Title Page
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Site:
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Job Number:
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Conducted on
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Conducted by
Management
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Site Presentation adequate
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General Housekeeping adequate
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External signage adequate
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Public Safety around site aqequate
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Health & Safety policy displayed
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HSE poster displayed
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F10 in date
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Health & Safety plan up to date and all appendices completed
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Visitors and Operatives signing in
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All on site Inducted & displaying ID badges
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Risk Assessments relevant
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Method Statement checked
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COSHH Assessments relevant
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Young Workers R/A completed
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Statutory records up to date
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Insurances in order MD Building Services and Sub-contractors
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All Accidents reported to H&S Dept on same day occurred
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Suitable First Aiders on site
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First aid kits on site and in date
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Tool box talk completed monthly
Scaffolding
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Inspected weekly / HO certs
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Ledgers/ transoms/ couplers
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Guardrails in place (950mm/470mm)
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Properly boarded /toe boards
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Access location flip over barrier in place
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Brick guards/netted satisfactory
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Bracing/ Rakers tied back
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Standards plumb, sole plates/base plates, free of damage
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Access removed at end of shift
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Tower scaffolders correctly used
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Ladders tied off at the top on both stiles
Ladders
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Condition / length / angle 4:1
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Stand offs/ footed at base
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Correct use – Risk Assessment
Working at Height
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Suitable risk assessment conducted
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Barriers adequate
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Harness being worn
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Proper access / egress
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MEWP’s – trained personnel
Skips
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Duty of Care Notes retained
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Skips not overloaded
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Removed/emptied for weekend
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Fenced if left unattended
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No hazardous materials in General Waste skips
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Hazardous Waste skip locked
Traffic
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Pedestrian routes provided and signed
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Controlled access onto site
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Traffic management plan in place
Welfare
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Canteens clean
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Drying room clean and clear
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Hot water Washing / toilet facilities
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Microwave / heating meals up
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Smoking arrangements
Tenant Safety
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If plastic sheeting is used: it must be completely cut away from all access/egress points.
Temporary sheeting should only be down whilst works are underway.
At the end of day the temporary sheeting must be removed. -
Tennant access/egress
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Clear of hazards, i.e. safe route in/out of house. No waste left in garden or path – use bins
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Rubbish removed
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Carpet protection in good condition
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Tenants health risks addressed, dust, fumes etc
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PPE (worn)
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PPE Register up to date
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Safety Helmets
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Ear protection
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Respirator (dust mask)
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Eye protection
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Gloves
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High-viz vest
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Safety footwear
GAS (inc LPG) + HOT WORK
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Permit to Work issued
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Hot Works Signs on tenants doors
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Fire Extinguishers in date and fully charged
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Fitters Gas Safe registered
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LPG stored in locked cage on site
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Welding/cutting – flash back arrestor fitted
Fire
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Site Fire Plan up to date
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Emergency procedures displayed
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Fire Risk Assessment completed
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Fire alarm system available/ airhorn
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Fire Muster point determined
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Extinguishers in inspection date
POWER TOOLS / ELECTRICITY
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Power tools general condition / hoses / connections / gauges
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Battery or 110V no 230v
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Power tools guards / deadmans switch in good order
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Leads and extension cables
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Distribution boards protected
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Isolation signs on tenants panels
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3 month PAT test
Signage
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All signage in place
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External site safety signage
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Road signs suitable for operations
Health Hazards
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Dust/Fumes
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Noise / vibration
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Manual Handling
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Chemical Cleaners
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Sharps risk identified
Asbestos
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Surveys on site
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Asbestos Permit in operation
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Licensed contractors insurance checked – Mile Smith Scheme?
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Disposal arrangements checked
Sub-Contractor Competency
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CHAS Accredited
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Competence Certificates in order
Working Areas
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Site work area / access safe
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Adequate task lighting
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Materials and equipment safely stored and tidy appearance
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Barriers erected to protect work area where necessary-excavations
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Safety signage relevant to work
Sign off
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Please add any other relevant comments:
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Site Manager signature:
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Date & Time