Poole

• Document: BML/W/HSEF/HK/5

• Conducted on

  Date

• Prepared by

• Location
  Address

PART 1 - HOUSEKEEPING

1 Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Are there no outstanding actions?

  Yes

  No

  N/A

2 Site Admin Office

• Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• Entry and walkways kept clear?

  Yes

  No

  N/A

• Intersections kept clear of boxes etc?

  Yes

  No

  N/A

• Furniture in sound condition?

  Yes

  No

  N/A

• Condition of filing cabinets?

  Yes

  No

  N/A

• Condition of chairs? (Five star bases.)

  Yes

  No

  N/A

• Desks in good condition? (No damage.)

  Yes

  No

  N/A

• Screen Based Equipment positioned to reduce glare from windows etc?

  Yes

  No

  N/A

• Are all electrical appliances in date for PAT testing?

  Yes

  No

  N/A

3 Documentation

• Site Induction Pack maintained?

  Yes

  No

  N/A

• Site Visitors Pack maintained?

  Yes

  No

  N/A

• SMP maintained?

  Yes

  No

  N/A

4 Car Park

• General Housekeeping?

  Yes

  No

  N/A

• Sufficient Lighting

  Yes

  No

  N/A

• Sufficient Signage ?

  Yes

  No

  N/A

5 Commercial Vehicles

• General Housekeeping & Maintenance?

  Yes

  No

  N/A

6 Amenities Block - Public Toilets

7 Mess Room

• No running water

• General Housekeeping?

  Yes

  No

  N/A

• Soap & Towels provided?

  Yes

  No

  N/A

• Adequate Lighting?

  Yes

  No

  N/A

• Suggestion / Near Miss Box Checked?

8 First Aid Boxes

• Are contents regularly checked?

  Yes

  No

  N/A

• No contents past their expiry date?

  Yes

  No

  N/A

• Employees aware of location of first aid boxes?

  Yes

  No

  N/A

• Are first aid boxes accessible?

  Yes

  No

  N/A

• Are site First Aiders and emergency numbers displayed?

  Yes

  No

  N/A

9 Lifejackets

• In date for test?

  Yes

  No

  N/A

• Pre-user checks being adhered to?

  Yes

  No

  N/A

10 Notice Boards

• Adequate HSE information?

  Yes

  No

  N/A

• Information up to date and relevant to the site?

  Yes

  No

  N/A

11 Personal Protective Equipment

• Adequate supply of correct PPE on site?

  Yes

  No

  N/A

• PPE Regs being adhered to?

  Yes

  No

  N/A

• General condition of PPE?

  Yes

  No

  N/A

12 Container Stores

• General Housekeeping?

  Yes

  No

  N/A

• No COSHH products stored outside of COSHH Locker?

  Yes

  No

  N/A

13 COSHH

• COSHH Locker in good order?

  Yes

  No

  N/A

• COSHH Log up to date?

  Yes

  No

  N/A

14 Yard

• General Housekeeping?

  Yes

  No

  N/A

• Signage?

  Yes

  No

  N/A

• Drainage?

  Yes

  No

  N/A

• Lighting?

  Yes

  No

  N/A

• Perimeter Security?

  Yes

  No

  N/A

15 Diesel Tank Area

• General Housekeeping?

  Yes

  No

  N/A

• General condition of tank is good?

  Yes

  No

  N/A

• Maintained i.a.w. COSHH Regs?

  Yes

  No

  N/A

• Correct signage on display?

  Yes

  No

  N/A

• Spill Kit fully stocked?

  Yes

  No

  N/A

16 Racks - Steel/Alum. Plate & Pipe

• General Housekeeping?

  Yes

  No

  N/A

• Are different metals segregated?

  Yes

  No

  N/A

17 Metal Scrap Bins & Skips

• No scrap overly protruding?

  Yes

  No

  N/A

• Segregated materials?

  Yes

  No

  N/A

18 Gas Bottle & Fuel Stores

• All fuels separate?

  Yes

  No

  N/A

• Stowed in locked cages?

  Yes

  No

  N/A

• Ready use bottles secured and not free standing?

  Yes

  No

  N/A

• Ready use bottles turned off at cylinder and excess gas vented from hoses when not in use?

  Yes

  No

  N/A

19 Gas hoses & associated equipment

• In date for inspection?

  Yes

  No

  N/A

• Wear & Tear?

  Yes

  No

  N/A

• Gauges free from damage?

  Yes

  No

  N/A

20 Forklift

• Forklift Checklist in date?

  Yes

  No

  N/A

• Annual LOLER Inspection in date?

  Yes

  No

  N/A

• Keys stored in combination safe when not in use?

  Yes

  No

  N/A

21 Pedestrian Walkways

• Free from obstruction?

  Yes

  No

  N/A

22 Fire Exits and Escape Routes

• Fire Alarm test in date?

  Yes

  No

  N/A

• Signage clear and easy to follow?

  Yes

  No

  N/A

• Free from obstruction?

  Yes

  No

  N/A

23 Fire Extinguishers

• Correct type for hazards in vicinity?

  Yes

  No

  N/A

• Extinguishers present and in date for inspection?

  Yes

  No

  N/A

• Random Extinguisher check: <br>Anti-Tamper Tally?<br>Gauge in green?<br>CO2 correct weight?<br>Damage?

  Yes

  No

  N/A

24 Workshop

• General Housekeeping?

  Yes

  No

  N/A

• Cable Management?

  Yes

  No

  N/A

• Welding Screens?

  Yes

  No

  N/A

• Oily rags disposed of in metal bins?

  Yes

  No

  N/A

25 Fixed Machinery

• Guards fitted and correct?

  Yes

  No

  N/A

• Clean & well maintained?

  Yes

  No

  N/A

• Pre-user Checks displayed?

  Yes

  No

  N/A

• In date for inspection?

  Yes

  No

  N/A

• PUWER Assessments in place?

  Yes

  No

  N/A

26 Portable Electrical Equipment

• PAT test displayed

  Yes

  No

  N/A

• Guards fitted & correct where applicable?

  Yes

  No

  N/A

• Tool used i.a.w manufacturers guidance?

  Yes

  No

  N/A

• Clean and well maintained?

  Yes

  No

  N/A

27 Quarantine Area

• Is the area secure?

  Yes

  No

  N/A

• Is a log maintained?

  Yes

  No

  N/A

• Is there sufficient signage?

  Yes

  No

  N/A

28 Overhead Crane (OOA)

29 Lifting Equipment - Makes use of lifting equipment from neighboring site.

• In date for inspection?

  Yes

  No

  N/A

• Wear & Tear?

  Yes

  No

  N/A

30 Hydraulic Jacks

• In date for test?

  Yes

  No

  N/A

• Wear & Tear?

  Yes

  No

  N/A

31 Ladders & Steps

• Are all ladders Industrial strength? (Non Household rated, check label.)

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• If used for electrical work are they non conductive? (Wood or fibre glass.)

  Yes

  No

  N/A

• Used according to instructions?

  Yes

  No

  N/A

• For extension ladders are ropes, pulleys and treads in a good state of repair?

  Yes

  No

  N/A

• In date for inspection?

  Yes

  No

  N/A

32 Site Electrical

• No general electrical issues?

  Yes

  No

  N/A

• In date for inspection?

  Yes

  No

  N/A

PART 2 - WORK ACTIVITIES

• Have personnel completed a Take 5 Risk Assessment for works being undertaken?

  Yes

  No

  N/A

• Are access and egress arrangements safe, including working at height access (Ladders, scaffolding tagged, etc.)?

  Yes

  No

  N/A

• Is housekeeping / tidyness acceptable in the work area, and is it free from slip, trip and fall hazards?

  Yes

  No

  N/A

• Are all hazards suitably controlled and appropriate measures taken to ensure the health and safety of Burgess Marine personnel and others who may be affected by their activities?

  Yes

  No

  N/A

• Do personnel have the relevant instruction and training to carry out the work safely?

  Yes

  No

  N/A

PART 3 - ENVIRONMENTAL

1 Fresh Water System Management

• Fresh Water System Management Log up to date?

  Yes

  No

  N/A

• Regular Hot & Cold water temperature checks taken?

  Yes

  No

  N/A

• No noticable defects around the fresh water system?

  Yes

  No

  N/A

2 Waste

• General Housekeeping of skip areas?

  Yes

  No

  N/A

• Separate skips provided for General and Recycle waste?

  Yes

  No

  N/A

• Waste collection conducted regularly?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign