Information
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Site Inspected:
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Client
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Conducted on
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Advisor:
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Site Manager
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Project Number:
Metrics - Review of previous full working week
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Hours worked during last reporting period
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Accidents/Incidents in last reporting period
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Near misses in last reporting period
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Safety Audits and Inspections in last reporting period
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Inductions undertaken in last reporting period
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Training (TBT's, etc) in last reporting period
Risk Rating Scoring. 0 = Standards meet regulatory requirements and industry best practice, or item is not applicable. 1 = Standards fall short of industry best practice. 2 = Improvement needed to avoid breach of regulation. 3 = Breach of regulation, immediate action required to reduce the risk of harm and/or enforcement action.
Accidents, Dangerous Occurrences or Near Misses since last visit.
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Provide details.
0 Previous Inspections.
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Have matters identified during previous inspection been satisfactorily addressed.
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Recommended Actions.
1 Scaffolds and Mobile Towers
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Designed - handed over - erected in accordance with recognised standards - statutory inspections carried out etc.
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Recommended Action.
2 Ladders, Stepladders, Podiums etc.
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Fit for purpose - in good order - secured - inspected etc.
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Recommended Actions.
3 Demolition.
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Demolition plan in place - work carried out in accordance with plan etc.
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Recommended Action.
4 Excavations & Groundworks.
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Safe digging - supported/battered - statutory inspections - access/egress etc.
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Recommended Action.
5 Lifting Operations.
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Lifting plan - testing/certification - ground conditions - SWL etc.
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Recommended Action.
6 Mobile Plant & MEWPs.
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Fit for purpose - tested/inspected etc.
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Recommended Action.
7 Portable Tools.
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PAT - fit for purpose etc.
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Recommended Action.
8 Access/egress.
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Adequate - maintained in good order etc.
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Recommended Action.
9 Electricity
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Inspection/test - isolation/lock off etc.
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Recommended Action.
10 Environmental.
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Waste management - spill kit - noise - dust - mud etc.
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Recommended Action.
11 Fencing/security.
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Adequate - maintained etc.
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Recommended Action.
12 Contractor Management.
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Co ordinated - supervised etc.
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Recommended Action.
13 Personal Protective Equipment.
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Fit for purpose - face fit tested etc.
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Recommended Action.
14 Edges/openings/stairways.
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Adequately guarded - handrails on stairs - stairs unobstructed etc.
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Recommended Action.
15 Site Good Order
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Housekeeping - slips/trips/falls - lighting etc.
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Recommended Action.
16 Fire Precautions.
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Fire plan - alarms - signage - extinguishers - exit routes - muster point - flammables etc.
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Recommended Action.
17 Occupational Health
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Noise - HAVS - MSDs - Dermatitis etc
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Recommended Action.
18 Welfare
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Sufficient facilities - adequately equipped - suitably maintained.
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Recommended Action.
19 First Aid
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A&E location - first aiders - equipment.
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Recommended Action.
20 Competency
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Site inductions - tool box talks - training etc.
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Recommended Action.
21 Documentation
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Construction Phase Plan - Pre Construction information - statutory notices
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Recommended Action.
22 Asbestos.
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Survey report - management plan - re occupation certificate - licensed work - Asbestos Awareness etc
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Recommended Action.
23 Safe Systems of Work
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Method Statements - COSHH - Risk Assessments - Permits etc.
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Recommended Action.
24 Traffic Management
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Traffic plan - segregated routes - routes maintained - signage etc.
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Recommended Action.
25 Temporary Works
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Designed - co ordinated etc.
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Recommended Action.
26 Worker Engagement & Consultation
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Arrangements, evidence.
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Recommended Action.
27 CDM Engagement
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Are there any delays due to design responses?
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Are CDM risks annotated on drawings, written register, both or neither?
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Have all risks been mitigated to the lowest possible level?
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Any additional Comments on CDM
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Overall Comments:
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Site Manager Action / Comments:
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Advisor
