Title Page
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Site conducted
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Conducted on
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This weekly check form incorporates all of the applicable inspection red files that are usually paper based
the form can be started at any date and closed when all applicable checks for the project are completed - by the site / project manager.
Each form can be individually completed, dated and signed by the worker completing the inspection
This form contains the following NCL weekly inspection forms: -
The Project / site manager must sign off this form to confirm all applicable weekly checks are completed.
Weekly Checks
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Are you inspecting Work at Height Equipment?
Work at Height Equipment (multiple forms)
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Step 1: Register the equipment: provide the details of the applicable work at height equipment
Step 2: Carry out the inspection for the registered work at height equipment -
Are you inspecting harnesses & lanyards?
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Enter date of inspection
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Enter details of all Harnesses & Lanyards to be added to the register
Click the + button to add more Harnesses and Lanyards to the register -
Enter Harness Serial Number
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Enter Lanyard Serial Number
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Enter NCL Number e.g. NCL567
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Date of next thorough examination
6 Harnesses and Lanyards Inspection Register
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Enter details of all Harnesses & Lanyards to be added to the register
Click the + button to add more Harnesses and Lanyards to the register -
Enter Harness Serial Number
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Enter Lanyard Serial Number
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Enter NCL Number e.g. NCL567
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Date of next thorough examination
6 Harnesses and Lanyards Inspection
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Check D-rings for rust or corrosion, distortion, cracks, breaks, and rough or sharp edges. D-rings should pivot freely.
Check Buckles note any unusual wear, damage or distortion. On tongue buckles check that the roller and tongue move freely and that the tongue overlaps the buckle frame. Check the outer and center bars on friction and mating buckles for distortion. On quick release types check for broken plastic and that they will not release when one release is opened. Mating buckles should nest together.
Check Webbing Inspect the entire length of all the webbing looking for frayed edges, broken fibers, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any webbing that has been marked with a felt pen, excessive hardness or brittleness or the Harness Fall Indicator deployment.
Check Stitching Check all stitching for ripped or pulled stitches and to make sure the webbing joints are not loose. Also look for missing stitching, hard or shiny spots, or discoloration of stitching.
Inspect to be certain that all harnesses have a label that is legible and securely held in place.
Check the Thorough examination, is it in date? -
select yes if all of the listed harness & lanyards are safe & approved to use at time of inspection
select No if there is one or more of the harnesses or lanyards are not safe and not approved for use at time of inspection - an action will be required -
I have Inspected all of the Harness and Lanyards on the above register in accordance with the above instruction and confirm all are safe and approved for use at time of inspection
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Which harnesses and/or lanyards are not safe and approved for use? (provide details of serial number/s & NCL number/s) - can be multiple Provide detail/s of the fault/s or damage/s.
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Confirm all other listed / registered harnesses and lanyards are safe and approved to use?
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Leading edge equipment?
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Enter date of inspection
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Enter details of all Leading edge equipment to be added to the register
Click the + button to add Leading Edge equipment to register -
Colour
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Length
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ID Number
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Date of next thorough examination
7 Leading Edge Equipment Inspection Register
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Enter details of all Leading edge equipment to be added to the register
Click the + button to add Leading Edge equipment to register -
Colour
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Length
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ID Number
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Date of next thorough examination
7 Leading Edge Equipment Inspection
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Check D-rings for rust or corrosion, distortion, cracks, breaks, and rough or sharp edges. D-rings should pivot freely.
Check Buckles note any unusual wear, damage or distortion. On tongue buckles check that the roller and tongue move freely and that the tongue overlaps the buckle frame. Check the outer and center bars on friction and mating buckles for distortion. On quick release types check for broken plastic and that they will not release when one release is opened. Mating buckles should nest together.
Check Webbing Inspect the entire length of all the webbing looking for frayed edges, broken fibers, pulled stitches, cuts, burns and chemical damage. Also look for mildew, discoloration, hard shiny spots, any webbing that has been marked with a felt pen, excessive hardness or brittleness or the Harness Fall Indicator deployment.
Check Stitching Check all stitching for ripped or pulled stitches and to make sure the webbing joints are not loose. Also look for missing stitching, hard or shiny spots, or discoloration of stitching.
Inspect to be certain that all Leading edge equipment has a label that is legible and securely held in place. - if it does not have a label it must not be used.
Check the Thorough examination, is it in date? -
select Yes if all of the Leading Edge equipment listed in the above register is safe and approved to use at the time of inspection
select No if there is one or more of the listed Leading edge equipment not safe and not approved for use at time of inspection - an action will be required -
I have Inspected all of the Leading edge equipment on the above register in accordance with the above instruction and confirm all are safe and approved for use at time of inspection
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List the Leading Edge equipment that is not safe and approved for use? (provide details of serial number/s & NCL number/s) - can be multiple Provide detail/s of the fault/s or damage/s.
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Confirm all other listed / registered Leading edge equipment are safe and approved to use?
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting scaffolding and edge protection?
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Enter date & time of inspection
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Enter details of the location and scaffolding you are inspecting Click the + button to add more edge protection and scaffolding to the register
8A report of scaffold and edge protection register
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Enter details of the location and scaffolding you are inspecting Click the + button to add more edge protection and scaffolding to the register
8A report of scaffold and edge protection: register
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All inspections are to follow and conform to the following: Working at Height Regulations, Provision and Use of Work Equipment Regulations, NASC’s technical guidance for scaffold (TG20), BS-EN13374 (standard for temporary edge protection) and the EPF’s Code of Practice.
Note. Arrangements including 3.21 provide further guidance. -
select Yes if all of the edge protection and scaffolding conforms to the above regulations and codes of practice (as listed in the above instruction 8A report of scaffold and edge protection)
select No if there is one or more areas of edge protection and scaffolding that does not conform to the above regulations and code of practice -
I have Inspected all of the edge protection and scaffolding listed in the above register and confirm the installation conforms to the above regulations and code of practice.
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List the locations and description of the scaffolding and/or edge protection that does not conform to the above regulations and codes of practice. - can be multiple Provide detail/s of the fault/s, damage/s, hazards or non conformance/s.
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Confirm all other listed / registered scaffolding and edge protection conforms to the above regulations and codes of practice.
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Ladder equipment?
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Enter date of inspection
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Enter details of all ladders to be added to the ladder register
Click the + button to add more ladders to register -
Ladder number
25 Ladder Inspection Register
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Enter details of ladders to be added to the ladder register
Click the + button to add more ladders to register -
Ladder number
25 Ladder Inspection
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Check
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select Yes if all of the ladders are safe and approved for use at the time of inspection
select No if there is one or more ladders not safe and not approved to use - an action will be required -
I have Inspected all of the ladders on the above ladder register and confirm all are safe and approved for use at time of inspection
- Yes
- No
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List the number/s of all the ladders not safe and not approved for use- can be multiple Provide detail/s of the fault/s or damage/s.
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Confirm all other listed / registered Ladders are safe and approved to use at time of inspection?
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Temporary Works?
8 Temporary Works Record of inspection
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Enter date & time of inspection
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Enter Location and description of Temporary works Click the + button to add more Temporary works to the register
8 Temporary Works Register
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Enter Location and description of Temporary works Click the + button to add more Temporary works to the register
8 Temporary Works record of inspection
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This section is used to record weekly inspections of the above listed / registered temporary works. Arrangement 3.50 'Temporary Works', provides further guidance on temporary works which need inspection based on their type and risk level.
Note. For excavation inspections, use form 150 'Excavation Inspection Report'. -
select Yes if all of the temporary works are safe and approved for continued use
select No if there is one or more areas of temporary works not safe and not approved for continued use - actions will be required. -
I have Inspected all of the Temporary works and confirm safe and approved for continued use
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List the locations and description of the temporary works not safe. Provide detail/s of the fault/s, damage/s, hazards.
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Confirm all other listed / registered temporary works are safe and approved for continued use.
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you carrying out PUWER inspections?
64 PUWER Tool / plant Register
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Enter date & time of inspection
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NCL Number
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Tool Description
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Hired in or NCL?
64 PUWER tool / plant register
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NCL Number
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Tool Description
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Hired in or NCL?
64 PUWER inspection
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This section is used to record weekly inspections carried out to conform with the provision and use of work equipment regulations (PUWER) 1998
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select Yes if all of the equipment is safe and approved for use
select No if there is one or more equipment that is not safe and approved to use -
I have Inspected all of the work equipment on the above register and deem all safe and approved to use at time of inspection
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List the NCL number and description of equipment Provide detail/s of the fault/s, damage/s, hazards.
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I confirm all other listed / registered work equipment safe and approved for use at time of inspection
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you completing the PAT register?
18 PAT register
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NOTE ALL ELECTRICAL ITEMS ARE TO BE PAT TESTED EVERY 3 MONTHS
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Enter date of completing the register
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NCL Number
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Tool Description
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Hired in or NCL?
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Date on site
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Date off site
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Next PAT due?
18 PAT register
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NCL Number
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Tool Description
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Hired in or NCL?
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Date on site
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Date off site
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Next PAT due?
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting lifting accessories?
24 Lifting accessories register
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Enter date & time of inspection
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Identification mark
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Description
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SWL of accessory
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Date of next thorough examination
24 Lifting accessories register
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Identification number / serial number
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Description
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SWL of accessory
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Date of next thorough examination
24 Lifting accessories Inspection
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This section is used to record weekly inspections of lifting accessories
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select Yes if all of the equipment is safe and approved for use
select No if there is one or more equipment that is not safe and approved to use -
I have Inspected all of the lifting accessories on the above register and deem all safe and approved to use at time of inspection
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List the identification / serial number of all equipment that is not safe to use and not approved for use Provide detail/s of the fault/s, damage/s, hazards.
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I confirm all other listed / registered work equipment safe and approved for use at time of inspection
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting the tower crane/s?
21 Tower Crane Weekly Inspection Report
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Enter date & time of inspection
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Serial Number
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Crane Make
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Date of next thorough examination
21 Tower Crane Weekly Inspection Report
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Serial Number
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Crane Make
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Date of next thorough examination
21 Tower Crane Weekly Inspection Report
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This section is used to record weekly inspections of the Tower crane. These checks are to be carried out weekly, any serious Major issues or defects which would endanger the operator or site operatives must be rectified at once and the crane not operated.
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select Yes if you can answer "yes" to all of the questions
select No if you can answer "No" to any of the questions and there is one or more issue with the crane -
I have Inspected the registered tower crane/s and can answer "yes" to all of the following questions (ignore any questions not applicable):<br><br>1 Does the slew motor’s appear to be working correctly? <br>2 Does the Slew ring appear to be working correctly with no apparent signs of wear and tear or damage? <br>3 Does the Hoist motor appear to be in good working order? <br>4 Does the Hoist drum appear to be in good working order? <br>5 Does the trolley motor appear to be in Good working Order? <br>6 Does the trolley gearbox appear to be in Good working Order? <br>7 Do all tie bars appear to be taught and in Good working Order? <br>8 Has greasing to all components which require grease been carried out including hook block, Rope lubrication, 2/4 fall connectors (if fitted) along with all the grease nipples being in GWO? <br>9 Has oiling been carried out to all components which require it including any Hydraulic oil? <br>10 Do all the hoses and pumps appear to be in good order with no visual leaks? <br>11 Has the Hoist rope been fully lowered to enable greasing/oiling to rear section? <br>12 Is there sufficient cable to reach all areas and depths ?<br>13 Are all Rope Anchors secure into place at the block and Drum? <br>14 Does the trolley rope ride on the sheaves true and correctly? <br>15 Does the Counter balance appear to be secure?<br>16 Are all handrails to danger areas in place and secure ? <br>17 Are any signs attached to the counterbalance in good order and secure?<br>18 Are all walkways clear so that there are no loose materials laying on the access walkways? <br>19 Has the overload Alarm been tested and works?<br>20 Is the Horn and Heater in Good working Order? <br>21 Is the correct powder fire Extinguisher present in the cab and un opened?<br>22 Are there copies of the Crane duty Chart and Crane Manual in the Crane Cab?<br>23 At the time of inspection is the Crane deemed fit for Safe Use?
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Provide detail/s of the fault/s, damage/s, hazards.
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I confirm all other questions above can be answered "yes" at the time of inspection
- Yes (if no, list the items above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting JSP force 8 respirators and filters?
86 JSP force 8 - weekly respirator & filter register
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Your name (Inspector)
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Enter date & time of inspection
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Respirator Number
86 JSP force 8 - weekly respirator & filter register
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Your name (if different to the above inspector)
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Enter date & time of inspection
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Respirator Number
86 JSP force 8 - weekly respirator & filter inspection record
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I / we have inspected the registered respirators and can answer "Yes" to the following questions:<br><br>Is the respirator being stored safely where no damage may occur?<br>Are the straps on the respirator all in good working order and can be adjusted securely?<br>Does the breathing valve work freely and close when required?<br>Is the rubber mouth piece intact with no defects?<br>Are there any holes in the mouth piece which would allow dust particles to enter?<br>Place on the respirator, if you hold the filters and block the air vent does any air escape?<br>Are the filters clear and clean?
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Provide details of the fault/s / damage / hazard/s
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Site managers must sign the below to confirm all applicable weekly checks have been conducted
Leave notes if required and feedback on the form as it will help us improve the system -
Notes if applicable
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Date & time
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Name and signature
