Title Page
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Site Conducted:
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Customer order number:
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APSFM Attendee name:
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Conducted on:
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Client representative on site:
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Description of work:
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Name of operative(s)
Untitled Page
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Did the operatives(s) sign in upon arrival and make themselves known to the Manager?
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Action required?
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Did the operative(s) show their identification upon arrival?
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Action required?
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Where appropriate has the asbestos register been inspected?
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Action required?
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Has the job sheet risk assessment section been completed before the work commenced?
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Action required?
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Where necessary, has a risk assessment/method statement been carried out before the work commenced?
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Action required?
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Are they completed correctly and relevant to the work being carried out?
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Action required?
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Have all operatives signed to acknowledge the Risk Assesments and Method Statements?
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Action required?
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Is a Permit To Work used for high risk activities?
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Action required?
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If a Permit To Work is in operation is it being complied with?
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Action required?
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Does the operative(s) know the accident reporting procedures?
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Action required?
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Is a first aid box readily available?
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Action required?
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Are first aid boxes correctly stocked and with all contents in date?
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Action required?
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Do operatives understand the requirement to wear PPE where the need has been identified?
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Action required?
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Are operative(s) wearing correct PPE?
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If a harness is required, has this been externally sourced from a supplier?
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Has a purchase order been raisd on our system for this?
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If a harness is required, has the operative received suitable training?
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Action required?
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Is a MEWP, Scissor lift, cherry picker etc in use?
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Who is responsible for this?
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Has the operator/ responsible person received suitable training?
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Action required?
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Has the hire supplier provided evidence of inspection of the equpitment?
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Action required?
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If in use, have the ladders/ steps/ scaffold been inspected before use?
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Action required?
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Has everyone involved received suitable working at height training?
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Action required?
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Is this work area free from surplus materials with suitable egress?
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Action required?
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Are barriers and signs in place for work areas?
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Action required?
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Is there plans in place to remove waste from the site and dispose of it appropriately?
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Action required?
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Please provide photographs:
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APSFM Attendee signature:
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Operative signature:
