Title Page
-
Completed by
-
Location
-
Conducted on
-
Job Reference number:
-
Is this work being carried out by a Contractor?
-
Name of Contractor
Organisation
-
Description of Works
-
Has a CDM Wizard / CPP assessment been completed
-
Has a Dynamic Risk Assessment / Method Statement been completed?
-
Is there an Emergency procedure available and are adequate first aid arrangements in place?
-
Are adequate welfare arrangements in place? Please give details:
-
Has adequate arrangements been made for the correct disposal of waste material?
-
Have all Operatives received a site induction?
-
Have all relevant persons / businesses potentially affected by the works been communicated with?
Site Safety
-
Is the site setup / layout suitable for the work and controlled to prevent in authorised access?
-
Are the correct signs / barriers being used to manage pedestrians and traffic?
-
Is the sites general housekeeping good with all equipment / materials / waste stored to prevent risks?
-
Can the site be secured appropriately to prevent access if the work is not completed today?
-
Have all services been identified and marked appropriately?
-
Sketch a brief layout of the site:
Personnel
-
Name of all operatives on site:
-
Are all operatives wearing the correct PPE as required by the risk assessments?
-
Is there evidence of safe lifting techniques / safe manual handling practices being carried out?<br>
-
Are all operatives adequately trained and are they demonstrating safe working methods for the work being carried out?
-
Are all operatives using plant / machinery / equipment competent and suitably qualified / certificated?
Tools / Equipment / Vehicles
-
Are the correct tools / equipment provided for the work being carried out?
-
List equipment being used on site:
-
Is all equipment in good repair with no damage or missing guards?
-
Is all equipment being used, serviced and calibrated as required?
-
Has a vehicle / trailer check been carried out for all vehicles / trailers?
-
Are all vehicles / trailers parked appropriately?
-
Are vehicles / trailers loaded and secured correctly?
Competed By
-
Completed By: