Title Page

  • Site

  • Employee

  • Trade

  • Organisation

  • Contractor

  • Ops Names

  • Conducted on

  • Prepared by

  • INSTRUCTIONS:
    -------------------------------------
    1. Answer the applicable questions.
    2. Click Add photos and notes.
    3. To add a Corrective Measure click on "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • FORM KEY:

    RA — Risk Assessment
    MS — Method Statement
    MSDS — Material Safety Data Sheet
    PTW — Permit To Work
    PPE — Personnel Protection Equipment
    WE — Work Equipment
    S&S — Suitable & Sufficient
    RPE — Respiritable Protection Equipment
    MEWP — Mobile Elevated Work Equipment
    STF — Slip Trip Fall
    PAT — Portable Appliance Test
    RCD — Residual Current Device
    COD — Out Of Date

WELFARE

  • 1.1 Signs / Policy Documents

  • 1.2 1st aid facilities adequate

  • 1.3 Security of Scion facilities

  • 1.4 PAT of welfare facilities

  • 1.5 FRA arrangements S&S

  • 1.6 Electric Periodic Inspection

  • 1.7 Welfare facilities clean

OPERATIVES - Scion Estates

  • 2.1 Induction

  • 2.2 Qualified for task

  • 2.3 Uniform / ID

  • 2.4 Training / Handbook

  • 2.5 Attitude of Op

DOCUMENTATION

  • 3.1 RA / MS in site pack

  • 3.2 RA / MS masters signed

  • 3.3 Op abiding by SSW

COSHH

  • 4.1 Coshh Ass in site pack

  • 4.2 MSDS available

  • 4.3 Suitable containers

  • 4.4 Correct use I PPE

  • 4.5 Adequate ventilation

  • 4.6 Spillage kits available

COMPOUND / YARD / WORKSHOPS

  • 5.1 Racking / Storage correct

  • 5.2 Fuel Bunded / locked

  • 5.3 Spillage kit available

  • 5.4 Lighting

  • 5.5 LOLER

  • 5.6 Workbenches / W.E. S&S

  • 5.7 Any Walkways / STF Haz's

VEHICLE

  • 6.1 Safe parking

  • 6.2 Smokin sign / evidence

  • 6.3 Vehicle checks / FE / WCL

  • 6.4 Contents / Store (Haz mat)

AREA OF OPERATION - Mobile Sites

  • 7.1 Any STF Hazards for Pub I Ops

  • 7.2 Public Hazards (Segregation)

  • 7.3 Housekeeping

  • 7.4 Storage of WE / Material

  • 7.5 Fire haz ignition / fuel source

  • 7.6 Noise / Haves data noted

  • 7.7 Traffic doesn't encroach on task

  • 7.8 Weather does not restrict task

WORK EQUIPMENT - Including Plant

  • 8.1 Work equip S&S / good cond

  • 8.2 Guards fitted to Plant

  • 8.3 Plant disabled when not in use

  • 8.4 Serviced / Pre use insect / Tax

PPE - Worn correctly / Condition / Available

  • 9.1 Footwear

  • 9.2 Gloves

  • 9.3 RPE

  • 9.4 Goggles

  • 9.5 Ear protection

  • 9.6 Hi visibility clothing

  • 9.7 Head protection

WORKING AT HEIGHT

  • 10.1 Ladders S&S / type

  • 10.2 Ladder tags in date

  • 10.3 Safe use of WAH equipment

  • 10.4 MEWP safe use

  • 10.5 Mobile Tower planned correctly

WASTE

  • 11.1 Waste stored in adequate area

  • 11.2 Is waste segregated

  • 11.3 Is waste disposed of correct

PLANNING

  • 12.1 Fencing task planned

  • 12.2 Tree Felling task planned

  • 12.3 Excavation task planned

  • 12.4 Snow & Ice Clearance planned

  • 12.5 Razor Wire handled correctly

COMPLETION

  • Notes

  • From the activities witnessed inspectors are to list the RA / CA / MS that would be applicable to this area:

    A site observation of the workers could not take place because upon arrival the workers had completed their task for the day, they was issued a total of ten tonnes of tarmac for the day due to the cold and weather conditions and the workers informed me that both Rhodes and OMBC had been notified that this was the case. Upon arrival of the site it was noticed that the main warning signs had blown over and required repositioning, the workers was notified of this and asked to re-secure them.

  • Inspector's Name and Signature

  • Manager's Name and Signature

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