Title Page

  • Contract number

  • LA Code

  • Location
  • Prepared by

  • Date of Inspection

  • Team Supervisor

  • Additional personnel on site

  • Brief description of work activity

  • Client

  • Principle Contractor

Health and Safety

  • Daily Risk Assessment / JSSP available and signed off by relevant staff?

  • All site operatives signed on / off site?

  • All site operatives inducted?

  • Staff appropriately trained for the works being carried out?

  • Method Statements and Risk Assessment available and signed by relevant staff?

  • NI10 form available?

  • Permit to Work in place?

  • Correct PPE being worn? (Behaviour / Compliance)

  • Seat belts being worn when operating plant?

  • Suitable site access and egress?

  • Signing / Lighting / Guarding in place where applicable?

  • Stop / Go boards available as backup?

  • Site security adequate?

  • Housekeeping adequate? (Slips / Trips / Falls)

  • Work on or near water properly planned?

  • Lift plan / Appointed Person in place?

  • Working at Height properly planned?

  • Scaffolding fit for purpose and appropriate inspections carried out?

  • Aluminium tower fit for purpose and appropriate inspections carried out?

  • Measures in place to safely manage and control Temporary Works?

  • Excavations safely guarded / battered back?

  • Weekly inspection of excavations completed?

  • Asbestos Refurbishment & Demolition Survey Report / Register available?

  • Tool Box Talks being carried out weekly?

  • Good catches being recorded?

Kit & Equipment

  • Weekly LOLER / PUWER inspections completed?

  • Thorough examination certs available for all plant and equipment?

  • Thorough examination certs available for all lifting equipment?

  • Daily plant inspections completed?

  • Daily HGV inspections completed?

  • Wheel nut markers in place?

  • CAT & Genny available and calibrated?

  • Fire Fighting Equipment available?

  • First aid kit & eye wash station available?

  • Trained First Aider on site and known to workers?

  • Welfare facilities in place / adequate?

  • Portable Appliance Testing (PAT) in place and up to date?

  • Any hazards that require immediate intervention not listed above?

  • Please state below any other observations identified on site:

  • Please state below any other observations identified on site:

  • Please state below any other observations identified on site:

  • Please state below any other observations identified on site:

Environmental

  • Hazardous substances stored correctly? (eg drip trays)

  • Hazardous substances labelled correctly?

  • Spill kits available?

  • Waste disposed of correctly?

  • Dust and noise control adequate?

  • COSHH assessments available?

  • Please state below any other observations identified on site:

  • Please state below any other observations identified on site:

Quality

  • Quality of works to an acceptable standard?

  • Company insurance policy available and in-date?

  • Company policies available?

  • Company forms used in-line with ISO procedures?

  • Sub-contractors on site QP3 approved?

  • Verification sub-contractor has implemented a modern slavery policy and were not - is working under ACPL policy.

  • Please state below any other observations identified on site:

  • Please state below any other observations identified on site:

NIE

  • NIE Notice Board on display?

  • Sandbags in place on signage?

  • Insulated hand tools available?

  • Underground Services marked?

  • Overhead lines protected?

  • Work instruction and service maps available?

  • Relevant DFI Road Works Permit available & in-date for works?

  • NIE LWC available, in date, and held by an Authorised Person?

  • NIE Permit to Work available, in date, and held by an Authorised Person?

  • Field earth equipment serviceable & tagged?

B947 Cable & Reinstatement

  • B947 - Pre & Post-siting Records completed?

  • B947 - Are cabling teams using radios?

  • B947 Cable - Cable swivel in use?

  • B947 Cable - Use of bell mouths & adequate rollers?

  • B947 Cable - Is cable stocking serviceable and in good condition?

  • B947 - Has reinstatement team left the area clean & tidy?

  • B947 - Has edge sealant been used to seal trench?

  • B947 - Has trench clegg been tested with evidence?

  • B947 - Has base course been compacted with vibrating rammer (not vibrating plate)?

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.