Title Page
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Managers Weekly Health And Safety Inspection Form
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Site Name & Contract Number
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Conducted on
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Responsible Managers Name
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Areas Inspected
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Inspection Carried Out By
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Document Number
SAFETY, HEALTH & ENVIRONMENTAL MONITORING
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Project Registers Up To Date ?
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Access & Egress Routes ?
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Induction Training ?
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Risk Assessments & Method Statements ?
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Correct PPE In Use ?
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Storage And Use Of Fuel / LPG ?
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H&S Plan Reviewed ?
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Safety Equipment In Use & Used Correctly ?
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Electrical Distribution & Services ?
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Temporary Works Procedures Being Followed ?
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Segregation Of Vehicles & Pedestrians ?
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Hand / Cartridge Tools / Abrasive Wheels Used Correctly ?
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Statutory Notices Displayed
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Permits In Use & Completed Correctly ?
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Toolbox Talks Completed ?
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Safety Signs In Place & Appropriate ?
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Scaffolding Inspected By A Competent Person ?
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Housekeeping Of A Good Standard ?
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Welfare Facilities Adequate / Clean / Well Stocked ?
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Excavations Inspected ?
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Environmental - Noise Levels / Dust / Etc... ?
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First Aid Provisions Adequate & In Date ?
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Mobile Plant & Machine Operators - Certification & Inspections
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COSHH / Waste Being Properly Controlled ?
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Specialist Subcontractor Operations ?
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Lifting Appliances / Lifting Gear / Hoists - Examinations & Inspections ?
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Security & Fencing ?
FIRE & EMERGENCY MONITORING
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Portable Fire Extinguishers In Date and Alarms Working ?
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Emergency Procedures Displayed ?
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Fire Protection / LPS 1207 Coverings Present And In Good Condition ?
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Hot Works Permits Operating Correctly ?
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Fire Muster / Assembly Point Clearly Displayed ?
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Designated Smoking Zones In Operation And Signed Suitably ?
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Electricity & Gas Supplies Identified & Protected ?
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Flammable Liquids Stored Correctly ?
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Are Waste Materials Being Placed In Designated Skips ?
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Has PAT Testing Been Completed For Relevant Equipment ?
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LPG Containers Stored Correctly ?
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Emergency Access Doors & Routes Clear & Maintained ?
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Fire Evacuation Practice Complete & Documented ?
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Fire Safety Signs & Routes Displayed ?
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Alarm / Warning Devices Tested & Working Correctly ?
SCAFFOLDING / EXCAVATION MONITORING
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Footings & Baseplates Intact
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Standards / Ledgers / Bracings Secure ?
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Proprietary Access Gate In Use ?
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Scaffold Access Free From Debris ?
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Ladder Access Secure ?
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Brick Guards In Use ?
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Scafftag System In Use ?
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7 Day Inspection In Place ?
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Scaffolders Competent to Erect Scaffolding Used ?
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Toe boards Fitted & Secure ?
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Guard Rails at Correct Height (950mm / 470mm) ?
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Excavations Protected With Suitable Barriers / Fencing ?
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Manhole / Drainage Covers Secure ?
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Excavations Stepped Back / Battered Correctly ?
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Proprietary Earthworks Support System Used & Design In Place ?
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Shoring / Sheet Piling / Props Secure And Installed As Per Design ?
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Weekly / Monthly Excavation Monitoring In Place And Documented