Safety and Compliance observation report - COM18

• Document Number

• Location/Unit no/contractor etc.

• Conducted on

  Date

• Prepared by

Observation category

• 1. Housekeeping

  Safe

  At Risk

  N/A

• 2. Materials storage

  Safe

  At Risk

  N/A

• 3. Access/Egress/Emergency Exits

  Safe

  At Risk

  N/A

• 4. Temp Roads

  Safe

  At Risk

  N/A

• 5. Confined Space

  Safe

  At Risk

  N/A

• 6. Edge Protection/Barricade

  Safe

  At Risk

  N/A

• 7. Working Platforms

  Safe

  At Risk

  N/A

• 8. Ladders/Stairs

  Safe

  At Risk

  N/A

• 9. Ties/Bracing

  Safe

  At Risk

  N/A

• 10.Standards/Ledgers

  Safe

  At Risk

  N/A

• 11. Scaffolding

  Safe

  At Risk

  N/A

• 12. Harness/Fall Arrest

  Safe

  At Risk

  N/A

• 13. COSHH

  Safe

  At Risk

  N/A

• 14. Fire

  Safe

  At Risk

  N/A

• 15. Cranes/Slings/Hooks

  Safe

  At Risk

  N/A

• 16. MEWP’s

  Safe

  At Risk

  N/A

• 17. Welfare

  Safe

  At Risk

  N/A

• 18. Hand Tools/Power tools

  Safe

  At Risk

  N/A

• 19. electrical

  Safe

  At Risk

  N/A

• 20. General

  Safe

  At Risk

  N/A

• 21. Environment

  Safe

  At Risk

  N/A

• 22. Fire Alarm System

  Safe

  At Risk

  N/A

• 23. Fire Fighting System

  Safe

  At Risk

  N/A

• Inspector - Name & Signature:

  Sign

• Date:

  Date

• Recipient - Name & Signature:

  Sign