Safety, Health and Environmental Site Inspection Report

• Site conducted

  Select

• Client

• Site/Contract

• Location
  Address

• Carried out by:

• Supervisor

• Conducted on

  Date

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Safety Documentation

• Is the Site-Specific Health & Safety File available?

  Yes

  No

  N/A

• Has workforce attended Client Site Induction?

  Yes

  No

  N/A

• Are Method Statements and Risk Assessments available on site for the works being undertaken/observed during inspection. <br>

  Yes

  No

  N/A

• Have Method Statements and Risk Assessments been communicated to workforce (and signatures obtained)?

  Yes

  No

  N/A

• Are CoSHH Assessments for Materials/Substances available on site?

  Compliant

  Non-Compliant

  N/A

• Are copies of Inspection & Maintenance Records for Plant/Equipment available on site and in date?

  Yes

  No

  N/A

• Are copies of LOLER Inspection records available and in date?

  Compliant

  Non-Compliant

  N/A

• Where required, are Permit's To Work in place?

  Good

  Fair

  Poor

  N/A

• Have Toolbox Talks been delivered & signatures obtained?

  Good

  Fair

  Poor

  N/A

• Are there copies of Company Policies available on site?

  Good

  Fair

  Poor

  N/A

• Is there a copy of the Employers & Public Liability Insurance available & in date ?

  Yes

  No

  N/A

• Are copies of training records/certificates available on site (CSCS/CPCS/NPORS/First Aid/SSSTS/SMSTS/Asbestos/JIB/NRASWA/PASMA/confined space etc)?

  Good

  Fair

  Poor

  N/A

• Are copies of Face Fit Testing certificates available on site?

  Compliant

  Non-Compliant

  N/A

Site Set Up / Management

• Is there a First Aider on Site?

  Yes

  No

  N/A

• Is there a secure area for storage of plant/materials/substances during times when site is closed?

  Good

  Fair

  Poor

  N/A

• Are drip trays and spill kits available?

  Compliant

  Non-Compliant

  N/A

• Are cutting activities (block, paving etc) being undertaken safely ie use of suppression, PPE/RPE, not presenting risk to others in vicinity.

  Compliant

  Non-Compliant

  N/A

• Are there Bucket Storage areas established (Heras panels and signage affixed)?

  Good

  Fair

  Poor

  N/A

Responsibilities / Duties of Principal Contractor

• Is there adequate welfare provisions (Toilet/Washing/Canteen/Drying Room)?

  Compliant

  Non-Compliant

  N/A

• Is the Site Traffic Management Plan being managed/observed? (Free of STF hazards)?

  Good

  Fair

  Poor

  N/A

• Is Public Safety adequately controlled? (Detail how)?

  Good

  Fair

  Poor

  N/A

• Is adequate signage in place (Warning / Safety / Delivery / Traffic Management etc)?

  Compliant

  Non-Compliant

  N/A

Plant & Equipment

• Have Daily Inspections of Plant been carried out and findings recorded?

  Yes

  No

  N/A

• Have Tool Inspection and referenced HAVS registered been completed?

  Compliant

  Non-Compliant

  N/A

• Electrical equipment PAT tested?

  Compliant

  Non-Compliant

  N/A

• Are chains/shackles stored correctly (hanging), displaying current 'proof of examination' & clean?

  Yes

  No

  N/A

• Are Beacons in good working order?

  Pass

  Fail

  N/A

• Have excavators & dumpers been 'greased' in the last 5 days

  Yes

  No

  N/A

• Can machine driver confirm safe working condition of forks and buckets (safety pins / alignment of forks / tooth condition etc) - are discussed points documented in plant inspection book?

  Yes

  No

  N/A

• Where required, are Banksmen assisting plant/vehicles?

  Yes

  No

  N/A

• Are Mirrors clean & free from damage?

  Safe

  At Risk

  N/A

• Are lights in working order/free from damage?

  Pass

  Fail

  N/A

• Are warning signs affixed and legible (noise/PPE/SWL/Quick Hitch etc)?

  Pass

  Fail

  N/A

• Are guards suitable, sufficient & correctly affixed?

  Pass

  Fail

  N/A

• Are seatbelts in working order? (No fraying/locked/tied off)

  Pass

  Fail

  N/A

• Are seatbelts being worn by Plant Operators? (Dumper, Roller etc)

  Yes

  No

  N/A

• Where required, are Banksmen assisting plant/vehicles?

  Yes

  No

  N/A

Workplace

• Is good housekeeping being practiced?

  Yes

  No

  N/A

• Are tools & equipment stored in close/safe proximity to working area?

  Yes

  No

  N/A

• Is 'interface' with other trades being suitably controlled?

  Yes

  No

  N/A

• When working near 'services' has HSG47 been followed? (CAT scan, Stat Dwg, Marked)

  Good

  Fair

  Poor

  N/A

• Are excavations (or other hazardous areas) de-marked/barriers erected?

  Compliant

  Non-Compliant

  N/A

• Excavations - gas detection, inspections logged, confined space trained personnel?

  Yes

  No

  N/A

• Excavations - hand digging only permitted within 500mm of services, is this being observed?

  Compliant

  Non-Compliant

  N/A

• Stored material - safe distance from edges of excavations? Angle of repose?

  Compliant

  Non-Compliant

  N/A

Personal Protective Equipment

• All personnel wearing Hard Hat?

  Yes

  No

  N/A

• All personnel wearing high-visibility vest/jacket/coat (and trousers where working on road)?

  Yes

  No

  N/A

• All personnel wearing suitably protective boots?

  Yes

  No

  N/A

• Additional PPE requirements as identified in task Risk/CoSHH Assessments & Site Rules:<br>Gloves<br>Eye Protection<br>Respiratory Protection

  Yes

  No

  N/A

• Are all personnel wearing PPE correctly (non-conforming wooly hat/hood under hard hat)?

  Yes

  No

  N/A

• Is PPE clean? (Hi-vis, visible; clean ear defenders/dust masks?)

  Yes

  No

  N/A

Ancillary Safety Controls / Equipment

• Is a First Aid Kit available (with suitable supplies)?

  Yes

  No

  N/A

• Is Fire Fighting Equipment available? (in addition to Client Site Control)

  Compliant

  Non-Compliant

  N/A

• Is there a CAT & Genny available on site (detail make)? If yes, is it within calibration date?

  Yes

  No

  N/A

• Is there intrinsically safe equipment available / being used where required (graft, shovel, pick) when working near services -HSG47

  Safe

  At Risk

  N/A

Other

• Have all additional considerations/hazards been adequately managed and controlled?

  Yes

  No

  N/A

Consultation with Workforce (suggestions/concerns etc)

• undefined

Comments

• undefined

CARs (Corrective Action Requests)

• undefined

Sign Off

• This inspection reflects the condition of the site at the time of inspection and is limited by the portion of the site that was inspected.

• On Site Representative/Supervisor:

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• Carried out By:

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