Lowestoft

• Document: BML/W/HSEF/HK/1

• Conducted on

  Date

• Prepared by

• Location
  Address

PART 1 - HOUSEKEEPING

1 Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  Shortfalls

  N/A

• Are there no outstanding actions?

  Yes

  No

  Shortfalls

  N/A

2 Site Admin

• Floor surfaces even and uncluttered?

  Yes

  No

  Shortfalls

  N/A

• Entry and walkways kept clear?

  Yes

  No

  Shortfalls

  N/A

• Intersections kept clear of boxes etc?

  Yes

  No

  Shortfalls

  N/A

• Condition of filing cabinets?

  Yes

  No

  Shortfalls

  N/A

• Condition of chairs? (Five star bases.)

  Yes

  No

  Shortfalls

  N/A

• Desks in good condition? (No damage.)

  Yes

  No

  Shortfalls

  N/A

• Screen Based Equipment positioned to reduce glare from windows etc?

  Yes

  No

  Shortfalls

  N/A

• Are all electrical appliances in date for PAT testing?

  Yes

  No

  Shortfalls

  N/A

3 Documentation

• Site Induction Pack maintained?

  Yes

  No

  Shortfalls

  N/A

• Site Visitors Pack maintained?

  Yes

  No

  Shortfalls

  N/A

• Permits to Work Pack maintained?

  Yes

  No

  Shortfalls

  N/A

• Site Fire Safety Pack maintained?

  Yes

  No

  Shortfalls

  N/A

• Service & Maintenance Records maintained?

  Yes

  No

  Shortfalls

  N/A

4 Notice Boards

• Adequate HSE information?

  Yes

  No

  Shortfalls

  N/A

• Information up to date and relevant to the site?

  Yes

  No

  Shortfalls

  N/A

5 Amenities

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Hot & cold running water?

  Yes

  No

  Shortfalls

  N/A

• Soap, barrier cream & towels provided?

  Yes

  No

  Shortfalls

  N/A

• Toilet rolls provided?

  Yes

  No

  Shortfalls

  N/A

• Adequate Lighting?

  Yes

  No

  Shortfalls

  N/A

6 First Aid Boxes

• Are contents regularly checked?

  Yes

  No

  Shortfalls

  N/A

• No contents past their expiry date?

  Yes

  No

  Shortfalls

  N/A

• Employees aware of location of first aid boxes?

  Yes

  No

  Shortfalls

  N/A

• Are first aid boxes accessible?

  Yes

  No

  Shortfalls

  N/A

• Are site First Aiders and emergency numbers displayed?

  Yes

  No

  Shortfalls

  N/A

7 Car Parking Areas

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Sufficient Lighting

  Yes

  No

  Shortfalls

  N/A

• Sufficient Signage ?

  Yes

  No

  Shortfalls

  N/A

8 Commercial Vehicles

• General Housekeeping & Maintenance?

  Yes

  No

  Shortfalls

  N/A

9 Fire Exits and Escape Routes

• Signage clear and easy to follow?

  Yes

  No

  Shortfalls

  N/A

• Free from obstruction?

  Yes

  No

  Shortfalls

  N/A

• Fire Alarm Test in date?

  Yes

  No

  Shortfalls

  N/A

10 Fire Extinguishers

• Correct type for hazards in vicinity?

  Yes

  No

  Shortfalls

  N/A

• Extinguishers present and in date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Random Extinguisher check: <br>Anti-Tamper Tally?<br>Gauge in green?<br>CO2 correct weight?<br>Damage?

  Yes

  No

  Shortfalls

  N/A

11 Machine Workshop

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Guards fitted and correct?

  Yes

  No

  Shortfalls

  N/A

• Clean & well maintained?

  Yes

  No

  Shortfalls

  N/A

• Pre-user Checks displayed?

  Yes

  No

  Shortfalls

  N/A

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

• PUWER Assessments in place?

  Yes

  No

  Shortfalls

  N/A

• Sufficient Lighting?

  Yes

  No

  Shortfalls

  N/A

12 West Yard

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Observations?

13 Wharf and surrounding areas

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Signage?

  Yes

  No

  Shortfalls

  N/A

• Drainage?

  Yes

  No

  Shortfalls

  N/A

• Lighting?

  Yes

  No

  Shortfalls

  N/A

• Life Saving equipment present & intact?

  Yes

  No

  Shortfalls

  N/A

14 Pedestrian Walkways

• Clearly Marked?

  Yes

  No

  Shortfalls

  N/A

• Free from obstruction?

  Yes

  No

  Shortfalls

  N/A

15 Racks - Steel/Alum. Plate & Pipe

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Are different metals segregated?

  Yes

  No

  Shortfalls

  N/A

16 Main Workshop/Boatshed

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Welding Screens?

  Yes

  No

  Shortfalls

  N/A

• Oily rags disposed of in metal bins?

  Yes

  No

  Shortfalls

  N/A

• Observations:

17 Portable Electrical Equipment

• PAT test displayed

  Yes

  No

  Shortfalls

  N/A

• Guards fitted & correct where applicable?

  Yes

  No

  Shortfalls

  N/A

• Tool used i.a.w manufacturers guidance?

  Yes

  No

  Shortfalls

  N/A

• Clean and well maintained?

  Yes

  No

  Shortfalls

  N/A

18 Personal Protective Equipment

• Adequate supply of correct PPE on site?

  Yes

  No

  Shortfalls

  N/A

• PPE Regs being adhered to?

  Yes

  No

  Shortfalls

  N/A

• General condition of PPE?

  Yes

  No

  Shortfalls

  N/A

19 Store Room

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

20 Mez Deck

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

21 Dry Dock & Perimeter

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Guardrails maintained & in place?

  Yes

  No

  Shortfalls

  N/A

• Dock bottom safety procedures adhered to?

  Yes

  No

  Shortfalls

  N/A

• Life Saving equipment present & intact?

  Yes

  No

  Shortfalls

  N/A

22 Life Jackets

• General Wear & Tear?

  Yes

  No

  Shortfalls

  N/A

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

23 Ladders & Steps

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  Shortfalls

  N/A

• Are ladders in good condition?

  Yes

  No

  Shortfalls

  N/A

• If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  Shortfalls

  N/A

• Used according to instructions?

  Yes

  No

  Shortfalls

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  Shortfalls

  N/A

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

24 COSHH

• COSHH Log maintained?

  Yes

  No

  Shortfalls

  N/A

• COSHH Locker in good order?

  Yes

  No

  Shortfalls

  N/A

25 Electrical Workshop & Quarantine Area (East store)

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Area secure?

  Yes

  No

  Shortfalls

  N/A

• Log maintained?

  Yes

  No

  Shortfalls

  N/A

• Sufficient signage?

  Yes

  No

  Shortfalls

  N/A

26 Mess Rooms

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Hot & cold running water?

  Yes

  No

  Shortfalls

  N/A

• Soap & Towels provided?

  Yes

  No

  Shortfalls

  N/A

• Adequate Lighting?

  Yes

  No

  Shortfalls

  N/A

• Suggestion / Near Miss Box Checked?

27 Woodwork Shop (East Store)

• General Housekeeping?

  Yes

  No

  Shortfalls

  N/A

• Machine Guards Fitted?

  Yes

  No

  Shortfalls

  N/A

• Machines in date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Local Exhaust Vent in date for inspection & evidence of usage?

  Yes

  No

  Shortfalls

  N/A

• Correct signage displayed?

  Yes

  No

  Shortfalls

  N/A

28 Forklift

• Forklift Checklist in date?

  Yes

  No

  Shortfalls

  N/A

• Annual LOLER Inspection in date?

  Yes

  No

  Shortfalls

  N/A

• Keys stored in combination safe when not in use?

  Yes

  No

  Shortfalls

  N/A

29 Cranes

• In date for maintenance and inspection?

  Yes

  No

  Shortfalls

  N/A

• All drivers/operators in date for associated qualifications?

  Yes

  No

  Shortfalls

  N/A

• Observations?

30 Lifting Equipment

• Colour Coded?

  Yes

  No

  Shortfalls

  N/A

• Wear & Tear?

  Yes

  No

  Shortfalls

  N/A

31 Hydraulic Jacks

• In date for test?

  Yes

  No

  Shortfalls

  N/A

• Wear & Tear?

  Yes

  No

  Shortfalls

  N/A

32 Gas Bottle & Fuel Stores

• All fuels separate?

  Yes

  No

  Shortfalls

  N/A

• Stowed in locked cages?

  Yes

  No

  Shortfalls

  N/A

• Ready use bottles secured and not free standing?

  Yes

  No

  Shortfalls

  N/A

• Ready use bottles turned off at cylinder and excess gas vented from hoses when not in use?

  Yes

  No

  Shortfalls

  N/A

33 Gas hoses & associated equipment

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

• Wear & Tear?

  Yes

  No

  Shortfalls

  N/A

• Are gauges free from damage?

  Yes

  No

  Shortfalls

  N/A

34 Metal Scrap Bins & Skips

• No scrap overly protruding?

  Yes

  No

  Shortfalls

  N/A

• Segregated materials?

  Yes

  No

  Shortfalls

  N/A

35 Site Electrical

• No general electrical issues?

  Yes

  No

  Shortfalls

  N/A

• In date for inspection?

  Yes

  No

  Shortfalls

  N/A

PART 2 - WORK ACTIVITIES

• Have personnel completed a Take 5 Risk Assessment for works being undertaken?

  Yes

  No

  Shortfalls

  N/A

• Are access and egress arrangements safe, including working at height access (Ladders, scaffolding tagged, etc.)?

  Yes

  No

  Shortfalls

  N/A

• Is housekeeping / tidyness acceptable in the work area, and is it free from slip, trip and fall hazards?

  Yes

  No

  Shortfalls

  N/A

• Are all hazards suitably controlled and appropriate measures taken to ensure the health and safety of Burgess Marine personnel and others who may be affected by their activities?

  Yes

  No

  Shortfalls

  N/A

• Do personnel have the relevant instruction and training to carry out the work safely?

  Yes

  No

  Shortfalls

  N/A

PART 3 - ENVIRONMENTAL

1 Fresh Water System Management

• Fresh Water System Management Log up to date?

  Yes

  No

  Shortfalls

  N/A

• Hot & Cold water temperatures: Above 50 degrees Celsius, below 20 degrees Celsius

• No noticable defects around the fresh water system?

  Yes

  No

  Shortfalls

  N/A

2 Waste

• General Housekeeping of skip areas?

  Yes

  No

  Shortfalls

  N/A

• Separate skips provided for General and Recycle waste?

  Yes

  No

  Shortfalls

  N/A

• Waste collection conducted regularly?

  Yes

  No

  Shortfalls

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign