Title Page
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Site conducted
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Project Name and Number
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Site Crew Names
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Location
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Conducted on
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Prepared by
Site/Project HSE Induction
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Was a site/project HSE induction given by the Principal Contractor?
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Why was no induction given?
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Was the induction adequate in scope for the nature of the project?
Welfare
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Is CDM compliant welfare available on site? Minimum of toilet, hand washing facilities, space to heat food and boil water, drinking water available, space to store and dry clothes, heating and shelter.
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Why does the welfare not meet the standard required by HSE guidance?
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Is the welfare suitably clean and tidy?
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Are legal notices in place (HSE Poster, map to hospital, etc)?
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Is the welfare unit being used to store equipment?
Housekeeping
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Is MGD equipment stored in neat and tidy manner in the site compound?
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Are access routes visible and clear of equipment?
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Is there adequate adequate provision for rubbish disposal and/or storage?
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Is the drill pad fenced off and secure?
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Are bog mats being used?
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Would bog mats improve the situation?
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Is the work area free of obstructions and trip hazards?
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Are tools stored off the ground and kept clean?
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Are hoses obstructing walkways?
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Are consumables accessible and stored neatly?
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Is the site free of litter produced by our operations?
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Take a pictures of the setup showing good/bad examples
PPE
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Are operatives wearing the minimum required PPE? (Safety boots, hard hats, gloves)
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Do the operatives have sufficient stock of dry overalls, waterproofs?
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Is there sufficient stock of gloves, glasses, contam PPE?
Equipment
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Condition of rig and other plant
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Does the rig have fire extinguisher and drip tray?
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Condition of vehicle
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Does the vehicle have fire extinguisher and first aid kit?
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Daily checks completed?
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What assistance is needed to help the checks be completed?
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Is the rig safety pack with the driller and up to date?
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Is there any equipment that would improve the quality, safety, or productivity on the project?
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Please record MGD comments
Site Team
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How is the morale on site for MGD staff?
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Can anything be done to improve morale by MGD management team?
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How is the relationship with the Client?
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Is relevant information and instructions being communicated to the MGD team in good time by the Client?
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Are there any issues with the site management and organisation that the MGD team would like to communicate?
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Please record MGD comments
Sign Off
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Any other comments?
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Please comment
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Signature
