Safety Inspection Report

• Inspection Title Site Safety Inspection Report

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

TYPE OF AUDIT

• Safety Manager

• Manager

• Director

Health & Safety Documentation

• Construction Phase H&S Plan

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Accident Book

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Risk Assessments and Method Statements

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Induction Records

  Compliant

  Non-compliant

  Observation

  Not Applicable

• COSHH Assessments and MSDS sheets

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Plant and Equipment Certification

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Plant Inspection Records<br>note: to include harnesses, PPE, towers, steps, podiums and MEWPs

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Electrical Certificates

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Scaffold Register

  Compliant

  Non-compliant

  Observation

  Not Applicable

• HSE Reports

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Permits

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Toolbox talks

  Compliant

  Non-compliant

  Observation

  Not Applicable

• Statutory Notices

  Compliant

  Non-compliant

  Observation

  Not Applicable

Previous Inspection

• Has the last inspection been reviewed in the CIC meeting under Health & Safety?

  Yes

  No

  N/A

• Are there any outstanding actions?

  Yes

  No

  N/A

WELFARE /TOILETS

• Are the toilets in good clean condition?

  YES

  No

  n/a

  NOT CHECKED

• Is the eating area in a clean condition?

  YES

  No

  n/a

  NOT CHECKED

• Is the rubbish removed?

  YES

  No

  n/a

  NOT CHECKED

• Other

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

Accidents or Incidents Reported

• Has there been any accident or incident with CIC employees?

  Yes

  No

  N/A

• Has there been any accident or incident with contractors working for CIC

  Yes

  No

  reportable

• Number of CIC employees on site including sub contractors?

Main site access points

• Conditions of the ground within the walkway

  SAFE

  NOT SAFE

  NOT CHECKED

• Segregation of pedestrians

  YES

  No

  n/a

  NOT CHECKED

• Other

  SAFE

  NOT SAFE

  NOT CHECKED

Lay Down area

• Housekeeping general area

  SAFE

  NOT SAFE

  NOT CHECKED

• Access to the area

  SAFE

  NOT SAFE

  NOT CHECKED

• Conditions of the ground

  SAFE

  NOT SAFE

  NOT CHECKED

• Other

  SAFE

  NOT SAFE

  NOT CHECKED

Store and workshop area

• General housekeeping

  YES

  No

  n/a

  NOT CHECKED

• Ground conditions in the area

  SAFE

  NOT SAFE

  NOT CHECKED

• Is Cable management in good order?

  SAFE

  NOT SAFE

  NOT CHECKED

• Point of Work Risk Assessment (POWRA)

  YES

  No

  n/a

  NOT CHECKED

• Hand tools are they in good condition and PAT tested

  YES

  No

  n/a

  NOT CHECKED

• Other

  SAFE

  NOT SAFE

  NOT CHECKED

Crane hire company

• Does CIC hold copies of their Competency?

  YES

  No

  n/a

  NOT CHECKED

• Have they completed their report book?

  YES

  No

  n/a

  NOT CHECKED

Works Area

• General housekeeping standards

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• slips, trips and fall hazards

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Are Barriers used and signs attached?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Are each of the areas clear of obstacles?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Point of Work Risk Assessment (POWRA)

  YES

  No

  n/a

  NOT CHECKED

• MEWP check list, has this been completed and signed?

  Yes

  No

  N/A

• Are the users IPAF trained

  YES

  No

  n/a

  NOT CHECKED

• Are mobile tower users PASMA trained

  YES

  No

  n/a

  NOT CHECKED

• Does the workforce understand the RAMS they are working under?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Waste collected to designated containers

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Are there First Aider available?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Is there a Hot Works permit in place, signatures etc?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Is there a fire extinguisher in place and in date?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Are all Gas cylinders stored safely?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Is Cable management in good order?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Hand power tools, condition and PAT Tested, safe guards in place.

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Electrical distribution panels, are they in good order?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Lighting system within the area

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Confine Space Entry, confine space permit, signatures for access.

  YES

  No

  n/a

  NOT CHECKED

• Is there a Rescue team and equipment available

  YES

  No

  n/a

  NOT CHECKED

• Others

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

General PPE for all Contractors.

• Are Hard hats, gloves, safety glasses, safety boots, hi-viz jacket worn.

  YES

  No

  n/a

  NOT CHECKED

• Eye protection worn.

  YES

  No

  n/a

  NOT CHECKED

• Are Hearing protection zones identified?

  YES

  No

  n/a

  NOT CHECKED

• Is Hearing Protection being worn correctly and are inspection forms available for the equipment?

  YES

  No

  n/a

  NOT CHECKED

• Are there records of who has worked in the hearing protection zones?

  YES

  No

  n/a

  NOT CHECKED

• Respirators and dust masks utilised, when needed

  YES

  No

  n/a

  NOT CHECKED

• Have those wearing respirators had face fit tests.

  YES

  No

  n/a

  NOT CHECKED

• Are harness used when required for the work.

  YES

  No

  n/a

  NOT CHECKED

• Others

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

SCAFFOLDING

• General housekeeping on scaffolding

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Is a scaffold design required for the work being inspected?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Storage of Scaffolding Equipment.

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Adequate toe boards and guard rail including top and mid rails in place.

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Are harness's used by all Scaffolders?

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

• Scaffold rated for the proper weight capacity and Green Tagged, also inspected

  Safe

  High Risk

  Medium Risk

  Low Risk

  Not Check

ANY OTHER COMMENT

• Others

  Yes

  No

  N/A

• Other 1

  YES

  No

  n/a

  NOT CHECKED

• Other 2

  YES

  No

  n/a

  NOT CHECKED

• Other 3

  YES

  No

  n/a

  NOT CHECKED

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