Russell Ductile Castings Ltd - Management of Contractors

• Document No.

• Scope of work to be carried out

• Contractor company name

• Conducted on

  Date

• Prepared by

• Location

• Contractor Supervisor

1. Induction

• Have all members of the Contractor Working Party received a Chamberlin plc Health, Safety & Environmental Induction?

  Yes

  No

• Please complete the RDC/CHC Contractor Induction

• Has each member of the Working Party signed the Induction attendance sheet?

  Yes

  No

• All members of the Working Party must sign to say that they have received an Induction.

2. Communication

• Has a Chamberlin plc employee been identified as a point of contact for the duration of the task?

  Yes

  No

• Name of identified Chamberlin plc contact?

• Identify a Chamberlin plc employee to act as a point of contact for the Work Party

3. Risk Management

• Has the Work Party provided up-to-date/relevant risk assessments/procedures for the task/s they will be undertaking?

  Yes

  No

• Has all the relevant documentation been stored in the 'Contractor Documentation' folder on SharePoint?

  Yes

  No

• Please store all of the relevant documentation in the SharePoint drive.

• Please obtain the relevant documentation from the Work Party/Contractor company.

• Have the Working Party received a copy of the RDC Contractor Risk Assessment?

  Yes

  No

• Please provide the Working Party with a copy of the attached RDC Contractor Risk Assessment.

• Has the Working Party provided an up-to-date copy of their Employers Liability Insurance?

  Yes

  No

• Please ask the Work Party to provide a copy.

4. Hot Work

• Will the task/s included any Hot Work?

  Yes

  No

• Have you completed the QBE Hot Work Permit?

  Yes

  No

• Complete the QBE Hot Work Permit.

• Scan the completed QBE Hot Work Permit and store it in the Maintenance SharePoint folder.

5. Confined Spaces

• Will the task/s include working in/around any Confined Spaces?

  Yes

  No

• Has an atmospheric test been undertaken?

  Yes

  No

  N/A

• Will continuous monitoring be required throughout the task?

  Yes

  No

  N/A

• Has a Watch Person been identified?

  Yes

  No

• A Watch Person must be in place for all Confined Space work (no lone working).

• Describe the method of communication i.e radio, verbal, hand signals, rope signals, etc.

• Describe the method of communication.

• Explain how individuals will be rescued in the event of an emergency.

6. Work at Height

• Will the task/s include any Work at Height activities?

  Yes

  No

• Have all hazards, risks, and suitable control measures been identified in the risk assessment/s?

  Yes

  No

• Update risk assessment to include hazards, risks, and controls relative to the Working at Height task/s.

• Is there any access/egress equipment being used during the task/s?

  Yes

  No

• Are ladders/step ladders being used?

  Yes

  No

  N/A

• Have the ladders/step ladders been inspected prior to use?

  Yes

  No

  N/A

• Ensure that any ladders or step ladders associated with the task/s have been inspected prior to use.

• Do the ladders/step ladders have an up-to-date inspection tag on them?

  Yes

  No

• Ensure that all ladders/step ladders have an up-to-date inspection tag before use.

• Will any scaffolding/platforms be used during the task/s?

  Yes

  No

• Has the scaffolding been erected by a competent person?

  Yes

  No

• Has the scaffolding been tagged?

  Yes

  No

• Scaffolding must be tagged before it can be used.

• Has the scaffolding been inspected by a competent person within the last 7 days?

  Yes

  No

• Scaffolding must be inspected by a competent person at least once every 7 days (or after an event that may have compromised the scaffolding).

• Has the scaffold been inspected by the Work Party prior to use?

  Yes

  No

• Scaffolding must be visually checked prior to use.

• Scaffolding must be erected by a competent person.

• Are harnesses/lanyards being used during the task/s?

  Yes

  No

• Has the equipment been inspected within six months?

  Yes

  No

• Please ensure that the equipment is up to date in terms of a six-monthly inspection.

• Has the equipment been visually checked prior to use?

  Yes

  No

• Please ensure that the equipment is visually checked before use.

7. Asbestos Containing Materials (ACMs)

• Has the site Asbestos register been reviewed to determine the presence and type of ACM

  Yes

  No

  N/A

• Please review the site Asbestos register before work commences.

• Is there a possibility that Asbestos may be disturbed during the task/s?

  Yes

  No

• Have all necessary precautions been taken to ensure that any ACM present will not be disturbed?

  Yes

  No

• Please ensure that a risk assessment is undertaken and that controls are in place to prevent the disturbance of Asbestos.

8. Services and Machinery

• Is there a need to isolate any services or machinery?

  Yes

  No

• Fire Alarm/Zone

  Yes

  No

• Electricity

  Yes

  No

• Gas

  Yes

  No

• Air

  Yes

  No

• Water

  Yes

  No

• Hazardous Chemicals

  Yes

  No

• Machinery

  Yes

  No

• Please give a brief description of any areas that will be isolated and the reasons why

9. Chamberlin plc

• I authorise the work to be carried out in accordance with the safety control measures specified and have notified all relevant personnel - Name / Date / Time

• Please review and sign before work commences.

10. Contractor Acceptance

• I have read and understood the conditions of this permit and have notified all relevant personnel - Name / Date / Time

• Please review and sign before work commences.

11. Work Complete (Contractor)

• I certify that all work is complete and that all personnel, parts, equipment have been withdrawn and the area has been left in a safe condition - Name / Date / Time

• Please confirm that the task has been completed and that the area and equipment have been left in a safe state.

12. Cancellation - Chamberlin plc

• I certify that all work is completed and that the area has returned to normal operation - Name / Date / Time