Title Page
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Project
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Report Number:
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Conducted on
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Prepared by
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Location
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Client
Scope: The scope of the inspection was to ensure that safe systems of work were being effectively demonstrated by operatives and managed by Site Management
Key
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Green – Compliant with the standard
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Amber – Effort to achieve standard with one or more concerns
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Red – Immediate risk of harm or major attention required to reach standard / unresolved item
ACTION CODE:
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RISK LEVEL: H = HIGH M = MEDIUM L = LOW
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ACTION TIME: 1 = IMMEDIATE 2 = WITHIN 24 HOURS 3 = WITHIN 48 HOURS 4 = WITHIN 7 DAYS
Work Scheduled for today
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1.0 Documentation
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1.1 CPP
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1.2 Inductions
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1.3 Safe Systems of Work (RAMS)
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1.4 Permits
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1.5 F10
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1.6 Daily / Weekly Plant Checks
2.0 Access / Egress & Traffic Management
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2.1 Pedestrian Access Routes
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2.2 Traffic Management Plan
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2.3 Segregation of Work Areas
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2.4 Public Protection
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2.5 Site Security and signage
3.0 Organisation & Arrangements
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3.1 Toolbox Talks / DABS / Daily Diary / Signing in
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3.2 Notice Boards
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3.3 Welfare Facilities
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3.4 First Aid, Fire & Emergency arrangements
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3.5 Training
4.0 Excavations & Confined Spaces
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4.1 Shoring / Stepped / Battered
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4.2 Edge Protection / Falls from Height
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4.3 Emergency Rescue
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4.4 Access & Egress
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4.5 Confined Spaces
5.0 Plant (Excavators, Dumpers etc)
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5.1 Plant Condition
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5.2 Operator Daily Inspections
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5.3 Operator Competence
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5.4 Safe operation of mobile Plant
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5.5 Segregation from other Trades
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5.6 PUWER Register
6.0 Overhead & Underground Services
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6.1 GS6 set up for overhead services
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6.2 Planning the Work
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6.3 Location and Identification of services
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6.4 Safe Excavation
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6.5 Protection of services & backfilling
7.0 Lifting Operations
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7.1 Lifting equipment
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7.2 Lifting accessories
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7.3 Lift Plans & Schedule of Common Lifts
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7.4 Segregation
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7.5 Safe Lifting
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7.6 LOLER Register
8.0 General
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8.1 Housekeeping / Material Storage
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8.2 PPE / RPE
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8.3 Mixing Areas
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8.4 Cutting operations
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8.5 Other
9.0 Occupational Health
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9.1 Dust
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9.2 Noise
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9.3 Vibration
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9.4 Manual Handling
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9.5 Mental Health & Wellbeing
10.0 Environmental
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10.1 COSHH
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10.2 Fuel storage
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10.3 Spillage / Pollution Control
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10.4 Waste Control
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10.5 Protection of Watercourses
11.0 Quality Control
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11.1 Foundation & Substructure Records
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11.2 Oversite Handover
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11.3 Manhole Check
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11.4 Pre-tarmac Inspection
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11.5 CML Handover
AOB / Comments
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Any Near Misses?
Summary
Sign Off
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MIDA HSEQT Representative:
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The Site Manager issued the report is responsible to ensure actions are closed out as per the agreed timescales. The contract manager is responsible to ensure this is carried out, and sign accordingly
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Contracts Manager to sign to confirm all actions closed out satisfactorily:
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MIDA Site Manager / Supervisor:
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MIDA Contracts Manager:
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Date:
