LUCA- Site Managers Weekly Safety Inspection Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Welfare

• Canteen acceptable <br>

  Yes

  No

  N/A

• Toilets acceptable

  Yes

  No

  N/A

• Washing facilities acceptable

  Yes

  No

  N/A

• Drying room acceptable

  Yes

  No

  N/A

• Offices acceptable

  Yes

  No

  N/A

• Parking on site available

  Yes

  No

  N/A

Fire

• Fire plans displayed

  Yes

  No

  N/A

• Exit route signposted

  Yes

  No

  N/A

• Fire points clear

  Yes

  No

  N/A

• Fire extinguishers available

  Yes

  No

  N/A

• LPG use and storage satisfactory

  Yes

  No

  N/A

• Any fire alarm testing done

  Yes

  No

  N/A

• Emergency lighting satisfactory

  Yes

  No

  N/A

Statutory services

• Overhead satisfactory

  Yes

  No

  N/A

• Buried satisfactory

  Yes

  No

  N/A

• Temporary electric satisfactory

  Yes

  No

  N/A

• Test certificates satisfactory

  Yes

  No

  N/A

• Earth spikes satisfactory

  Yes

  No

  N/A

• Cables satisfactory

  Yes

  No

  N/A

• Hand tools satisfactory

  Yes

  No

  N/A

• Harnesses satisfactory

  Yes

  No

  N/A

• Hi vis vest satisfactory

  Yes

  No

  N/A

• Dusk mask supplied

  Yes

  No

  N/A

• R.P.E satisfactory

  Yes

  No

  N/A

First aid

• Accident book satisfactory

  Yes

  No

  N/A

• Contents of box satisfactory

  Yes

  No

  N/A

• First aid notices satisfactory

  Yes

  No

  N/A

• Any reportable incidents

  Yes

  No

  N/A

Health and safety documentation

• F10/insurance satisfactory

  Yes

  No

  N/A

• Law poster satisfactory

  Yes

  No

  N/A

• First aid register / book satisfactory

  Yes

  No

  N/A

• Inductions up to date

  Yes

  No

  N/A

• Visitors records satisfactory

  Yes

  No

  N/A

• H&S plan satisfactory

  Yes

  No

  N/A

• Method statement satisfactory

  Yes

  No

  N/A

• Risk assessment satisfactory

  Yes

  No

  N/A

• Safety policy satisfactory

  Yes

  No

  N/A

• COSHH Assessments satisfactory

  Yes

  No

  N/A

Lifting

• Daily inspections satisfactory

  Yes

  No

  N/A

• Test certificates satisfactory

  Yes

  No

  N/A

• Operator / Banks-man certificates satisfactory

  Yes

  No

  N/A

• Wire rope satisfactory

  Yes

  No

  N/A

• Chains satisfactory

  Yes

  No

  N/A

• SWL indicators satisfactory

  Yes

  No

  N/A

• Demarcation satisfactory

  Yes

  No

  N/A

Scaffolds

• Inspections satisfactory

  Yes

  No

  N/A

• Hand over certificates satisfactory

  Yes

  No

  N/A

• Foundation satisfactory

  Yes

  No

  N/A

• Plumbness satisfactory

  Yes

  No

  N/A

• Access satisfactory

  Yes

  No

  N/A

• All edge protection satisfactory

  Yes

  No

  N/A

• Netting / sheeting satisfactory

  Yes

  No

  N/A

• Integrity satisfactory

  Yes

  No

  N/A

ENVIROMENT

• Dust satisfactory

  Yes

  No

  N/A

• Spillage satisfactory

  Yes

  No

  N/A

• Waste satisfactory

  Yes

  No

  N/A

• Transfer notes

  Yes

  No

  N/A

• Waste licences satisfactory

  Yes

  No

  N/A

Plant and work equipment

• Excavators satisfactory

  Yes

  No

  N/A

• Dumpers satisfactory

  Yes

  No

  N/A

• Forklifts satisfactory

  Yes

  No

  N/A

• Cherry pickers satisfactory

  Yes

  No

  N/A

• Scissor lifts satisfactory

  Yes

  No

  N/A

Summary

• Site Manger

  Sign