MCS SITE HEALTH, SAFETY & SUSTAINABILITY INSPECTION

• Date of Inspection

  Date

• Name of Person Completing the Inspection?

• Location of works
  Address

• Project Name

• Crew Supervisor

• Crew Leader

• Other Operatives Onsite

• What works are the crew carrying out?

Documentation

• Were you prompted on arrival, to sign onto the teams Daily POWRA?

  Yes

  No

  N/A

• Have all Operatives & Supervisors been briefed & signed onto the POWRA?

  Yes

  No

  N/A

• Where required do all Supervisors & Operatives have an ID Card?

  Yes

  No

  N/A

• Is the Vehicle Pack available & complete, including suitable & relevant RAMS & a copy of the NRSWA Red Book?

  Yes

  No

  N/A

• Are all Operatives aware of the latest toolbox talk brief issued by Giganet?

  Yes

  No

  N/A

• Is the safety QR Code displayed to report any incidents or good catches?

  Yes

  No

  N/A

• Additional comments:

Training

• Do all Supervisors & Operatives hold an in date Smart Award NOPS Card?

  Yes

  No

  N/A

• Are operatives aware of their nearest first aider is and is there sufficient trained first aiders on site?

  Yes

  No

  N/A

• Additional comments:

Traffic Management/ Street Works

• Is the Traffic Management type appropriate & safe for the works?

  Yes

  No

  N/A

• Are all relevant permit boards on display (displaying Giganet's name, with the correct Permit Number)?

  Yes

  No

  N/A

• Are all other signs in accordance with chapter 8? *

  Yes

  No

  N/A

• Is there suitable provision for resident/public access including suitable passing for pushchairs and wheelchairs?

  Yes

  No

  N/A

• Is the whole area guarded correctly, preventing 3rd party access?

  Yes

  No

  N/A

• Additional comments:

Work at Height

• Is the work planned and recorded on a Site-Specific RA?

  Yes

  No

  N/A

• Are all certifications in place for WAH equipment (e.g., harness, MEWP's)?

  Yes

  No

  N/A

• Are all leading edges secured by barriers or handrails?

  Yes

  No

  N/A

• Additional comments:

Plant & Equipment

• Is all plant, machinery, tools & equipment appropriate for the task & free from defects?

  Good

  Poor

• Do all Operatives know how to report any defects? *

  Yes

  No

  N/A

• Are insulated shovels in good condition with no white showing through protective coating? *

  Yes

  No

  N/A

• Is the bucket in use a toothless type? *

  Yes

  No

  N/A

• Are number plates correct & visible on both vehicles & trailers? *

  Yes

  No

  N/A

• Does the vehicle have 3 slings available?

  Yes

  No

  N/A

• Is the vehicle fit to work with the road (working beacons, chevrons etc.)? *

  Yes

  No

  N/A

• Is the vehicle loaded safely & without exceeding maximum gross weight? *

  Yes

  No

  N/A

• Is electric powered equipment/tools 110v & PAT Tested? *

  Yes

  No

  N/A

• Additional comments:

Personal Protective Equipment

• Are all Supervisors & Operatives meeting minimum PPE/RPE requirements (flame retardant where applicable)? *

  Yes

  No

  N/A

• Is all task related PPE/RPE available & appropriate for the task (Safety Glasses, Goggles, Ear Defenders etc.)? *

  Yes

  No

  N/A

• Is all PPE/RPE in good, working condition? *

  Yes

  No

  N/A

• Additional comments:

PIA Compliance

• Are all relevant permits/authorisations in place & signed by the lead operative? *

  Yes

  No

  N/A

• Is the site setup in accordance with permit conditions? *

  Yes

  No

  N/A

• Are all safety guards fitted & free from defects? *

  Yes

  No

  N/A

• Are all utility drawings available (Legible, Full Area, In Colour & In Date)?

  Yes

  No

  N/A

• GDU available onsite? *

  Yes

  No

  N/A

• Date of next GDU calibration *

  Date

• Is PIA accreditation training available on-site for review?

  Yes

  No

  N/A

• Additional comments:

OH/UG Services

• Evidence of CAT scanning, Services marked/Utility drawings/Permit to Dig available? Area rescanned every 100mm excavated down? *

  Yes

  No

  N/A

• Safe Digging Practices followed. Trial hole every 50metres/Dial before you Dig? *

  Yes

  No

  N/A

• CAT and Genny next Calibration date? *

• Have all known services been marked up with the correct spray paint? *

  Yes

  No

  N/A

• Are all Operatives aware of Asbestos risks and the correct procedures to follow if suspected or found? *

  Yes

  No

  N/A

• Are all Operatives aware of HAVS/WBVS risks & the control measures required to reduce these risks? *

  Yes

  No

  N/A

• Are noise levels adequately controlled? *

  Yes

  No

  N/A

• Additional comments:

Fire and Emergency

• Is there a fully stocked & in date First Aid Kit, with a list of contents &a suitable stock of eye wash pods? *

  Yes

  No

  N/A

• Is there an in date fire extinguisher available (gauge needle in the green) & have the operatives been trained to use it? *

  Yes

  No

  N/A

• Do all operatives know nearest hospital is & how to get there? *

  Yes

  No

  N/A

• Are all supervisors & operatives aware of all emergency & reporting procedures (Inc. Incidents, Accidents, Utility Strikes & Terrorist Attacks)? *

  Yes

  No

  N/A

• Are sharps bins available & do operatives know how to safely use them? *

  Yes

  No

  N/A

• Do all engineers know what to do in the event of an environmental spillage? *

  Yes

  No

  N/A

• Is there a spill kit, funnel & drip tray available on site? *

  Yes

  No

  N/A

• Additional comments:

Welfare

• Are there suitable welfare facilities available (This includes knowledge of nearby public toilets and permission from local businesses/shops or customers)? *

  Yes

  No

  N/A

• As a minimum requirement on vehicles are there: hand wipes and blue roll, soap/sanitiser and drinking water? *

  Yes

  No

  N/A

• Additional Comments. Location etc. *

Housekeeping

• Site Housekeeping — work site tidy and free from hazards? Storage of materials in good order? *

  Yes

  No

  N/A

• Additional comments:

COSHH

• Are all relevant COSHH assessments/data sheets available on site? *

  Yes

  No

  N/A

• Are all COSHH clearly & correctly labelled? *

  Yes

  No

  N/A

• Are all COSHH stored safely & correctly? *

  Yes

  No

  N/A

• Additional comments:

Electrical

• Power Tools Pat Tested — 6 mths? *

  Yes

  No

  N/A

• Additional comments:

Sign Off

• Name and Signature

  Sign