Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
SITE INSPECTION.
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SAFE PLACE OF WORK.
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1. Can everyone reach his or her place of work safely.
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2. Are all working areas and walkways level, free from obstructions, such<br>as stored material, and waste.
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3. Is the lighting adequate.
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4. Is the site tidy, and materials stored safely.
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5. Are there proper arrangements for collecting and disposing of waste<br>materials.
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6. Are holes and openings securely guard railed, or provided with fixed,<br>clearly marked covers to prevent falls.
SCAFFOLDING.
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7. Is there a current in date scaffolding Tag.
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8. Are scaffolds erected, altered, and dismantled by competent persons.
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9.Is there safe access to the scaffold platform.
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10. Are there double guardrails and toe boards, or other suitable<br>protection, at every edge, to prevent people falling.
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11. Are the toe boards at least 150 mm in height and the max gap 470mm.
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12. Is the upper guardrail at least 950 mm above the working area.
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13. Are stored materials distributed evenly.
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14. Are brick guards provided to prevent materials falling from scaffolds.
POWERED ACCESS EQUIPMENT.
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15. Does the platform have guardrails and toe boards to prevent falling.
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16. Are harnesses worn by personnel in ‘baskets’.
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17. Have precautions been taken to prevent people being struck by the<br>moving platform, projections from the buildings or falling materials i.e.<br>exclusion zone.
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18. Are the operators trained and competent.
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LADDERS.
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19. Are ladders used as a means of access in good condition.
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20. Are they secured to prevent them slipping sideways or outwards.
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21. Do ladders rise about a meter above their landing places.
EXCAVATIONS.
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22. Is there adequate support for the excavation.
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23. Are there guardrails or equivalent protection to stop people falling in.
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24. Could the excavation affect the stability of neighbouring structures.
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25. Are stacked materials, spoil, or plant stored near the edge of the<br>excavation likely to cause a collapse of the side.
MANUAL HANDLING.
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26. Can the handling of heavy objects be avoided.
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27. Are hoists, telehandlers, wheelbarrows and other plant or equipment<br>used so that manual handling is kept to a minimum.
HOISTS.
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28. Is the hoist protected by a substantial enclosure to prevent someone<br>from being struck by any moving part of the hoist or falling down the hoist<br>way.
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29. Are gates provided at all landings.
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30. Are the controls arranged so that the hoist can be operated from one<br>position only.
ROOF WORK.
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31. Are there barriers or other edge protection to stop people or materials<br>falling.
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32. Are people excluded from the area below the roof work.
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33. If this is not possible, have additional precautions been taken to stop<br>falling debris.
CRANES AND LIFTING APPLIANCES.
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34. Is the crane on a firm level base and the outriggers extended.
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35. Are slinger / signallers controlling lifting operations.
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36. Are people prevented from working or walking under a raised load.
TRAFFIC AND VEHICLES.
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37. Have separate pedestrian and vehicle access points and routes been<br>provided.
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38. Have one-way systems or turning points been provided to minimise the<br>need for reversing.
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39. Where vehicles have to reverse, are they controlled properly by<br>banksmen.
FIRE & EMERGENCIES.
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40. Have emergency procedures been developed.
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41. Is there a way of raising the alarm.
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42. Are the escape routes adequately lit and signed.
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43. Are there proper storage areas for flammable liquids and gases i.e.<br>LPG and solvents.
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44. Are adequate bins or skips provided for storing waste.
NOISE.
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45. Is ear protection provided and used in ‘Hearing Protection Zones.
WELFARE.
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46. Have suitable toilets been provided and are they kept clean.
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47. Are there clean washbasins, warm water, soap, and towels.
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48. Are there facilities for changing, drying, and storing clothing.
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49. Is drinking water provided.
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50. Is there a site hut or other accommodation where workers can sit,<br>make tea, and prepare food.
PROTECTION OF THE PUBLIC.
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51. Are the public protected from the works.
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52. Is the perimeter fencing secure and undamaged.
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53. Are the gates secured at the end of the working shift.
Summary
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Conclusion
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Signature
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Date and Time