Title Page

  • Conducted on

  • Prepared by

  • Location
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  • Site Manager:

  • Q1-Supervision of site operations, contractors, sub-contractors, workforce

  • Q2-CDM Project info file, Demolition & Construction Phase Plans

  • Q3-Public protection, safety signs, hoardings, lighting, security

  • Q4-Traffic Management Plan, Pedestrian Plan

  • Q5-Fire, Assessment, Plan, Alarm, Detection, Extinguishers, Wardens

  • Q6-Welfare, Canteen, Toilet/Washing Facilities, First Aid, etc

  • Q7-Display info: H&S Policy, Insurance cover notes, Safety Notices

  • Q8-Safety Instructions, Site inductions & Safety Tool Box Talks etc

  • Q9-Training, Competency of the workforce & site record proof

  • Q10-Permits to work-Electrical, Confined Spaces, Hot Works, Digging, etc

  • Q11-Site Manager's inspections & remedial action compliance

  • Q12-Safety meetings and consultation with the workforce

  • Q13-Accidents, Incidents, Dangerous Occurrences & near misses

  • Q14-Risk Assessments & Safe Method of Work Statements

  • Q15-COSHH Assessments, including Lead, Petroleum, LPG

  • Q16-Asbestos Survey, License & precautions

  • Q17-Personal Protective Equipment Assessments & compliance

  • Q18-Physical Agents, Dust, noise, vibration, non-ionising radiation

  • Q19-Work at height: Assessment, Plan, Emergency Procedures

  • Q19a-Equipment suitability, maintenance, inspections

  • Q19b-Protection preventing persons, materials, equipment from falling

  • Q19c-Safeguarding others, i.e., occupiers, other workers, public

  • Q20-Scaffolding: Ground foundations, base/sole plates, ties, bracing

  • Q20a-Standards, ledgers, transoms, fittings, platforms, guardrails, toeboards

  • Q20b-Brick guards, fans, nets, scaffold ladders

  • Q20c-Ladder beams, temporary roofs, gantry's, material access

  • Q20d-Scaffold Design, Hand-over Certs & Inspection Reports

  • Q21-Access Equipment:Tower Scaffolds, cradles, step ladders, etc.

  • Q22-Excavations: Signage, barriers, covers, access

  • Q22a-Excavations supported or battered back to safe angle, spoil heaps

  • Q22b-CAT Surveys, underground services clearly marked & protected

  • Q22c-Excavation Calculations, Service Drawings & Inspection Reports

  • Q23-Demolition: Structural Survey, Engineering & Service Drawings

  • Q23a-Services identified, cut-off, made safe etc

  • Q23b-Propping provided & checked, floor loadings

  • Q23c-Waste management, signage & barriers

  • Q24-Safe operation of plant, machinery & equipment

  • Q24a-Correct plant & machinery used & guarded where necessary

  • Q24b-Lifting Appliances/Accessories, Lifting Plans, Calculations.

  • Q24c-Piling rig & activities

  • Q24d-Hoists (goods, passenger, beams, ginny wheels, etc)

  • Q24e-Mobile elevated work platforms (MEWP's)

  • Q24f-Excavator, lorries, dumper, forklift, etc

  • Q24g-Hand & power tools, i.e., angle grinders & Skil saws, etc.

  • Q24h-Electrical safety, 110v & PAT inspections & inventory

  • Q24i-Plant & machinery maintenance & Inspection records

  • Q25-Safe places of work

  • Q25a-Site tidiness, housekeeping, trailing leads & waste management

  • Q25b-Storage, stacking & manual handling

  • Q25c-Access & egress around site & to workplace, slips, trips & falls

  • Q25d-Work areas sufficiently illuminated, background & task lighting

  • Q25e-Services protected, highlighted, guarded, signage, made safe, etc

  • Q25f-Structures, formwork etc stable,braced/propped/not overloaded

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  • Summary:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.