Landscaping Division - Site Inspection Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Inspection Time

  Date

General

• Reason For Visit

  Routine Inspection

  Customer Care

  Safety Visit

• 1. Contractor present?

  Yes

  No

  N/A

• 2. Initiating Manager?

  Yes

  No

  N/A

• 3. Checklist reviewed?

  Yes

  No

  N/A

• 4. BASIS/POWER Approved?

  Yes

  No

  N/A

• SW Managerial Capacity

  Land Owner

  Contractor

  Sub-Contractor

• Work Status

  Progress

  Completion

  Maintenance

Contractor Management - (Answer yes if ok)

• 12. Personnel approved qualifications?

  Yes

  No

  N/A

• 13. Personnel attitude?

  Yes

  No

  N/A

• 14. Evidence of Drugs or Alcohol

  Yes

  No

  N/A

• 15. Personal Protective Equipment?

  Yes

  No

  N/A

• 16. Equipment

  Yes

  No

  N/A

• 17. Accidents/Incidents

  Yes

  No

  N/A

• 18. Fuel/Pesticides Storage

  Yes

  No

  N/A

• 19. Communications

  Yes

  No

  N/A

• 20. First Aid Kit

  Yes

  No

  N/A

• 21. Pollution Control Kit

  Yes

  No

  N/A

• 22. Other (specify)

  Yes

  No

  N/A

• 23. Other (specify)

  Yes

  No

  N/A

Site Management - (Answer yes if ok)

• 39. Hazards

  Yes

  No

  N/A

• 40. Signage?

  Yes

  No

  N/A

• 41. Access, Turning, Roads

  Yes

  No

  N/A

• 42. Work Method/ Risk Assessment

  Yes

  No

  N/A

• 43. Pollution - specify

  Yes

  No

  N/A

• 44. Work at Height

  Yes

  No

  N/A

• 51. Other ( Specify)

  Yes

  No

  N/A

• 52. Other (specify)

  Yes

  No

  N/A

Grass Management

• Is this feature present on site

  Yes

  No

  N/A

• Amenity Grass Cut

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Rough Grass Cut

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Wildflower

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weed Control

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Litter Collection

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Shrub Bed Management

• Is this feature present on site

  Yes

  No

  N/A

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Stocking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Litter Collection

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Pruning

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Play Area Management

• Is this feature present on site

  Yes

  No

  N/A

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

• Vandalism

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Graffiti

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Hedge Management

• Is this feature present on site

  Yes

  No

  N/A

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Pruning

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Stocking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Standards

• Is this feature present on site

  Yes

  No

  N/A

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Tie Adjustment

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Should Stakes and Ties be removed?

  Yes

  No

• If Stakes and Ties should be removed enter location of trees on site

• If any of the above questions are answered as poor or unacceptable provide detail here.

Fence Management

• Is this feature present on site

  Yes

  No

  N/A

• Weed control

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Damaged

  Yes

  No

• If any of the above questions are answered as poor or unacceptable provide detail here also note any damage.

Young Woodland Management

• Is this feature present on site

  Yes

  No

  N/A

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Pruning

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Stocking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Mature Woodland Management

• Is this feature present on site

  Yes

  No

  N/A

• Safety

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

General Observations or Corrective Actions

• NB Check previous inspections

Further Contractor Instructions

• Contractor Remedial or Work Instruction

• Further Correspondence with Contractor

  Yes

  No

  N/A

• Further Correspondence with Client

  Yes

  No

  N/A

• CAR to be raised as a result of inspection?

  Yes

  No

Inspection Completion

• Signature of person inspecting

  Sign

• Company Position

  Manager

  Senior Manager

• Signature of Contractor/Safety Co-ordinator

  Sign

• Position of Above Signatory

  Contractor/Safety Co-ordinator

• Signed Client

  Sign