Title Page

  • Project:

  • Contract #:

  • Location/ What3Words:

  • Project Manager:

  • Inspected by:

  • Current Site Activity:

  • Proposed # TBG operatives for site:

  • Proposed # Contractor operatives on site:

Human Factors & Human Elements

Competence

  • Have measures been put in place for accurately assessing the competency of everyone who will come on to the site – contractor vetting procedure completed – training records on file.
    In particular, attention to competence should be applied to:

  • Carrying out risk assessments and extracting the significant findings

  • Writing method statements and disseminating the content

  • Raising, monitoring compliance with and cancelling permits to work

  • Carrying out any type of training

  • Designing, erecting, altering or dismantling scaffolds (including alloy tower scaffolds)

  • Carrying out scaffold inspections – records on file

  • Raising scaffold hand-over certificates and removal certificates

  • Planning, supervising and working at height, using any means of access

  • Designing and installing excavation support systems

  • Carrying out the inspection of excavations

  • The identification and isolation (as necessary) of buried services

  • Operating all types of construction plant

  • Carrying out inspections and examinations of construction plant

  • Planning and supervising lifting operations

  • Inspecting and examining lifting equipment and accessories

  • Planning, supervising and carrying out work in confined spaces – permit to work

  • Carrying out rescues from confined spaces – trained operatives in confined space

  • The use of any power tool or hand tool that has the potential to be harmful if not properly maintained, inspected and/or used – register and safety checks

  • Assessing exposure to noise and/or vibration

  • The use of any flammable or hazardous substance

  • Any work on the public highway

  • Designing temporary works for site establishment

  • The space below are to enable competences not included above to be added

Consultation & Communication

  • Have measures been put in place to ensure effective two-way consultation and communication on matters of health and safety?

  • Regular H&S meetings with the contractors – minutes recorded and distributed to contracting companies

Co-operation

  • Have measures been put in place to ensure effective co-operation between everyone who will be on site?

  • Regular H&S meetings with the contractors – minutes recorded and distributed to contracting companies

  • Has contact been made with the relevant emergency services to ensure that they have sufficient information to deal with any foreseeable emergency that might arise?

  • Is there a plan where power and gas can be isolated for the building and nearest water supply

  • Out of hours should also be considered – Emergency Contact information posted on the building

Site Features & Facilities

Existing Buildings, Features & Ground Conditions

  • Have checks been made of the previous use of existing structures and the land?

  • Have checks been carried out for land that may be contaminated, for example, by leakage of fuels or oils?

  • Have the appropriate authorities been asked for details of water levels and/or underground water sources?

  • Is there evidence of previous storage in buildings, cellars or tanks of dangerous goods or hazardous substances?

  • Has all information, relating to any underground services, been provided?

  • Have the appropriate measures been taken to prevent an electrical hazard from overhead cables?

  • Has the existing electrical distribution system been made safe?

  • With regard to buildings on the site, is the strength/condition of roofs, floors, stairs, guard-rails, walls and structural members known?

  • Is there evidence of previous storage in buildings, cellars or tanks of dangerous goods or hazardous substances?

  • Have checks been made to establish whether or not asbestos is present?

  • Have checks been made to establish the presence of other hazardous agents, such as chemicals, gases, viruses or organisms?

  • Will any demolition required be carried out by competent contractors?

  • Has the delivery and installation of site-lighting been arranged?

  • Has the Health and Safety File for any existing structure(s) been consulted?

Site Security

  • Has the delivery and erection of materials to form a secure site boundary been arranged?

  • Have those people who will be on site as it is set up been informed of the security arrangements?

  • Have out-of-hours contact details been displayed at the site entrance?

  • Have separate security measures been put in place to prevent theft and to prevent access into identified hazardous areas?

  • Is a plan in place that outlines the actions that should be taken to deal with unauthorised visitors?

Management of vehicular and Pedestrian Traffic

  • Have traffic routes been designed to segregate vehicles from pedestrians?

  • Have site entrances and exits been positioned so as not to cause a traffic hazard on the public road?

  • Has the local Highways Department been contacted to discuss any temporary traffic management such as speed limits or diversions?

  • Have traffic management measures such as one-way systems, speed limits and turning areas been implemented?

  • Are there clear priorities, for example using traffic lights, where site transport and private vehicles use the same routes?

  • Has a safe area been designated for delivery vehicles waiting to unload?

  • Has a car-park for private vehicles, with a safe entrance and exits (separate exit for pedestrians), been established?

  • Have measures been taken to prevent mud and debris from accumulating on public roads?

  • Has a secure construction plant compound been established?

  • Have haulage roads been designed to prevent blind spots and prevent build up at pedestrian crossings?

Materials Storage & Lay-down Areas

  • Have these areas been planned so that traffic and pedestrian routes will not be obstructed?

  • Have these areas been positioned to avoiding the 'double handling' of heavy items that may have to be moved by hand?

  • Have proper storage areas been created for flammable substances, such as bottled gases?

  • Are palletised materials stored safely, with stacks of materials stable and limited in height?

  • Are storage areas located away from site boundaries, particularly in areas where the general public have access to the other side?

Utility Services

  • Have arrangements been made for the installation and commissioning of a suitable electrical supply?

  • Is a supply of fresh drinking water available?

  • Have arrangements been made for the installation and commissioning of drainage systems for surface and foul water?

  • Have arrangements been made for the supply of other types of heating fuel?

  • Have arrangements been made for the installation of the required internet access or other forms of telecommunication links?

  • Have appropriate measures been taken for the supply of stand-by power?

  • Have arrangements been made for the design and installation of a 110 volt distribution system?

Working At Height

  • Have arrangements been made for scaffolds to be erected, altered and dismantled by a competent person?

  • Have arrangements been made for the statutory weekly inspection of scaffolds to be carried out by a competent person?

  • Will all work at height be planned, supervised and carried out by competent person?

  • In all cases, will work at height be carried out using the most appropriate means of access to height?

  • Have arrangements been made to ensure that competent operators will be available for mobile elevating work platforms (MEWPS)?

  • Has consideration been given to whether the ground conditions are suitable for the use of MEWPs?

  • Will a survey be carried out to investigate the existence of cellars, drains and other underground voids?

  • Has consideration been given to the possible existence of overhead power lines or other high-level hazards?

  • Will the use of ladders be restricted to tasks where it is not reasonably practicable to use an alternative, safer means of access?

  • Has suitable equipment been obtained to form an adequate barrier (for example guard- rails) around each excavation into which a fall could cause a person to be injured?

  • Where installed, will the system of supporting the sides of all excavations be designed and installed by a competent person?

  • Will a safe method of installing the supports, that does not involve anyone going into an unsupported trench, be employed?

  • Will a safe means of access/egress be provided (where necessary) for each excavation?

  • Where vehicles have to approach an excavation:

  • Have arrangements been made for the statutory inspections of excavations to be carried out by a competent person?

  • If the sides of the excavation are sloped or battered, is the angle of batter sufficient to prevent collapse?

  • Has consideration been given to the possibility of any excavation affecting the stability of neighbouring structures?

  • Will materials spoil or plant be stored away from the edges of the excavation, to reduce the likelihood of collapse?

Site Office

  • Have arrangements been made for the delivery and siting of adequate office accommodation, including carrying out any enabling work?

  • Is the site office located so that it can be accessed without the need to wear PPE?

  • Does the site office have a safe form of heating, with the fuel stored in a safe manner?

  • Are the electrical circuits in the office protected by an RCD and regularly tested and inspected?

  • Is there a suitable, fully stocked first-aid kit in the office?

  • Have alternative provisions been made for first aid?

  • Is an accident book that conforms to the requirements of the Data Protection Act available?

  • Is a copy of the current version of the official Health and Safety Law poster displayed?

  • Has a copy of the official Health and Safety Law leaflet been handed to everyone on site?

  • Is a copy of the Company Health and Safety Policy displayed?

  • Have registers been set up for recording statutory inspections?<br> Records of Reports of Inspections<br> LOLER Inspection<br> PUWER Inspection<br> Plant & Equipment<br> PPE & RPE<br> Ladders & Stepladders<br> Fixed Scaffold, Mobile Aluminum Towers Podiums Inspection<br> PAT Testing<br> Site Visitors<br> Fire Safety Equipment (Manual Extinguishers, Alarms, Blankets, Hoses, Stands & Trolleys, etc.)<br> First Aid Box’s & Contents<br>

  • Have other registers, as may be necessary, been set up?

  • Is a copy of the F10 (rev) displayed?

  • Is a copy of the Certificate of Employers' Liability Insurance displayed?

  • Are emergency plans and routes to the nearest hospital displayed?

Welfare Facilities

  • Toilets which are adequately ventilated and lit?

  • Washing facilities (including showers if necessary), which are equipped with hot and cold (or warm) water, soap and towels or a means of drying?

  • Rest areas (including facilities for a female person who is pregnant, or a nursing mother, to lie down)?

  • Drying and/or changing rooms with secure lockers?

  • Where necessary, separate facilities for men and women?

  • The cleaning and keeping in good order of welfare facilities?

  • A supply of fresh drinking water complete with suitable cups, unless from a ’'water fountain' or similar?

  • A means of preparing hot food?

  • Arrangements to enable food to be eaten in reasonable comfort (including an adequate number of tables and chairs with backs)?

  • A means of boiling water

First Aid

  • Have sufficient and suitable first-aid kits been obtained?

  • Has an assessment been made as to whether more extensive first-aid facilities are required?

  • Have 'travelling first-aid' kits been obtained for site vehicles and anyone who works in a remote location?

  • Are sufficient qualified first aiders available?

  • Are sufficient 'appointed persons' available?

  • Has initial or refresher first-aid training been arranged as necessary?

  • Has a scheme whereby first aiders can be quickly located and identified been implemented?

  • Has an adequate number of first-aid signs been obtained and displayed?

  • Has an accident book, which complies with the Data Protection Act 1998, been obtained and made available?

Fire Safety

  • Have an adequate number of serviceable fire extinguishers of the appropriate type(s) been obtained?

  • Has an appropriate number of site-staff been trained in the selection and use of hand-held fire extinguishers?

  • Are fire extinguishers located at well-signed and easy to find fire-points?

  • Has an effective fire alarm system been devised?

  • Will everyone on site be made aware of what the fire alarm sounds like?

  • Has a means of preventing the accumulation of flammable waste material been established?

  • Have suitable and sufficient fire safety signs been obtained and displayed?

  • Have proper storage areas for flammable substances like LPG been established?

  • Will smoking be allowed in well-defined safe areas of the site and/or welfare facilities?

  • Have signs been erected to clearly define the boundaries of the areas in which smoking is allowed?

  • Has consultation been undertaken with the local Fire Officer?

  • Has a fire risk assessment of the construction site been completed– living document to be revised as the building alters?

  • Has a suitable and sufficient fire plan been produced and displayed?

Emergency Procedures

  • Has an emergency evacuation plan been drawn up and communicated to all on site?

  • Will a nominated person monitor the evacuation plan and ensure that it is always up to date?

  • Has an adequate number of 'evacuation wardens' been appointed and informed of their duties?

  • Have one or more assembly points, which are a safe distance from the potential hazard, been selected?

  • Have 'assembly point' signs been obtained and clearly displayed?

  • Has everyone on site been informed of:<br><br>The location of the assembly point to which they are to report to<br><br>• What to do in the event of an evacuation?<br>• What the evacuation signal sounds like?<br>• What to do when they get to the assembly point?<br>• The days / times when the evacuation signal will be tested?<br>

Personal Protective Equipment

  • Has an assessment of the needs for personal protective equipment (PPE) been made, engaging the assistance and advice of a reputable supplier if necessary?

  • Has everyone on site been issued with all of the PPE that they need to carry out the jobs allotted to them?

  • Does everyone on site know how and where to obtain any extra PPE that they might need in the future?

  • Does everyone on site know how to obtain replacement PPE for that which is lost or defective?

  • Has a PPE issue log been started?

Signs & Notices

  • Has a 'combination' safety sign been erected at each site entrance to inform everyone who needs access of the minimum standards of safety on site?

  • Has an adequate selection of warning, prohibition, mandatory and safe condition signs been obtained and displayed?

  • Has an adequate stock of other signs, such as traffic management signs, been obtained and displayed?

  • Has a person been nominated to ensure that additional signs are erected and existing signs are moved or removed to reflect changing conditions as the job progresses?

Waste Disposal

  • Have arrangements been made for the delivery of sufficient skips or other suitable containers to enable different types of waste materials to be stored?

  • Has the site been registered with the Environment Agency as a producer of Hazardous Waste (England and Wales only)?

  • Have arrangements been made for the collection and transportation of non- hazardous and hazardous waste by a licensed waste disposal contractor to take the waste to a licensed disposal facility?

  • Have the arrangements for the segregation and disposal of waste been communicated to everyone on site?

  • Has an area of the site that is readily accessible by large vehicles been set aside for the siting of skips?

Environmental Aspects & Impacts

  • Have arrangements been made for the delivery of sufficient skips or other suitable containers to enable different types of waste materials to be stored?

  • Has the site been registered with the Environment Agency as a producer of Hazardous Waste (England and Wales only)?

  • Have arrangements been made for the collection and transportation of non- hazardous and hazardous waste by a licensed waste disposal contractor to take the waste to a licensed disposal facility?

  • Have the arrangements for the segregation and disposal of waste been communicated to everyone on site?

  • Has an area of the site that is readily accessible by large vehicles been set aside for the siting of skips?

  • Section 60: can specify the plant to be used, the hours during which the works should be carried out and the level of noise which may be emitted. Section 61: Consent to undertaken noisy works in defense of section 60.

  • Are Sections 60 and 61 notices in place to impose limits on the timing and level of noise generated by site activities?

  • Have measures been put in place to avoid or reduce the more obvious environmental problems, such as: <br>Spillage of environmentally damaging fluids?<br>• Any spillage that does occur is not able to seep into the ground,<br>• Drainage systems or watercourses?<br>• The management, storage and disposal of waste materials?<br>• Noise and dust pollution, arising out of construction activities?<br>• The number and quantity of substances used that give off<br>

  • Has the existence of protected species of mammals, insects, plants etc. been investigated?

  • If protected species are known to be on site, have appropriate measures been taken to ensure that they remain undisturbed or undamaged?

  • Have arrangements been defined to adequately deal with environmental emergencies such as the accidental release of oil and fuels?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.