Title Page
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Client
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Site Name
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Conducted on
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Prepared by
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Location
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Weather
Site Compound & Welfare Facilities
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Site Compound appropriate to works being done.
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Toilet Welfare Facility appropriate for site and kept in good order
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Drying room adequate and with appropriate drying system
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Canteen adequately equipped and kept clean for all
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Site Storage area adequate for materials and kept in good safe accessible order
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Site Housekeeping in Good Order (Clean As You Go Policy Being Adhered too)
Site Paperwork & Signage
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Preliminary Plan on Site
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Construction Stage Safety Plan on Site
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AF1 & AF2 Displayed on Site
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Safety Signage Displayed
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Temporary Works Design Plan in Place (Where Applicable)
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Temporary Works Sign Off Up to Date
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Temporary Works Register on Site
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Site signage erected and in good order
Falls from Heights
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Scaffolding secured and fixed without risk
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Scaffolding Design Plan
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Scaffolding Secured and Fit for Purpose
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Window Openings Secured with Fall Protection
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Rooftop leading edges robustly secured
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Stairwells Fall Protection inserted
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Lift/Elevator Shafts Crash Deck/Fall Protection inserted
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Ground Services Secured
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Small Floor/Ground Openings Adequately Covered
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Working at Heights Equipment Being Used Appropriately
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Working at Height Equipment Safe and Fit for Purpose
Burial/Engulfment
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Trenches adequately stepped back
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Ground Service Openings adequately Monitored and Secured
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Swamplands Monitored and Evaluated
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Natural Open Ditches/Water Ways Monitored, Demarcated and Secured
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Storm Drains Adequately Protected
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Large Clay, Stone, Wood Stock Piles Secured and Monitored
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Attenuation Tank Area Adequately Protected
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Large Excavations/ Trenches Adequately Protected
Chemical/Biological
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Adequate Measures in Place to prevent the spread of Covid-19
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Crystalline Silica Protective Measures in Place and Being Adhered too
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Lead Paint Protective Measures in Place and Being Adhered too
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Asbestos Protective Measures in Place and Being Adhered too
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Working in Confined Space Measures in Place and Being Adhered too (buddy system for Attic spaces etc)
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Wood Dust Measures in Place and Being Adhered too
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Aspergillosis measures in place and all guidelines being adhered too
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Site dust containment measures in place and being adhered too
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All Chemicals Secured in Bunds
Assembly/Dismantling of Heavy Prefabricated Components
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Staircases Adequately Assembled and Inserted
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RSJ’s Adequately Assembled and Inserted
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Roof Trusses Adequately Assemble and Inserted to Plan
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Prefabricated Concrete Floors/Walls Inserted to Plan
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Robust Safe Plan of Action for the Demolition of Wall/Roof/Floor/Ceilings
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All Works Being Carried out in Accordance to SPA/CoP
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Props being used for Large Prefabricated Materials being Erected on Site
Working in Proximity of Live Services
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Overhead Power lines Adequately demarcated & Goal Posts in Place
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Underground Live Electrical Services Mapped
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Internal Live Electrical Wiring Identified
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Internal Live Electrical Wiring Isolation Tagout/Lockout System in Place
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Working in Proximity to Live Gas Services Adequately & Safely Managed
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Working in Proximity to Foul Services Adequately & Safely Managed
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Working On or Near Pressurised Water Mains Adequately & Safely Managed
Adjacent Lands & Boundary
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Adequate Site Fencing (Herras Fence/Wood/Metal Hoarding)
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Site Boundary Fencing Secured & Monitored
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Public & Site Pedestrian Management Plan in Place
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Traffic Management Plan in Place and being used as proposed
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All Neighbouring Lands Being Monitored
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Neighbouring Lands Secured
Temporary Works
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Scaffolding Design Plan
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Civil Works Design Plan
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Form Works Design Plan
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Crane Base
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Floor Props, False Works Platforms
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One Off and/or Large Site Specific Signage
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Sheet Piling/Ground Beam Bracing/Structure Bracing
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Structure Support Scaffolding
