NCSG LTD Inspection Report

• MEMBER COMPANY

• SITE ADDRESS

• SITE MANAGER/SUPERVISOR

• SITE NUMBER

• Conducted on

  Date

• Prepared by

• Location
  Address

SITE SET UP

• yes

  no

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Storage

  Compliant

  Action Required

  N/A

• Lighting

  Compliant

  Action Required

  N/A

• Access/Egress

  Compliant

  Action Required

  N/A

• Perimeter Fencing

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

• Traffic Management

  Compliant

  Action Required

  N/A

• Security/Signage/Housekeeping

  Compliant

  Action Required

  N/A

WELFARE FACILITIES

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Canteen

  Compliant

  Action Required

  N/A

• Hot/Warm Running Water

  Compliant

  Action Required

  N/A

• Drying/Changing Room

  Compliant

  Action Required

  N/A

• Heating/Seating

  Compliant

  Action Required

  N/A

• Hygeine/Soap/Towels etc

  Compliant

  Action Required

  N/A

• Toilets

  Compliant

  Action Required

  N/A

• Boiling Water/Heating Food

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

DOCUMENTATION

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Construction Phase Plan

  Compliant

  Action Required

  N/A

• Risk/COSHH Assessments

  Compliant

  Action Required

  N/A

• Safety Method Statements

  Compliant

  Action Required

  N/A

• F10

  Compliant

  Action Required

  N/A

• H & S Law Poster

  Compliant

  Action Required

  N/A

• Insurance Certificate

  Compliant

  Action Required

  N/A

• Induction Records

  Compliant

  Action Required

  N/A

• Emergency Plan

  Compliant

  Action Required

  N/A

• Permits

  Compliant

  Action Required

  N/A

• Asbestos Surveys

  Compliant

  Action Required

  N/A

• Temporary Works Register

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

WORK AT HEIGHT

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Planning

  Compliant

  Action Required

  N/A

• Competency

  Compliant

  Action Required

  N/A

• Edge Protection

  Compliant

  Action Required

  N/A

• Ladders/Stepladders

  Compliant

  Action Required

  N/A

• Rescue Plan

  Compliant

  Action Required

  N/A

• Soft Landing Systems/Nets

  Compliant

  Action Required

  N/A

• Trestles

  Compliant

  Action Required

  N/A

• Harness/Lanyard

  Compliant

  Action Required

  N/A

• Access

  Compliant

  Action Required

  N/A

• Signage

  Compliant

  Action Required

  N/A

• Stairwells/Openings in Floors

  Compliant

  Action Required

  N/A

• Fragility

  Compliant

  Action Required

  N/A

• Low level access (podiums/hop ups)

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

SCAFFOLD

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Scaffold Access/ladders

  Compliant

  Action Required

  N/A

• Scaffold Suitability

  Compliant

  Action Required

  N/A

• Scaffold - General Condition

  Compliant

  Action Required

  N/A

• Overloading of scaffold

  Compliant

  Action Required

  N/A

• Scaffold Inspections/Handover Certificates

  Compliant

  Action Required

  N/A

• Scaffold Design

  Compliant

  Action Required

  N/A

• Scaffold Signage

  Compliant

  Action Required

  N/A

• Undermining

  Compliant

  Action Required

  N/A

• Scaffold Ties

  Compliant

  Action Required

  N/A

• Scaffolders Competency

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

MOBILE ACCESS TOWERS

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Instruction Manual

  Compliant

  Action Required

  N/A

• Training/Competence

  Compliant

  Action Required

  N/A

• Brakes used

  Compliant

  Action Required

  N/A

• Bracing/Guardrails

  Compliant

  Action Required

  N/A

• Toeboards

  Compliant

  Action Required

  N/A

• Access/Trapdoors

  Compliant

  Action Required

  N/A

• Stability

  Compliant

  Action Required

  N/A

• General Condition

  Compliant

  Action Required

  N/A

• Inspection/Tags

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

OCCUPATIONAL HEALTH HAZARDS

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Noise

  Compliant

  Action Required

  N/A

• Vibration

  Compliant

  Action Required

  N/A

• Asbestos

  Compliant

  Action Required

  N/A

• Lead

  Compliant

  Action Required

  N/A

• Dust

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

LIFTING OPERATIONS

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Lifting Plan

  Compliant

  Action Required

  N/A

• Certification

  Compliant

  Action Required

  N/A

• Stability/Ground Conditions

  Compliant

  Action Required

  N/A

• Inspections

  Compliant

  Action Required

  N/A

• Competency

  Compliant

  Action Required

  N/A

• Accessories

  Compliant

  Action Required

  N/A

• Suitability

  Compliant

  Action Required

  N/A

• Safe Working Load (SWL)

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

ELECTRICITY/PORTABLE TOOLS

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Suitability

  Compliant

  Action Required

  N/A

• Leads/Cables/Plugs

  Compliant

  Action Required

  N/A

• PAT Testing/Inspection

  Compliant

  Action Required

  N/A

• Voltage

  Compliant

  Action Required

  N/A

• Generators

  Compliant

  Action Required

  N/A

• Permits

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

PPE

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Eye

  Compliant

  Action Required

  N/A

• Head

  Compliant

  Action Required

  N/A

• Hands

  Compliant

  Action Required

  N/A

• Respiratory Protective Equipment (RPE)

  Compliant

  Action Required

  N/A

• Hearing

  Compliant

  Action Required

  N/A

• Feet

  Compliant

  Action Required

  N/A

• Hi-viz

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

FIRE/EMERGENCIES/FIRST AID

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Fire Action Plan

  Compliant

  Action Required

  N/A

• Escape Routes/Signs

  Compliant

  Action Required

  N/A

• Fire Drill

  Compliant

  Action Required

  N/A

• Fire Extinguishers

  Compliant

  Action Required

  N/A

• Smoking

  Compliant

  Action Required

  N/A

• Alarms

  Compliant

  Action Required

  N/A

• First Aid

  Compliant

  Action Required

  N/A

• Accident Book

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

EXCAVATIONS/EARTHWORKS

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Planning

  Compliant

  Action Required

  N/A

• Underground/Overhead Services

  Compliant

  Action Required

  N/A

• Shoring/Battering/Benching

  Compliant

  Action Required

  N/A

• Piling

  Compliant

  Action Required

  N/A

• Stop Blocks

  Compliant

  Action Required

  N/A

• Edge Protection

  Compliant

  Action Required

  N/A

• Spoil Heaps

  Compliant

  Action Required

  N/A

• Adjacent Structures

  Compliant

  Action Required

  N/A

• Signage

  Compliant

  Action Required

  N/A

• Emergency Procedures

  Compliant

  Action Required

  N/A

• Inspections

  Compliant

  Action Required

  N/A

• Access

  Compliant

  Action Required

  N/A

• Confined Spaces

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

ENVIRONMENTAL ISSUES

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Contaminated ground/Water

  Compliant

  Action Required

  N/A

• Transfer Notes

  Compliant

  Action Required

  N/A

• Waste Segregation

  Compliant

  Action Required

  N/A

• Waste Removal/Licences

  Compliant

  Action Required

  N/A

• Dust/Fume Control

  Compliant

  Action Required

  N/A

• Fuel Storage/Use

  Compliant

  Action Required

  N/A

• Spill Response/Containment/Emergencies

  Compliant

  Action Required

  N/A

• Noise/Vibration

  Compliant

  Action Required

  N/A

• Employee Training/Awareness

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

MEWP'S

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Operator Competence

  Compliant

  Action Required

  N/A

• Fall Prevention

  Compliant

  Action Required

  N/A

• Certification/Safe Working Load

  Compliant

  Action Required

  N/A

• Stability

  Compliant

  Action Required

  N/A

• Suitability

  Compliant

  Action Required

  N/A

• Inspections

  Compliant

  Action Required

  N/A

• Barriers/Signage

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

PLANT & EQUIPMENT

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Operator Competence

  Compliant

  Action Required

  N/A

• Condition/Maintenance

  Compliant

  Action Required

  N/A

• Inspections

  Compliant

  Action Required

  N/A

• Seat Belt Usage

  Compliant

  Action Required

  N/A

• Security/Key Removed

  Compliant

  Action Required

  N/A

• Safe Use

  Compliant

  Action Required

  N/A

• Quick Hitches

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

SUBCONTRACTORS

• RATING

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Control by Member

  Compliant

  Action Required

  N/A

• Supervision by Subcontractor

  Compliant

  Action Required

  N/A

• Documentation

  Compliant

  Action Required

  N/A

• Safe Working

  Compliant

  Action Required

  N/A

• Attitude

  Compliant

  Action Required

  N/A

• Competence

  Compliant

  Action Required

  N/A

• Housekeeping

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

MANAGEMENT & SUPERVISION

• OTHER

  Select Not Applicable Very Good Good Average Fair Poor Work Stopped 1 Work Stopped 2 Work Stopped 3

  • Not Applicable
  • Very Good
  • Good
  • Average
  • Fair
  • Poor
  • Work Stopped 1
  • Work Stopped 2
  • Work Stopped 3

• Control

  Compliant

  Action Required

  N/A

• Compliance

  Compliant

  Action Required

  N/A

• Forward Planning

  Compliant

  Action Required

  N/A

• Competence

  Compliant

  Action Required

  N/A

• Attitude

  Compliant

  Action Required

  N/A

• Management of Subcontractors

  Compliant

  Action Required

  N/A

• Other

  Compliant

  Action Required

  N/A

GENERAL COMMENTS

Sign off

• I confirm I have had the contents of this report explained to me.

• Member company Manager/Representative

  Sign

• Person conducting this inspection

  Sign

CLOSE OUT

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