Information

  • Site Reference -

  • Document No.

  • Conducted on

  • Prepared by

  • Personnel on Site

General Administration

  • Information & Company documentation displayed

  • Weekly safety inspection available for review?

  • Weekly tool box talk available for review?

  • Near Miss Reports Completed

  • Senior Managers Register completed

  • Signing in register up to date

  • Inductions in place for all employees, Spot check

Safe Systems of Work

  • Risk and Method statements available for Review

Housekeeping

  • Materials and waste stored within designated areas

  • Walkways and passages clear to walk?

  • Projecting nails or screws bent over or removed?

  • Build up of waste on site

Public Protection & Access

  • Site Boundary secure

  • Hoarding in good condition with contact details/signage displayed

Personal Protective Equipment

  • Employees wearing safety footwear

  • Employees wearing Hi Vis vest or jacket

  • Employees wearing hard hats?

  • Spare PPE available for issue

  • Employees using gloves when exposed to cut/chemical hazards?

  • Hearing / Respiratory Protection worn by employees when required?

Electrical

  • Certification in place for temporary power sources

  • Electrical panels and devices labeled and secured?

  • Extension cords in good condition and PAT

  • Trailing Leads

Hand and Power Tools

  • Power Tools free from damage (switches, cords, and guards)?

  • Hand tools free from damage ( shaft, head, splinters, etc.)?

  • Evidence of PAT via register or label

Welfare Provisions

  • Adequate Toilets facilities provided

  • Separate drying room available

  • Hot and cold water available for hand washing

  • Welfare provisions available inclusive of drinking Water

Work at Height equipment (WAH)

  • Correct WAH equipment in use

  • Inspection completed by competent person

  • WAH permit used for alternative equipment

  • Safe area around WAH equipment

Work Place

  • Additional Risk identified

Scaffolding

  • Handover certificate in place

  • Weekly inspection available for review

  • Gates/Hatches in place at all ladder access points

  • Guardrail,Midrails and Toeboards installed

  • Certification for Lifting equipment supplied

  • Operatives wearing correct PPE during installation

Plant and Equipment

  • Thorough examination certificates for Plant and equipment

  • Operators have training card available to use

  • Daily/weekly check of equipment

Fire

  • Fire extinguisher and means of raising Alarm available and inspected

  • Hot works permit system adhered to?

  • Fire plans and Fire Action Notices displayed

  • Flammable materials stored correctly, removed regularly

Temporary Works

  • Temporary works design available for review?

  • Sign off after installation as per design

  • Monitoring of install temporary works

Review

  • Superintendent signature

  • Safety Director signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.