Information
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PROJECT NAME
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CLIENT
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INSPECTION CONDUCTED ON
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INSPECTION TEAM MEMBERS
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SITE PERSONNEL MET DURING THE INSPECTION
Safety Documentation and Training
Safety Documentation
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Is there a suitable updated and reviewed Project Safety Plan (PSP) and Construction Phase Plan (CPP) available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Notification Forms, in compliance with relevant jurisdiction requirements, submitted and posted at suitable locations? e.g. F10 etc.
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are suitable H&S Policies available for all Subcontractors?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are RAMS available for required activities? (Sample at least 3 Individuals form work group and ensure they understand the RAMS and have them signed accordingly)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are pre task briefings given and signed off by relevant persons? (Sample at least 3 Individuals from work group and ensure they understand the PTB and have it signed accordingly)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are toolbox talks given on a regular basis? (Minimum of 1 per Week)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are required Statutory inspections on file, ensuring Legislative compliance in the relevant jurisdiction: e.g.Excavations Insp's, W@H Insp's, PFD Insp's etc.
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are site safety meetings taking place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is there a safety notice board displayed on site? (F10, Insurances, ISO certs, relevant policies, First Aiders list, E/R Info, etc.)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Does the site comply with the Roadbridge IMS ?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are Site Safety Tours being completed and findings recorded?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is there a formal Behavioral Based System employed for the site and is it accessible to all?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are the issues identified by Site Safety Tours which require corrective action addressed and signed off?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are required documents completed on Go Formz where possible?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are "Box" folders maintained accordingly and updated in alignment to Project Safety Folders
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Training
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Is it evident that a site induction has been given to all who attend site? (Sample at least 3 Individuals from the work group and ensure they attended both the Client & RB Inductions where required)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is there compliance with "Mandatory Safety Training" as per Jurisdiction requirements? E.g.CSCS, CPCS, NPORS etc. (Sample at least 3 Individuals from the work group and ensure they have the required training, including the relevant tickets with them and a copy provided to RB and on file.)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is there evidence of Manual handling training for all Personnel incl. Subcontractors? (Sample at least 3 Individuals from work group and ensure they have the required M.H. training)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Add media
Welfare & First Aid
Welfare
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Are the number of toilets/urinals sufficient for number of site operatives?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are facilities adequately supplied?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are separate drying/changing rooms available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are the facilities kept clean and clear of clutter?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is suitable canteen facilities provided incl. drinking water?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
First Aid
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Appropriate numbers of First Aiders Provided?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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All Contents of First Aid box within Expiry dates? Contents Clean, Tidy & Orderly? Evidence of regular checks on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Records of First Aid incidents kept and available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Emergency Numbers & First Aid List created and displayed publicly?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Site Security & Public Roads/Footpaths
Site Securtiy
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Is the site adequately secured?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is all reasonable care taken to prevent unauthorised entry so far as is reasonably practical?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Adequate warning and construction related signage in place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Public Roads/Footpaths
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Are work areas adjacent to live Traffic/Pedestrian areas appropriately signed and protected?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Dust Suppression used if required?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are exiting vehicles controlled for stability of load and removal of loose material before entering public Roads?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks
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Site Access/Egress & Pedestrian Segregation
Site Access/Egress
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Is safe access provided to reach each place of work?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are all excavations/slopes adequately fenced and signed accordingly?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are measures in place to protect people from falling at leading edges?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are ladders in good condition, positioned correctly and secured?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is lightning appropriate for access and task completion?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is the site generally tidy and free from avoidable slip/trip hazards?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are measures in place to allow pedestrian segregation from Plant & Vehicles?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Pedestrian Segregation
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Are Pedestrian routes clearly identified and demarcated?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are office areas suitably protected from Plant activities?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are measures in place to prevent unauthorised access to work areas?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks
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Fire Precautions and Emergency Preparedness
Fire Precautions
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Has a suitable Fire plan been drawn up and communicated?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are suitable fire extinguishers/detection devices available at the place of work and clear of obstructions?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is the amount of flammable liquid present at the workplace kept to a minimum for the days work and is it stored safely?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are Fire Extinguishers/Blankets inspected within the past 12 months?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Emergency Preparedness
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Site Evacuation Plan in place and tested?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Emergency Drill appropriate to work activities carried out?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Emergency access routes clear and doors/gates unlocked?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Confined Space Working
Confined Space
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Has a MS/RA been conducted to determine the risks associated with confined space entry?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is the Confined Space Access controlled under a Permit to Work System?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Have the relevant personnel confined space training?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is there a documented Rescue plan in place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Add media
Lifting Operations/Plant and Equipment
Lifting Operations
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Are checks carried out to ensure that statutory inspections of all lifting equipment/appliances are carried out and records kept on site?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Do all crane/plant operators hold proof of required training ?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are all lifting operations managed at the workplace by trained slinger/signaller?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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For Excavators being used as cranes, is a Prolec fitted?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is the appropriate colour code in place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Plant & Equipment
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Have machines with restricted view been fitted with suitable reversing aids e.g. Side Mirrors/Rear convex mirrors/CCTV/Motion Sensor Alarms etc.?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Daily Inspections carried out by operator? (Sample at least 3 pieces of plant for the Daily Inspection. Reference the pieces of plant within this Inspection by RB or Serial number as well as make and model.)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Flashing Beacons in use? Seat Belts worn by operators? Plant locked & Keys removed when not in use? If fitted, is seat belt alarm and Beacon in use?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is the plant & equipment deemed safe for use? (No damaged/missing guards etc.)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Have Operators got the required CPCS/NPORS Tickets who are operating plant? (Sample at least 3 Individuals form work group and ensure they have the required training)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Has a pre use check been completed and a sticker placed on the relevant piece of equipment? (Sample at least 3 pieces of plant for both the Inspection and sticker. Reference the pieces of plant within this Inspection by RB or Serial number as well as make and model.)
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Permit Requirements
Permit Requirements
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Are permits being adhered to?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is there a documented Permit to Work system where required?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Excavations
Excavations
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Has the area been scanned for cables/services?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are Excavation works controlled by a Permit to work System?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Have operatives received training in the use of cable avoidance tools and equipment?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Have measures been taken to prevent the collapse of excavations where needed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Have measures been to taken to prevent vehicles from overrunning into the excavations where required?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are excavations subjected to required Jurisdiction statutory inspections and records available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is a safe means of access and egress provided?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks:
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Use of Chemicals & General PPE Compliance
Use of Chemicals
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Are SDS sheets available for hazardous substances?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are containers labeled and stored safely?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are PPE requirements identified and complied with for using Chemicals?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are COSSH/REACH or equivalent assessments available?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
General PPE Compliance
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PPE is suitable for the Task?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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PPE register is available and up to date?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Appropriate PPE is worn according to Site Rules?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks
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Add media
Work at Height, Scaffold, Harness & Ladders
Work at Height
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Has the work at height been adequately assessed including a rescue plan in place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is "collective protection" for work at height employed where practical?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are MEWP's used safely?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Scaffold
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If required, is there a temporary work design for the Scaffold?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is the Scaffold inspection in date?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are Scaffolders trained and CISRS or equivalent tickets in the site file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Harness
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Are Harnesses in good condition and colour coded appropriately?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Weekly inspection Documented and statutory Inspection completed, in date and kept on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Items appropriately colour coded?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Ladders
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Ladders used in appropriate fashion?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Ladder Risk assessment in place for works off ladder?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Weekly inspection of ladder on file?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Ladders in good condition.
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks
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Hot Works, LOTO Procedures & Unsafe Practices
Hot Works
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Are required controls in place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is the PPE adequate for the task?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are hot works controlled by the PtW system?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
LOTO
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Appropriate system in use linked to Permit System?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Designated person in place controlling LOTO Procedure?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Unsafe Practices
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Are workers only smoking in designated areas?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is there a segregated smoking areas for those wishing to use e-cigarettes?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Have vehicles been observed travelling at a safe speed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Was an Unsafe system of work/practice witnessed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks
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Housekeeping
Housekeeping
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Walkways free of debris and storage?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Work areas free of slip/trip hazards?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Stairs free of slip/trip hazards?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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All excess material stored appropriately or skipped appropriately?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Signs clean, visible and in good condition?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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General Housekeeping in good condition?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Equipment/Material properly stored?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks
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Electrical Equipment & Power tools
Electrical Equipment
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Have all portable electrical appliances been PAT tested?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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110v system used or cables protected using armored cable following Risk Assessment?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Are overhead power lines protected in compliance with Jurisdiction relevant COP's/Guidance?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Is all Electrical equipment witnessed in good condition? No visible damage to cables, leads etc.?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
Power Tools
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Power Tools in good working condition. Housing and leads in place. All guards in place?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Vibration monitoring employed where required?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Earthing appropriate to equipment employed?
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Action Required to correct issue:
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Action by Whom:
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Date for action to be completed by:
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Remarks
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Overall Inspection Review
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Did any item identified during this inspection result in a critical safety issue requiring a "stop work" action, or adjudicated by the inspection team as significant enough for inspection to be classified as a failed inspection?