Audit

THIS FORM IS TO BE COMPLETED BEFORE WORKS COMMENCE

THIS SURVEY IS TO BE COMPLETED FOR ALL TYPES OF WORKS SO THAT WE CAN ENSURE ALL EMPLOYEES AND THOSE THEY WORK AROUND REMAIN SAFE.

THIS SURVEY IS TO BE ADDED TO THE HEALTH & SAFETY FOLDER.

Project Rules
1. All site personnel are to be recorded entering and leaving the site therefore ll operatives, approved sub-contractors and site visitors must sign in at the store designated signing-in desk or security point nominated by the store/site.
2. A contractor or visitor pass must be worn at all times.
3. Operatives should present themselves in suitable attire.
4. No foul or abusive language will be tolerated.
5. All client staff must be treated with respect at all times.
6. Head protection must be worn at all times in designated areas.
7. Safety footwear must be worn at all times.
8. High visibility vests, gloves and eye protection must be worn at all times in designated areas.
9. All materials and rubbish will be kept within the horded areas at all times.
10. Fire extinguishers must be kept within the working areas at all times.
11. All operatives must make themselves familiar with the MBSL electrical safety policy. An abbreviated version shall be issued by MBSL site manager/supervisor.
12. Power tools to be in good condition, flexes to be fault-free and plug tops to be securely fixed and subject to up to date PAT, with associated certification made.
13. All power tools should be of battery or 110v capacity and should not be left plugged in when not in use.
14. No unattended manual or power tools are to be left in public areas.
15. No radios or similar to be allowed on site, except for communications purposes.
16. Non-safety matches must not be used on site.
17. No cartridge/fired tools to be allowed on site unless approved by the client.
18. No petrol or petrol-fired appliances to be allowed on site.
19. To assist with the ‘dry site’ rule, by denying entrance to workers visibly under the influence of alcohol, and bringing the matter immediately to the attention of the site management. Any operative found consuming or having consumed alcohol or drugs prior to arrival on site will not be allowed entry.
20. Any operative who is diabetic or is taking any form of prescription medication must inform the site foreman before commencing work.
21. Any person using or driving plant or specialist equipment must be properly trained and hold current C.I.T.B. certification or other recognized training certificate.
22. Any excavated holes shall be covered and barriers erected during periods of absence of the operator.
23. The smoking of any form of tobacco or electronic vapour devices is only permitted in the designated external and signed smoking area in accordance with the Marks and Spencer smoke free policy.
24. Operatives are responsible for cleaning up all debris from the work area, caused by their actions.
25. The use of Marks & Spencer facilities is not permitted unless by prior consent from the store.
26. No food or drink is to be consumed on site other than in the designated catering area.
27. No client equipment is to be utilised by any site operative.
28. Access to sales floors during trading hours is to be restricted to specific operatives carrying out specific duties as agreed with the store management.
29. No plant or materials are to be evident in public areas during trading hours.
30. All chemicals used on site must be of an approved and conform to the current CoSHH regulations.
31. Suitable protection is to be provided to client's property, stock and equipment at all times when work is being carried out.
32. The use of client's telephones is prohibited at all times.
33. Operatives must not move merchandise at any time.
34. No unattended manual or power tools are to be left in public areas.
35. Operatives and visitors must not enter areas that have not been designated as work areas.
36. Parking is not permitted in any client car park or loading bay unless with prior store consent.
37. All operatives and visitors must be aware of what action is to be taken in the event of a fire alarm. It is the responsibility of each individual to ensure that procedures are explained prior to commencing work on site.
38. All client purchases brought back onto site must be supported with relevant receipts.
39. Any operative found to be in breach of any of the above rules will be immediately removed

Job Start
Please take a picture of the work area before works commence.
Site Induction

Have you signed in and received a site induction from the store?

Who gave you the site induction?

Permits

Will there be any of the following type work?

Hot Works
Use of Ladders

Do you have a hot works permit?

You must ensure you have a Hot Works Permit, before works commence.

Have you completed a ladder permit?

You must complete a ladder permit before works commence.

Asbestos

Is the store a Red or Orange asbestos status?

Have you checked the asbestos survey?

You must ensure you have checked the asbestos survey on Simple Compliance before carrying on.

Will the job require drilling, or destructive works?

have you got a copy of the Asbestos Refurbishment & Demolition survey to confirm if asbestos is present?

Give Detail of how to Limit, Reduce or Remove the Risk:

If the Above Restrictions are in place Is it Safe to Proceed?

Method Statement

RISK ASSESSMENT

REFER TO THE LIST BELOW SELECTING THE AREAS WHICH MAY BE A RISK.

ONCE A SELECTION HAS BEEN MADE YOU MUST WRITE IN DETAIL THE POTENTIAL RISKS ASSOCIATED WITH THE ITEM SELECTED.

1. Brick/Block Work/Plaster

Risk Assessment

Risks

• Chemical Burns from Chemicals
• Eye injury
• Manual Handling Injury
• Hand Injury

Control Measures

• Refer to manual handling assessment and work at height assessment if relevant.
• Ensure the COSHH assessments are available and adhered to.
• When mixing ensure correct PPE and RPE is worn
• Ensure eye protection is worn
• Ensure the public and M&S staff are protected from unstable structures.

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

2. Cartridge Operated Fixing Tools

Risk Assessment

Risks

• Ricochet of nails
• Material penetration/breakthrough
• Failure of material(s) being fixed
• Recoil
• Damage to hidden services
• Misuse of tools/free firing – free flying nails
• Explosion/fire caused by cartridge ignition particularly in flammable atmospheres

Control Measures

• Operators are trained in the general use, application and hazards associated with the use of cartridge operated tools
• Operators are trained in the selection of the appropriate fixings and cartridge for a given application
• Operatives are trained to safely deal with misfires
• To reduce the risk associated with ricochets nails passing straight through the material being fixed, the presence of others in the area should be strictly restricted
• No persons shall be present on the opposite side of any wall, roof, partition or other fixing when using cartridge operated tools
• Wherever necessary, shields shall be erected to provide protection against ricochets and splintering
• Cartridge operated tools shall not be left unattended at any time
• Cartridge operated tools shall not be used in flammable or explosive atmospheres
• Ensure adequate supervision is provided and that control measures remain valid for the duration of the work
• Only trained operatives over the age of 18 years shall be authorised to use cartridge operated tools
• Check to ensure operatives are not colour blind (cartridges are colour coded to identify their strength)
• All cartridge’s and tools shall be stored in a locked and secure store under the control of a competent supervisor
• Supervisor shall keep strict records regarding the issue and use of all cartridges and tools.

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

3. Dust & Fumes

Risk Assessment

Risks

• Respiratory Problems


Control Measures

• Dust suppression used when appropriate
• Dust vacuumed up
• Suitable RPE is worn
• M&S staff and public are protected from dust

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

4. Fire & Explosion

Risk Assessment

Risks

• Fire/Explosion
• Sparks

Control Measures

• No Smoking
• Gas or flammables are used correctly
• Hot Works Permit must have been issued by M&S for hot works
• Combustibles will be stored correctly
• Fuels will be stored outside
• Suitable fire extinguisher must be on site

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

Are hot works required?

Work must not be completed without gaining a hot works permit from M&S

5. Hand Tools

Risk Assessment

Risks

• Cuts lacerations
• Impact injuries
• Eye injuries

Control Measures

• Care to be taken when using sharp tools
• Sharp tools must be stored away when not in use
• Eye protection must be worn when using impact tools

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

6. Working at Heights

Risk Assessment

Risks

• Falls from unguarded drops
• Structures Collapsing
• Falling Objects
• Work on Roofs

Control Measures

• All unguarded drops should be given edge protection
• Harnesses or fall arrest should be worn where edges cannot be guarded
• Scaffolds and ladders are inspected and tagged
• Equipment is on a lanyard or prevented from falling
• Areas below work must be protected with barriers.

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

7. Ladders

WARNING - M&S require a ladder permit to be completed!!!!!!!

Risk Assessment

Risks

• Falls from ladder
• Ladder Collapsing
• Falling Objects
• Injury through inadequate training

Control Measures

• All staff are suitably trained
• Step/Ladders are only used for short duration works
• Ladders are properly footed and tied off when necessary
• Step ladders are properly erected
• Ladders are only set up on even ground
• Ladders are placed at the correct angle
• Ladder is the correct height for the job
• Ladder can be placed directly in front of work so no reaching is required.
• Operator uses 3 points of contact at all times
• Equipment is attached via lanyard when appropriate
• Ladders are inspected before us and ladder tags are fitted.

Any additional control measures required?

Has the ladder been inspected and tagged?

Ladder must be inspected before use.

If the Above Restrictions are in place Is it Safe to Proceed?

8. Mobile Elevated Work Platforms (MEWPS)

Risk Assessment

Risks

• Falls from height
• MEWP overturning
• Overhead Power Lines
• Movement of vehicle
• Crushing Injury
• Overloading
• Failure of vehicle
• Falling Objects
• Injury through inadequate training

Control Measures

• All staff are suitably IPAF trained
• Harnesses and lanyards are worn in boom type lifts
• MEWP is only used as designed
• MEWP has LOLER inspection certificate which is within the last 6 months
• MEWP is only used on level ground
• MEWP is inspected before use and this is recorded
• Area below works is cordoned off
• Area is checked for overhead power cables before use.
• MEWP is not to be used within 50m of an overhead power line.
• MEWP is charged correctly in a safe area
• MEWP is escorted by a banksman when moving
• MEWP must not have Safe Working Load Exceeded.
• Doors to cage must be kept closed at all times when off the ground.

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

Does the operator have a current IPAF Card

MEWP must not be operated by untrained personnel

Does the MEWP have a Thorough Examination Certificate within the last 6 months?

MEWP must not be operated without a current certificate

Has the MEWP Pre Start Inspection been completed

The Pre Start Inspection Form must be completed prior to starting work.

9. Tower Scaffolds

Risk Assessment

Risks

• Falls from height
• Tower collapsing
• Overhead Power Lines
• Overloading
• Failure of Tower
• Falling Objects
• Injury through inadequate training

Control Measures

• All staff are suitably PASMA trained
• Tower is only used as designed
• Tower is only used on level ground
• Tower is inspected before use and this is recorded
• Area below works is cordoned off
• Area is checked for overhead power cables before use.
• Tower is not to be used within 50m of an overhead power line.
• Tower is charged correctly in a safe area
• Tower must not have Safe Working Load Exceeded.
• Tower is correctly erected and handrails and toe boards are fitted

Any additional control measures required?

Has the tower been erected by a PASMA trained person?

Tower must only be erected by a PASMA trained person

Has the Tower Inspection Form been completed?

Tower must be inspected prior to use. The inspection from must be filled in.

10. Power Tools

Risk Assessment

Risks

• Noise
• Electric Shock
• Eye Injury
• Laceration
• Crushing Injury
• Dust
• Hand Arm Vibration
• Ejection of Material

Control Measures

• All equipment is PAT tested
• Staff are competent to use the equipment
• Equipment is only used as designed.
• Training cables are tidied
• Eye protection and RPE is worn when drilling
• Public and M&S staff are protected from works using shields and barriers as appropriate.
• Dust is managed
• Ear defenders are worn for equipment over 85dB
• M&S staff and public are protected from noise
• Equipment is used for short periods to reduce hand arm vibration

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

11. Manual Handling

Risk Assessment

Risks

• Muscular Skeletal Injury
• Slips, trips and falls

Control Measures

• Item is picked up using correct lifting technique
• Staff are trained in manual handling
• Route is planned and free of trip hazards
• 2 persons are used for heavy or awkward lifts
• Mechanical assistance is always used when possible
• Lifts that pose significant risk must have a full manual handling assessment carried out.

If the Above Restrictions are in place Is it Safe to Proceed?

If lift poses a significant risk please enter Lifting Method and risk assessment below.

11. Noise at Work

Risk Assessment

Risks

• Noise

Control Measures

• Ear defenders are mandatory for operations over 85db, this includes anyone in vicinity that is exposed.
• Public must be protected by working out of hours or using acoustic barriers

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

12. Protection of Public

Risk Assessment

Risks

• Public being injured

Control Measures

• Area must always be controlled
• Work must be carried out ‘out of hours’ if the area cannot be controlled.
• Hazard signage must be displayed
• Barriers must be erected
• Noise and dust must be controlled

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

13. Slips Trips & Falls

Risk Assessment

Risks

• Slips
• Trips
• Falls


Control Measures

• Hazardous areas must be protected
• Edges must be guarded
• Cables must be kept tidy
• Equipment must be kept in van or stores area unless it is being used
• Work area must be kept tidy
• Trip hazards must be managed
• Staff must wear suitable safety boots

Any additional control measures required?

If the Above Restrictions are in place Is it Safe to Proceed?

14. Work with Electricity

Risk Assessment

Risks

• Electrocution
• Fire
• Operation or failure of equipment
• Safety features incorrectly isolated and prevented from working

Control Measures

• Electrical works are only carried out by competent electrical engineer
• Electrics are isolated before works commence
• Store manager is kept informed
• Safety devices such as alarms, guards safety interlocks must not be taken out of use with out full risk assessment.
• Minor works certificated and schematics are updated as necessary
• All works are carried out to current standards
• All works are suitably insulated
• Electrical cupboards are kept closed and locked when not in use
• Isolators are properly locked out using padlocks
• Rubber mats are available in plant rooms
• Electrical equipment such as screwdrivers and pliers are properly insulated.
• CO2 fire extinguishers are available.
• Exposed wiring is avoided when not in use.
• Safety devices or protection are always fully replaced when not in use.

Any additional control measures required?

Has the store manager been informed of electrical works?

Has the supply been isolated and locked before works commence?

If the Above Restrictions are in place Is it Safe to Proceed?

15. Plumbing

Risk Assessment

Risks

• Cuts
• Electrocution
• Disease

Control Measures

• Plumbing only carried out by competent plumbing engineer
• Water is isolated before works commence when necessary
• Store manager is kept informed
• All works are carried out to current standards
• Plant Rooms are kept closed and locked when not in use
• Gloves, facemask, goggles and overalls are worn when dealing with soil.

Any additional control measure required?

If the Above Restrictions are in place Is it Safe to Proceed?

16. Drilling

Risk Assessment

Risks

• Cuts
• Electrocution
• Asbestos
• Eye Injury
• Noise
• Dust

Control Measures

• Operator will wear eye protection
• Operator will wear ear defenders
• Operator will ensure an Asbestos Refurbishment Demolition survey as been carried out on area he is drilling.
• Drill will have a current PAT test
• Drill will be inspected before use.

Any additional control measure required?

Can you confirm that an Asbestos Refurbishment & Demolition survey has been carried out if a red or orange store?

Can you confirm the correct PPE is available and will be worn? (Ear Defenders & Safety Glasses)

METHOD STATEMENT

A DETAILED DESCRIPTION OF HOW THE WORKS ARE TO BE COMPLETED MUST BE NOTED BELOW.

Detailed Description of Method Statement:

COSHH

SELECT FROM THE LIST BELOW SELECTING THE AREAS WHICH MAY BE A RISK:

Please List any Other Hazardous Substance:

Please list preventative measures following key COSHH controls including: Safety Data Sheet COSHH Assessment PPE Fire extinguishers Signs Approved handler Location test certificate Hazardous atmosphere zones Emergency response plan Secondary containment (bunding).

PPE Required

Hard Hat

Dust mask or RPE?

Gloves?

High visibility clothing?

Knee pads?

Safety glasses?

Safety foot wear?

Safety work wear?

Health and Safety

Fire Extinguisher?

First Aid Kit?

Lock off and tag kit?

Barriers

Signage

SPECIAL REQUIREMENTS

PLEASE DETAIL ANY SPECIAL REQUEST FOR THE WORKS OR WHICH MAY BE A REQUIREMENT TO COMPLETE THIS PARTICULAR PROJECT

Please Detail any Special Requirements:

POINTS TO REMEMBER

All Personnel have current and correct CSCS Card?

All Personnel are up to date on Simple Compliance?

All personnel have a current Asbestos Awareness Certificate?

PAT Testing of All Electrical Equipment has either been Completed prior to starting?

COMPLETED BY:

Any issues that need to be actioned?

Please take a picture of the completed job.
Date and Time Job Completed
Print & Sign Operative 1.
Print & Sign Operative 2.
Print & Sign Operative 3.
Print & Sign Operative 4.
Print and Sign Client.

PLEASE INCLUDE THIS REPORT AS PART OF THE HEALTH & SAFETY FOLDER.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.