MCC Ltd SHEQ Team

• Job No.

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• What work is being undertaken?

• Person Conducting Inspection

• Management Team Members Present

  Select

• Conducted on

  Date
• Location (e.g. street name or nearest farm, landmark to closest village, town or city)
  Address

• Team Supervisor

• Which personnel are on site (companies only, e.g. MCC Ltd, SPEN)

• Operative 1:

• Operative 2:

• Operative 3:

• Operative 4:

• Operative 5:

• Operative 6:

• Vehicle 1 Registration:

• Vehicle 2 Registration:

• Vehicle 3 Registration:

• Vehicle 4 Registration:

1.0 Dynamic Risk Assessment and Documentation

• N/A to all

• 1.1 Are significant hazards identified and controls implemented<br><br>

  Yes

  No

  N/A

• Risk rating:

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 1.2 Are all personnel signed-on to the Risk Assessment (including other contractors and visitors) and risk,hazards and controls communicated

  Yes

  No

  N/A

• Risk rating:

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 1.3 Service Plans available

  Yes

  No

  N/A

• Risk rating:

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 1.4 Are Competency Certificates / Skills Cards on site and in date

  Yes

  No

  N/A

• Risk rating:

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 1.5 Do CSMU Teams have access to a Team Pack on Workmobile

  Yes

  No

  N/A

• Risk rating:

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 1.6 Notifiable CDM Projects - Have all personnel on site been inducted and signed in/out?

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

2.0 Excavations

• N/A to all

• 2.1 Has a full Cat and Genny survey been completed?

  Yes

  No

  N/A

• Risk rating:

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 2.2 Have trial holes been dug?

  Yes

  No

  N/A

• Risk rating:

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 2.3 Have all services been clearly marked within the excavation area

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 2.4 Is there Safe Access and Egress into the excavation area

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 2.5 Excavation adequately supported if required (benching, battering, shoring implemented for excavations above 1.2m)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 2.6 Spoil stored a safe distance from edge of excavations

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 2.7 Top Soil/Sub Soil separated

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

3.0 Cable Lay and Ducting

• N/A to all

• 3.1 Trench at correct depth and within specification

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 3.2 Sand and bedding correct as per specification

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 3.3 Network spacing correct as per specification

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 3.4 Network undamaged with ends/seals protected

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 3.5 Network tiles/marker tape at the correct depth

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 3.6 Network physical protection - e.g steel plates if required

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 3.7 Exposed utilities supported

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

4.0 Emergency Arrangements and First Aid

• N/A to all

• 4.1 Is fire extinguisher in full working order - charged and in-date?

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• Calibration due date:

  Date

• 4.2 Is the First Aid Kit fully stocked, eyewash available and in-date?

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 4.3 Emergency Arrangements - Are the arrangements known to all staff on site, (nearest A&E, Fire Assembly Point)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

5.0 Welfare

• N/A to all

• 5.1 Welfare - Are facilities suitable and sufficient for the duration of the task and numbers on site, including toilets and rest area

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 5.2 Are there suitable facilities for washing. (Hand wipes/blue roll or for dispensers Soap, Sanitiser, Barrier Cream)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

6.0 Health

• N/A to all

• 6.1 - Control of COSHH - Aware of hazards, risks and controls for substances being used and where to find appropriate information

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 6.2 Skin Management - Is there work involving irritants and appropriate control measures implemented, e.g. gloves, coveralls and eye protection

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 6.3 Noise - Is appropriate ear protection worn and in good condition

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 6.4 Respiratory - Are dust masks available, suitable for the task and being used

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 6.5 Are competent controls in place for risks associated with HAVS, (HAVS monitoring forms being completed)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

7.0 Tools, Equipment and Lifting Apparatus

• N/A to all

• 7.1 Are approved tools being used for the appropriate task (e.g. insulated shovels, picks)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 7.2 CAT Present?

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• CAT Number:

• Next Calibration Due:

  Date

• 7.3 Genny Present?

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• Genny Number:

• Next Calibration Due:

  Date

• 7.4 Is all lifting equipment within its examination date

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 7.5 Is all lifting equipment in good working order. (undamaged, free of rips, cuts, tears, stretching, broken chains, hooks, oil leakage)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 7.6 Is vibration and noise equipment in good working order and within examination date

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

8.0 NRSWA

• N/A to all

• 8.1 Is there enough space within this area to store all tools and equipment including spoil and plant movements will not encroach outside the working area

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 8.2 Has the right choice been implemented taking into account, Speed Limit, Coned Area length (Refer to Red Book)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 8.3 Is there a safe route for pedestrians and where a temporary footpath is installed, is it compliant

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 8.4 Are exclusion zones and barriers secured to prevent access by unauthorised persons

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 8.5 Is there a banksman competently overseeing the movement of plant and vehicles on site and going to/from site

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

9.0 PPE - The correct PPE for the task being worn, fit for purpose and in good order.

• N/A to all

• 9.1 Flame Retardant Coveralls

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 9.2 Head Protection

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 9.3 Hearing Protection

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 9.4 Eye Protection

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 9.5 Dust Mask

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 9.6 Gloves

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 9.7 High Visibility Clothing

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

10.0 Environment

• N/A to all

• 10.1 Are spill kits available

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.2 Have Environmental considerations been assessed and included on the Dynamic Risk Assessment (all hazards identified and risk assessed, including measures in place to protect trees plants, flora and fauna),

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.3 Appropriate measures in place to prevent pollution/damage to water courses? (drainage, sewers, rivers, burns, streams, irrigation systems, marshland, bogs)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.4 Plan for removal of waste effective? (Is waste correctly separated for disposal? Are waste containers suitable and correctly labelled?)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.5 Noise and Dust being suppressed as far as practicable

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.6 Waste scrap being removed and disposed of in the correct manner

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.7 Measures in place to ensure the protection of wildlife? (badger sets, otters, nesting birds, protected bird sanctuaries)

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.8 Are chemicals correctly labelled, stored properly and being used safely?<br>

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 10.9 Is all plant and vehicles stored or parked away from drains and water courses

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

11.0 Vehicles, Trailers, Excavators and Plant Machinery

• N/A to all

• 11.1 Wheels and nuts/ Tracks/Chains/Shoes

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.2 Body Panels/Guards/Spray Suppression

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.3 Handles/Rails/Steps/Decking/Flooring

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.4 Mirrors/Windows/Wipers/Washers

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.5 Lights/Indicators/Beacons/Trailer/Boards/Number Plate

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.6 Securing Straps/Lashing Points/Hooks

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.7 Reflective Markers/Tailgate/Mudguards

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.8 Trailer Coupling Connections/Tow Eye/Ball/Hitch/Power Cable/Plug/Breakaway Cable/Jockey Wheel/Clamp/Drop leg

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.9 Securing Pins/Clips/Bucket teeth/Grease lines/Hydraulic Hoses

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.10 Are Seat Belts being used where applicable

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.11 Plant equipment and apparatus within its service date

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• 11.12 Have daily Vehicle/Trailer/Excavator/Plant inspections been conducted and record book completed

  Yes

  No

  N/A

• Risk Rating

  Improvement Opportunity

  Minor Non Conformance

  Major Non Conformance

• Auditor's Comments:

• Image of site.

  Media

• Enter Audit Signature Below:

• Add signature

  Sign

• Enter Team Leader Signature Below:

• Add signature

  Sign

• Have all identified corrective actions been completed Yes/No?

  Yes

  No

  N/A