Title Page
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Contract No. & Name
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Conducted on
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Prepared by
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Location
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Name of Site Manager/Supervisor (Black Hat Appointed)
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SMSTS/SSSTS Competent?
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Total Number of Operatives on Site:
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HSE Reportable Accidents/Incidents since last inspection:
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First-aid Accidents since last inspection:
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Details of the site:
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Any other business:
Site Inspection
General Site Safety
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Safe Access/Egress
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Free of trip hazards
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General Lighting Adequate
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Edge Protection
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Segregation from Site Plant/Vehicles
Welfare Facilities
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Canteen Clean/Drinking Water
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Changing/Drying Room
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Toilets/Washing Facilities
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First Aid Cover
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Fire Precautions/Escape Routes
Documentation
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Safety Method Statements
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Risk Assessments
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COSHH Assessments
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Plant Inspections
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Scaffold Inspections
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MEWP Inspections
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Site Inductions Carried Out
PPE
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High Visibility Clothing
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Hard Hats Worn
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Eye Protection
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Hearing Protection
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Hand Protection
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Overalls
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Protective Footwear
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Respiratory Protective Equipment
Storage
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Materials stored in container/on site
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Hazardous Substances
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Petrol/Diesel (oil, storage, regs)
Plant/Manual Handling
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Plant suitable/Valid PAT
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Guards in place
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Hand tools
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Power tools
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Handling aids
Working Practises
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Scaffold erection
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Cleanliness
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Off loading materials on site
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Use of access equipment
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Cables routed safely
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Manual Handling
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Temporary Works (in line with temporary work calculations?)
Operative Training
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CSCS
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Manual Handling
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MEWPs (IPAF)
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Mobile Scaffold (PASMA)
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Abrasive Wheels (Grinders)
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Asbestos Awareness
Accidents/Incidents
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Accidents/Incidents/Near Misses recorded?
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Accident book available?
Environmental
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Waste – segregated & suitable signage, litter standards, leaching of skips
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Ecology – no disruption to general environment / wildlife / drainage systems
Sign Off
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Neg Site Representative
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Inspection carried out by
