MD Group - Line Managers Inspection Form - Sept 19

• Client:

• Address:
  Address

• Region:

  Select Abingdon Bridgwater Bristol Exeter Peterborough Poole

  • Abingdon
  • Bridgwater
  • Bristol
  • Exeter
  • Peterborough
  • Poole

• Date:

  Date

• Line Manager Name:

• Operative Name:

The following sets out the scoring criteria that will be used on all MD Group Line Managers site inspections.

• COMPLIANT - A category will be scored as "Compliant" where the operative can demonstrate they are fully compliant with the requirements of relevant applicable legislation, guidance, industry best practice or MD Group processes and procedures. Where a "Compliant" score is issued, a score of 5 will be awarded to that category.

.

• OPPORTUNITIES - A category will be scored as "Opportunities" where the operative cannot demonstrate they are fully compliant with the requirements of relevant applicable legislation, guidance, industry best practice and MD Group processes and procedures, but the breach is such that it could attract a Fee For Intervention (FFI) or an Improvement Notice from a HSE enforcement officer. Where an "Opportunity" score is issued, a score of 3 will be awarded to that category.

.

• NON-COMPLIANT - A category will be scored as "Non-Compliant" where the operative is in breach of the requirements of relevant applicable legislation and where a HSE inspector would issue enforcement action in the form of a Prohibition Notice. Where a "Non-Compliant" score is issued, a score of Zero will be awarded to that category.

.

• Project Type:

  Reactive maintenace

  Planned

  Void

• Works in Progress at time of Inspection:

• e.g Replacement of tap kitchen tap fittings following reports of the taps constantly running

1. DOCUMENTATION:

• Overall Documentation Score:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 1.1 Does the Operative have their PDA to hand?

  Yes

  No

  N/A

• 1.2 Are risk assessments and method statements available to view either on their PDA or hard copy?

  Yes

  No

  N/A

• 1.3 Has the operative attended recent and relevant toolbox talks and have they been recorded?

  Yes

  No

  N/A

• 1.4 Is the PDA Job Status up to date?

  Yes

  No

  N/A

• 1.5 Can the Operative access the MD SHEQ Drive

  Yes

  No

  N/A

• 1.6 Can the Operative access the Waste Carriers Licence

  Yes

  No

  N/A

• 1.7 Can the Operative access the Insurance Documents

  Yes

  No

  N/A

2. SITE MANAGEMENT:

• Overall Site Management Score:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 2.1 Is the Operative suitably qualified for the task at hand?

  Yes

  No

  N/A

• 2.2 Is the Operative aware of the site hazards and risks?

  Yes

  No

  N/A

• 2.3 Is the Operative aware of the accident / incident / near miss procedure?

  Yes

  No

  N/A

3. PROTECTION AGAINST FALLS / WORK AT HEIGHT:

• Overall Protection Against Falls / Work at Height Score:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 3.1 Are risk assessments and method statements provided for all works at height?

  Yes

  No

  N/A

• 3.2 Where work equipment is used for works at height, are operatives appropriately trained in it's use?

  Yes

  No

  N/A

• 3.3 Where there is a risk of falls from height, is suitable edge protection in place, such as gaps in stair railings?

  Yes

  No

  N/A

• 3.4 Where working at height is being undertaken is the most appropriate form of access being used? Pop up’s instead of steps ladders?

  Yes

  No

  N/A

• 3.5 Are ladders in use only industrial strength, not household rated. Check label?

  Yes

  No

  N/A

• 3.6 Are ladders, steps, pop up’s in good condition?

  Yes

  No

  N/A

• 3.7 Are ladders tied & footed appropriately with a 4:1 angle while use?

  Yes

  No

  N/A

• 3.8 Are ladders, steps being used safely?

  Yes

  No

  N/A

4. TOOLS & EQUIPMENT:

• Overall Plant & Equipment Scores

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 4.1 Does the tools & equipment on site appear in good condition and suitable for the task?

  Yes

  No

  N/A

• 4.2 Are tools battery operated?

  Yes

  No

  N/A

• 4.3 Are electrical tools PAT and in date?

  Yes

  No

  N/A

• 4.4 Are tools being used correctly and in a safe manner?

  Yes

  No

  N/A

• 4.5 Have tools & equipment that create construction dust a suitable & sufficient means to reduce dust at source such as dust bags / extraction attachments etc?

  Yes

  No

  N/A

• 4.6 Has HAVS monitoring been conducted for the use of the Operatives Tools

  Yes

  No

  N/A

5. ELECTRICS:

• Overall Electrics Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 5.1 Are all electrical tools used on site 110 volts?

  Yes

  No

  N/A

• 5.2 Are procedures in place for control panel lock-off's where required?

  Yes

  No

  N/A

• 5.3 Are the Operatives tools suitable for the task, such as insulated hand tools, fiberglass ladders?

  Yes

  No

  N/A

6. ACCESS:

• Overall Access Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 6.1 Is the access free from slip, trip and fall hazards?

  Yes

  No

  N/A

• 6.2 Are the vehicles parked safely and not creating a hazard?

  Yes

  No

  N/A

• 6.3 Is there a safe area to the load / unload?

  Yes

  No

  N/A

• 6.4 Are working areas accessible and clear of obstructions, floor surfaces even, stairwells uncluttered?

  Yes

  No

  N/A

7. SCAFFOLDS:

• Overall Scaffolds Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 7.1 Are fixed scaffolds in use?

  Yes

  No

• 7.2 Are fixed scaffolds issued with a handover certificate from the scaffolding contractor who installed it?

  Yes

  No

  N/A

• 7.3 Are fixed scaffolds inspected once a week and records of inspections kept?

  Yes

  No

  N/A

• 7.4 Are scaffold access ladders tied & footed appropriately with a 4:1 angle while use? And removed when not in use?

  Yes

  No

  N/A

• 7.5 Are tower scaffolds in use?

  Yes

  No

• 7.6 Have tower scaffolds been erected by competent persons and in line with manufacturers instructions?

  Yes

  No

  N/A

• 7.7 Are tower scaffolds wheels locked, edge protection in place and toe boards fitted?

  Yes

  No

  N/A

8. FIRE

• Overall Fire Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 8.1 Is the Operative aware of the process for raising an alarm in the event of a fire?

  Yes

  No

  N/A

• 8.2 Is fire equipment available, suitable, serviced and in date?

  Yes

  No

  N/A

• 8.3 Are all fire escape routes, fire exits and access to fire points kept free from obstructions?

  Yes

  No

  N/A

9. PERSONAL PROTECTIVE EQUIPMENT (PPE):

• Overall Personal Protective Equipment Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 9.1 Is replacement PPE available in the event PPE may be damaged or mislaid?

  Yes

  No

  N/A

• 9.2 Where RPE is used, have operatives been face fitted and are records of face fitting available for inspection?

  Yes

  No

  N/A

• 9.3 Are Operatives wearing appropriate PPE in line with company policy?

  Yes

  No

  N/A

• 9.4 Is there a requirement for additional PPE such as RPE, glasses or gloves, are they being worn?

  Yes

  No

  N/A

10. HOUSEKEEPING:

• Overall Housekeeping Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 10.1 Is housekeeping to a high standard

  Yes

  No

  N/A

• 10.2 Are trailing cables routed to edges of walls or above head height so as not to cause a trip hazard?

  Yes

  No

  N/A

• 10.3 Is waste being stored safely / appropriately?

  Yes

  No

  N/A

• 10.4 Are tools & equipment when not in use being stored correctly?

  Yes

  No

  N/A

• 10.5 Are materials / redundant materials removed from site when not in use or stored safely?

  Yes

  No

  N/A

11. Asbestos

• Overall Asbestos Scores:

  Compliant

  Opportunities

  Non-Compliant

  N/A

• 11.1 Is the property asbestos information available to view?

  Yes

  No

  N/A

• 11.2 Is the Operative aware of asbestos locations?

  Yes

  No

  N/A

• 11.3 Is the Operative aware of the MD Group escalation procedure?

  Yes

  No

  N/A

• 11.4 Has the Operative conducted the Asbestos Awareness Course? Has he / she passed within the last year?

  Yes

  No

  N/A

Any Other Comments

• Any other comments?

  Yes

  No

  N/A

Report Signatories:

• Line Managers Signature:

  Sign

• Operative Signature

  Sign

• Date & Time of Signature:

  Date