

  Safe

  At Risk

  N/A

• Fire Alarm

  Safe

  At Risk

  N/A

• Partitioners

  Safe

  At Risk

  N/A

• Decorators

  Safe

  At Risk

  N/A

• Client Direct

  Safe

  At Risk

  N/A

• Other

  Yes

  No

  N/A

Guideline to the scoring matrix

• A=. Same Day.
  B=. Within 24hrs.
  C=. Within 3 days.
  D=. Within 7 Days.
  Obv= Observation
  
  
  Guide to scoring
  10. = Excellent Approach to H&S
  8. = Meets company policy
  1-7 = Concerns
  0. = Uncontrolled Risks/No Safe System of Work (SSOW)
  
  80 - 100. Excellent approach to health and safety
  70-80. Good safe systems of work and meets Company Expectations
  60-70. Site just set up/ A better proactive approach to H&S required
  <60. Standards below Company requirements