Principal Contractor representative

  • Add signature


  • Does operator have required licence

General site conditions

  • Is the site secure

  • Are work areas secure and have barriers to secure the work area from unauthorised access

  • Are the works areas clear of slip trip falls, debris, protruding nails.

  • Is re bar safe from people falling. Is there plastic caps on.

  • Is house keeping good, clean and tidy.

Plant and equipment

  • Plant and equipment on site has beacons and mirrors or reversing cameras

  • Excavators have quick hitch pins in place. Signs indicating type of quick hitch.

  • All driven plant was used correctly. Keys removed if not in use. Seat belts were worn. Parked or driven in a safe manner, in accordance with the traffic management plan.

  • Plant used for lifting has been connected correctly. SWL is clearly marked and is lifting within capacity.

  • Equipment being used is in sound condition and fit for purpose.

  • Unsafe actions.


  • Excavations were shallow and did not pose a danger

  • Excavations were more than 1 meter and had barriers and were shored with edge protection.

  • Excavation more than 2 meters deep, had Shoreing in place edge protection and checked by a competent person at the start of each shift.

  • Excavation more than 3 meters deep. Had temporary works co-ordinator signed off. Edge protection in place. Signed off if open more than seven days.

  • Services are supported across open excavations

  • Excavations are not confined spaces requiring gas tests,training and rescue equipment

  • Unsafe actions.

Emergency arrangements

  • There were First aiders on site relative to the risk. First notice displayed and up to date.

  • There was fire fighting equipment on site. Fire assembly point was displayed. Smoke detectors in canteen, fire blanket in the canteen.

  • Fire risk assessment was in place.

Management procedures.

  • Adequate operator competence

  • Site inductions and tool box talks have been completed for operatives on site.

  • Permits required for current works on site.

  • Copies of services are on site and marked up.

  • Certificates for plant were on site, including chains etc.

  • Safety signs and poster including F10 where applicable


  • Environmental procedures in place.

  • Spill kits and drip trays on site .

Personal Protective Equipment

  • All operatives on site were wearing Head Protection, in good order, the correct way round.

  • Operatives were observed wearing hearing protection correctly. They understood the requirement to wear them and dangers if not worn whilst working in noisy environment.

  • Operatives were observed wearing RPE. Correct type for the works, FFP3 for silica. Face fit tested and clean shaven.

  • Safety googles or glasses were being worn for the correct operation.

  • Gloves fit for the task were worn.
    Where mandatory requirement of the principal contractor.

Overhead and Underground Services

  • Overhead cables have been identified, a GS6 agreement has been reached with the service provider.goal posts tape and bunting has been erected as per the GS6

  • All services on site have been identified, drawings on site, area CAT scanned and ground marked.

Traffic Management

  • Traffic management plan is in place, displayed and being followed

Laying kerbs, mono block or slabs

  • Material moved close to the works by mechanical means.

  • Grabber, vacuum lifter, or mechanical means to lay material .

  • Dust suppression used if cutting.

Confined spaces

  • Type of confined space is type 3 trench less than 2 meters no special requirements

  • Type 2 confined space trench or manhole more than 2 meters deep or with special risks,
    trained operatives, permit in place, gas monitor used, rescue plan in place.

  • Type 3 confined space, full rescue plan, gas monitor, trained operatives with top man in attendance.


  • Signed by site supervisor

  • Signed by Martin Lawrie, Safety Director

  • Received by Contracts Manager

  • Time and date of inspection

  • Remedial action to be completed by

  • Add drawing

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