Safety tour / audit form & workplace inspection

• Document No. DNV 1.3.1 Issue No13

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Client

• Add location
  Address

• Site Manager

• Add signature

  Sign

• Inspection by

• Add signature

  Sign

• Select date

  Date

General

• Are all perimeter security panels/hoarding in place with no gaps & in good order?

  Yes

  No

  N/A

• Are all panels/hoarding secured by posts or feet and clipped together?

  Yes

  No

  N/A

• Is all signage clearly visible and secure?

  Yes

  No

  N/A

• Are all footpaths free from trip hazards, swept clean & free from obstructions? Is housekeeping maintained to a good standard?

  Yes

  No

  N/A

• Is light in the area(s) sufficient?

  Yes

  No

  N/A

• Are disturbed area fenced or coned off?

  Yes

  No

  N/A

• Had adequate and suitable welfare facilities been provided? E.g. Hot & cold running water, drying room, toilets, hand washing facilities and towels, tables and chairs, cups etc.

  Yes

  No

  N/A

• Access/egress for visitors - adequate lighting, level ground provided & secure?

  Yes

  No

  N/A

• Public adequately protected from work activities?

  Yes

  No

  N/A

• Are deep excavations safely fenced off and signage in place?

  Yes

  No

  N/A

• Are small trenches fenced off?

  Yes

  No

  N/A

• Has the permit to excavate been implemented?

  Yes

  No

  N/A

Fire

• Are all fire extinguishers regularly inspected and do they carry a valid test certificate? Are they the correct type and in sufficient numbers? Are fire points kept free of obstruction?

  Yes

  No

  N/A

• Are all fire extinguishers in good condition and properly mounted?

  Yes

  No

  N/A

• Do all fire exists lead to safety?

  Yes

  No

  N/A

• Is electrical equipment switched off at night?

  Yes

  No

  N/A

• Are buildings secure at night?

  Yes

  No

  N/A

• Are all flammable substances stored safely and securely in a fire resistant container?

  Yes

  No

  N/A

• Is a strict non-smoking policy being enforced?

  Yes

  No

  N/A

• Are all materials in well defined areas? <br>- If materials are stored on roofs are they secured? <br>- Are gas bottles locked in a cage?

  Yes

  No

  N/A

• Has a fire risk assessment been conducted, signed and displayed?

  Yes

  No

  N/A

• Is a fire marshal on the premises (minimum 1 at all times) and their picture displayed in the site office?

  Yes

  No

  N/A

• Is the emergency response plan relevant and displayed in the office?

  Yes

  No

  N/A

• Is the hot works permit being implemented correctly?

  Yes

  No

  N/A

• Is the emergency muster point clearly displayed on the site plan and clearly signed?

  Yes

  No

  N/A

• Is the daily fire tour being conducted/recorded?

  Yes

  No

  N/A

• Has the emergency evacuation drill been conducted (at least once per project)?

  Yes

  No

  N/A

Storage & Handling of items

• Has the hierarchy of control been considered? Design, mechanical, lifting aids etc

  Yes

  No

  N/A

• Have the correct lifting aids and PPE been provided as appropriate?

  Yes

  No

  N/A

• Are items stored safely to facilitate safe handling and access?

  Yes

  No

  N/A

• Have personnel been trained in manual handling techniques?

  Yes

  No

  N/A

Accidents & 1st Aid

• Are copies of the accident reporting forms together with an accident book available?

  Yes

  No

  N/A

• Are accidents properly reported, recorded and investigated?

  Yes

  No

  N/A

• Are employees aware of the local 'accident and incident' reporting procedures?

  Yes

  No

  N/A

• Has a competent person been appointed to record accidents under RIDDOR?

  Yes

  No

  N/A

• Are sufficient 1st aid kits available?

  Yes

  No

  N/A

• Are there sufficient trained 1st aid personnel in the area?

  Yes

  No

  N/A

• Are 1st aid information signs available?

  Yes

  No

  N/A

Work & plant equipment or machinery or permits

• Where work equipment is provided is it.....<br>- In good condition and the DNV form F5.3.2 completed? <br>- Recorded in the PUWER/LOLER books? <br>- Complete with Test/Calibration/Inspection certificates?

  Yes

  No

  N/A

• Has the equipment got a plant ID no displayed?

  Yes

  No

  N/A

• Are maintenance records available?

  Yes

  No

  N/A

• Are appropriate permits in place? <br>- Hot works <br>- Confined space<br>- Others....

  Yes

  No

  N/A

• Is a safe distance being maintained between workers & plant/machinery?

  Yes

  No

  N/A

Hazardous substances

• Are valid COSHH assessments available for hazardous substances?

  Yes

  No

  N/A

• Are material safety data sheets available?

  Yes

  No

  N/A

• Are hazardous substances stored safely and correctly? <br>- use DNV form F10.1.4 to record findings.

  Yes

  No

  N/A

• Asbestos R&D survey complete and certification for reoccupation issued?

  Yes

  No

  N/A

• Asbestos notice displayed with emergency contact numbers?

  Yes

  No

  N/A

Personal Proptective Equipment

• Are PPE needs displayed onsite?

  Yes

  No

  N/A

• Is full PPE compliance taking place?

  Yes

  No

  N/A

• Are spare stocks of PPE Available?

  Yes

  No

  N/A

• Is PPE stored safely when not in use?

  Yes

  No

  N/A

• Is PPE as per the safe system of work (RAMS, JSA, JHA, WCF)? If not complete a potential incident record.

  Yes

  No

  N/A

• Is a specialist disk cutter full face mask available and in good order?

  Yes

  No

  N/A

Exterior

• Is there safe access/egress to the buildings in all conditions?

  Yes

  No

  N/A

• Are pedestrian access routes kept separate from vehicles/plant wherever ever possible?

  Yes

  No

  N/A

• Has adequate exterior lighting been provided?

  Yes

  No

  N/A

• Are ladders removed from structures (canopies/kiosks)?

  Yes

  No

  N/A

• Are site activities safely contained within the site perimeter away from the public?

  Yes

  No

  N/A

Scaffold

• Has a handover certificate been issued for the scaffold?

  Yes

  No

  N/A

• Is a scafftag system in place & register avaialbel?

  Yes

  No

  N/A

• Are access ladders removed/secured when the site is vacated?

  Yes

  No

  N/A

Hazard / Near Miss Reporting

• Are NM/PI being reported and recorded on 5.2.1 A?

  Yes

  No

  N/A

• Is form 5.2.1A completed correctly?

  Yes

  No

  N/A

• How many NM/PI have been recorded?

  Yes

  No

  N/A

H&S (DNV) paperwork quality

• Are there copies of all DNV paperwork available onsite?

  Yes

  No

  N/A

• Is the DNV paperwork being completed correctly?

  Yes

  No

  N/A

• Is the safety box being kept in an orderly fashion?

  Yes

  No

  N/A

• Has the Contracts Manager completed Tool Box Talks?

  Yes

  No

  N/A

Audit compliance

• Are employees and contractors working under a Risk assessment and method state,net and have they been reviewed?

  Yes

  No

  N/A

• Does the Site Manager have SMSTS?

  Yes

  No

  N/A

• Check two operatives competencies I.e. Safety client passports, IPAF, CSCS, plant tickets etc.

  Yes

  No

  N/A

• Occupational health - are all allocable persons face fit tested and are the controls adequate?

  Yes

  No

  N/A

• Policy statement, F10, safety law poster, insurance

  Yes

  No

  N/A

• Work at height, hierarchy of control. (No steps unless by RA)

  Yes

  No

  N/A

• 110v, temporary supplies.

  Yes

  No

  N/A

• Environmental/ waste management. Segregated skips/bins.

  Yes

  No

  N/A