Information
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MEMBER COMPANY ON SITE?
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MEMBER COMPANY
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- Able Construction (Northern) Ltd
- Absolute Civil Engineering Ltd
- A C Projects Ltd
- Addison Plant Ltd
- AllSaints Construction Ltd
- Amethyst Homes Ltd
- Bagnalls North East
- Bagnalls North Traditional
- Bagnalls North West
- Bagnalls Building Maintenance
- Beamish Museum Ltd
- A.J. Bennett Ltd
- Brickwork Direct Ltd
- Brierley Scaffolding Ltd
- Brohann Construction
- C.D. Building Services Ltd
- Castle Construction Ltd
- Clearspace Buildings
- Colour Index Ltd
- Corepeople Recruitment Ltd
- A. W. Cowan Groundworks Ltd
- D.B. Drylining Ltd
- Durham Pumps Ltd
- Durham Cathedral
- Dufell Roofing Ltd
- EOS Ltd
- Gibson & Harris Ltd
- Grove Reed Joinery Ltd
- Harrison & Harrison Ltd
- Hartburn Garage Ltd
- Hathaway Roofing Ltd
- John Hellens (Contracts) Ltd
- H.S.L. Homes Ltd
- Integral
- JEM Haulage Ltd
- Jomast Construction Ltd
- Kennedy Services Ltd
- Leven Bridge Ltd
- T Manners & Sons Ltd
- McClurg Scaffolding Ltd
- Meldrum Construction Services Ltd
- Mowden Park Estate
- R. M. Myers & Co Ltd
- NCS
- North East Building Services Ltd
- Orca
- C.L. Prossers & Co Ltd
- Pinkney Building Contractors Ltd
- D. H. Potter & co Ltd
- Project Scaffolding Ltd
- Q9 Cladding Solutions Ltd
- Rend-Tech Ltd
- William Rochester & Sons Ltd
- S & A Fabrications Ltd
- SBV Engineering Ltd
- Scaffold North Ltd
- Shadbolt Group
- Sky Scaffolding Ltd
- Southbay Civil Engineering Ltd
- Stephen Charles Painting Ltd
- Sustain Landscapes Ltd
- T & E Joiners
- Teams Roofing Ltd
- Tellemachus Ltd
- Tom Willoughby Ltd
- J. Tomlinson & Son Ltd
- Tomlinson Longstaff Ltd
- Vaughan Engineering Ltd
- Vest Construction
- Walter Thompson Ltd
- Wharton Construction Ltd
- Wilmour Construction Ltd
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SITE ADDRESS
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SITE MANAGER/SUPERVISOR
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SITE NUMBER
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Prepared by
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DATE/TIME
SITE SET UP
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Perimeter Fencing/Signage
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Traffic Management
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Storage/Housekeeping
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Other
WELFARE FACILITIES
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Canteen
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Hot/Warm Running Water
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Hygeine/Soap/Towels etc
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Toilets
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Boiling Water/Heating Food
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Other
DOCUMENTATION
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Construction Phase Plan
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Risk/COSHH Assessments/Method Statements
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F10
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H & S Law Poster
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Insurance Certificate
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Induction Records
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Permits
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Temporary Works Register
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Other
WORK AT HEIGHT
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Edge Protection
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Ladders/Stepladders
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Soft Landing Systems/Nets
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Trestles
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Harness/Lanyard
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Stairwells/Openings in Floors
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Low level access (podiums/hop ups)
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Other
SCAFFOLD
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Scaffold Access/ladders
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Scaffold Suitability
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Scaffold - General Condition
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Scaffold Inspections/Handover Certificates
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Scaffold Design
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Scaffold Signage
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Scaffold Ties/Stability
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Scaffolders Competency
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Other
MOBILE ACCESS TOWERS
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Training/Competence
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General Condition
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Inspection/Tags
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Other
OCCUPATIONAL HEALTH HAZARDS
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Noise
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Vibration
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Asbestos/Asbestos Surveys
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Lead
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Dust
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Other
LIFTING OPERATIONS
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Lifting Plan
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Certification
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Inspections
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Competency
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Other
ELECTRICITY/PORTABLE TOOLS
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Leads/Cables/Plugs
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PAT Testing/Inspection
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Other
PPE
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Head
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Eye
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Hands
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Respiratory Protective Equipment (RPE)
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Hearing
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Feet
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Hi-viz
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Other
FIRE/EMERGENCIES/FIRST AID
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Fire Action Plan
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Escape Routes/Signs
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Fire Drill
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Fire Extinguishers
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First Aid
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Accident Book
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Other
EXCAVATIONS/EARTHWORKS
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Underground/Overhead Services
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Shoring/Battering/Benching
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Edge Protection
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Inspections
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Confined Spaces
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Other
ENVIRONMENTAL ISSUES
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Transfer Notes/Licences
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Contaminated ground/Water
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Fuel Storage/Use
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Spill Response/Containment/Emergencies
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Other
MEWP'S
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Operator Competence
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Fall Prevention/Harnesses
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Certification
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Inspections
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Barriers/Signage
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Other
PLANT & EQUIPMENT
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Operator Competence
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Inspections
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Maintenance/Certification
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Safe Use
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Quick Hitches
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Other
SUBCONTRACTORS
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Documentation
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Competence
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Housekeeping
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Other
MANAGEMENT & SUPERVISION
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RATING
- NOT APPLICABLE
- COMPLIANT
- MINOR NON-COMPLIANCE
- MAJOR NON-COMPLIANCE
- WORK STOPPED 1
- WORK STOPPED 2
- WORK STOPPED 3
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Comments
FUTURE WORKS DISCUSSED
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Are there proposed works at height, temporary works, excavations or other high risk activities proposed?
Sign off
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I confirm I have had the contents of this report explained to me.
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Member company Manager/Representative
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Person conducting this inspection
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In the event that a member is investigated by or on behalf of the Health and Safety Executive, Northern Counties Safety Group shall not be liable to the member for the Fees For Intervention paid by the member to the Health and Safety Executive in accordance with the Health and Safety (Fees) Regulations 2012.
CLOSE OUT
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Corrective Actions Carried Out: