Title Page

  • Which Employees are on Site?

  • Conducted on

  • Prepared by

  • Location

Arrival to Site

  • Is Employee Wearing full P.P.E? Hard Hat, Hi-vis Jacket, Trousers, Boots, Gloves, Glasses

  • Is Chapter 8 or Traffic Management Required and being used correctly?

  • Are cones and barriers present and being used?

  • Is the working area clean and tidy?

  • Has the employee started the job on Jobwatch?

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  • Supporting photo

On Site

  • Which vehicles are on site?

  • Is all PPE in a good condition?

  • Were you asked to sign on to the Visitors Book/Risk Assessments?

  • Have site specific risk assessments been completed?

  • Are the RAMS still correct or has something changed?

  • Are operatives working in a safe manner?

  • Is equipment stored safely on the vehicle?

  • Are jetting hoses and equipment in good condition?

  • Is confined space equipment required?

  • Are harnesses, lanyards being used?

  • Is a gas detector being used and is it calibrated?

  • Supporting photo

  • Supporting photo

Health And Safety

  • Do the operatives have good behaviour towards H&S?

  • Is the environment safe?

  • Are there adequate welfare facilities on site?

  • Is there a first aid kit and eyewash on the vehicle?

  • Does the vehicle have a fire extinguisher in date?

  • Do Operatives know where the muster point is?

  • Do Operatives know where to find the RAMS/COSSH Assessments?

Vehicle

  • Do the vehicle beacons work?

  • Is the vehicle exterior clean and maintained?

  • Does the vehicle have a BigChange cradle and is this working?

  • Is the bodywork on the vehicle In good condition?

  • What is the vehicle mileage?

  • Is the inside of vehicle clean and tidy?

  • Are the vehicle tyres in a good condition?

  • Does the vehicle have a spill kit?

  • Supporting photo

  • Supporting photo

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Remedial Action

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Photos

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Signature

  • Add signature

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