Practice Health & Safety

• Project

• Report Number:

• Conducted on

  Date

• Prepared by

• Location
  Address

• 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

• Green – Compliant with the standard

• Amber – Effort to achieve standard with one or more concerns

• Red – Immediate risk of harm or major attention required to reach standard / unresolved item

ACTION CODE:

• RISK LEVEL: H = HIGH M = MEDIUM L = LOW

• ACTION TIME: 1 = IMMEDIATE 2 = WITHIN 24 HOURS 3 = WITHIN 48 HOURS 4 = WITHIN 7 DAYS

Work Scheduled for today

• undefined

1.0 Documentation

• 1.1 CPP

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 1.2 Inductions

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 1.3 Safe Systems of Work (RAMS)

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 1.4 Permits

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 1.5 F10

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 1.6 Daily / Weekly Plant Checks

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

2.0 Access / Egress & Traffic Management

• 2.1 Pedestrian Access Routes

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 2.2 Traffic Management Plan

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 2.3 Segregation of Work Areas

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 2.4 Public Protection

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 2.5 Site Security and signage

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

3.0 Organisation & Arrangements

• 3.1 Toolbox Talks / DABS / Daily Diary / Signing in

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 3.2 Notice Boards

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 3.3 Welfare Facilities

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 3.4 First Aid, Fire & Emergency arrangements

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 3.5 Training

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

4.0 Excavations & Confined Spaces

• 4.1 Shoring / Stepped / Battered

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 4.2 Edge Protection / Falls from Height

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 4.3 Emergency Rescue

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 4.4 Access & Egress

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 4.5 Confined Spaces

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

5.0 Plant (Excavators, Dumpers etc)

• 5.1 Plant Condition

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 5.2 Operator Daily Inspections

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 5.3 Operator Competence

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 5.4 Safe operation of mobile Plant

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 5.5 Segregation from other Trades

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 5.6 PUWER Register

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

6.0 Overhead & Underground Services

• 6.1 GS6 set up for overhead services

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 6.2 Planning the Work

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 6.3 Location and Identification of services

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 6.4 Safe Excavation

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 6.5 Protection of services & backfilling

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

7.0 Lifting Operations

• 7.1 Lifting equipment

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 7.2 Lifting accessories

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 7.3 Lift Plans & Schedule of Common Lifts

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 7.4 Segregation

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 7.5 Safe Lifting

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 7.6 LOLER Register

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

8.0 General

• 8.1 Housekeeping / Material Storage

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 8.2 PPE / RPE

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 8.3 Mixing Areas

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 8.4 Cutting operations

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 8.5 Other

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

9.0 Occupational Health

• 9.1 Dust

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 9.2 Noise

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 9.3 Vibration

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 9.4 Manual Handling

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 9.5 Mental Health & Wellbeing

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

10.0 Environmental

• 10.1 COSHH

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 10.2 Fuel storage

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 10.3 Spillage / Pollution Control

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 10.4 Waste Control

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 10.5 Protection of Watercourses

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

11.0 Quality Control

• 11.1 Foundation & Substructure Records

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 11.2 Oversite Handover

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 11.3 Manhole Check

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 11.4 Pre-tarmac Inspection

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

• 11.5 CML Handover

  Compliant

  Low Risk

  Med Risk

  High Risk

  N/A

AOB / Comments

• undefined

Any Near Misses?

• Yes

  No

  N/A

  Comments

• Summary

• MIDA HSEQT Representative:

  Sign

• 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

• Contracts Manager to sign to confirm all actions closed out satisfactorily:

• MIDA Site Manager / Supervisor:

  Sign

• MIDA Contracts Manager:

• Date: