Page de titre
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Site name
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Project phase / type of intervention
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Created by
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Location
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Completed on
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Person interviewed
LIFE BASE / Construction site office
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Accommodation (cloakroom, WC, dining area, shower)
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Cleanliness good
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Presence of fire extinguishers + date of validity
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Anti-pollution kit
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First aid kit available
WORKSITE DOCUMENTATION
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Emergency instructions and numbers clearly posted
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Identification of first-aid workers, if any
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Site map with important areas (office, emergency evacuation point, location of fire extinguishers, dangerous storage)
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If there isn't a sign-in register, how are visitors to the site controlled and advised of emergency procedures?
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Safety welcome handbook / safety instructions
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Worksite documentation folder: mandatory safety documents
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reflex sheets and emergency documents
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Knowledge and skills in the use of reflex sheets
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Comments
WEARING INDIVIDUAL OR COLLECTIVE SAFETY EQUIPMENT
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Helmet
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Safety shoes
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High-visibility jacket
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Wear Ear protection if necessary
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Wear protective glasses if necessary
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Wear appropriate gloves if necessary
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Other PPE adapted to operations (harnesses, elec)
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PPE compliant and verified
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Collective Protection Equipment in compliance and verified
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Comments
SECURING THE SITE
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Display of safety rules
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Traffic signs and instructions in place
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Securing slopes and excavations built
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Securing lifting/unloading zones
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Hazardous areas identified
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The roads and ways are clean
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Does the use of any sub-contractors by the contractor appear to be well managed?
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Comments
ENVIRONNEMENT
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General site cleanliness
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Containers put in place in sufficient quantities
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In-situ concrete truck wash area
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Storage of chemical products
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Taking account of specific / legal / mandatory environmental constraints
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Comments
MATERIELS
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Conformity and condition of equipment
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Conformity and condition of lifting equipment
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Conformity and condition of scaffolding, platforms and ladders
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Conformity and condition of Electroportable tools
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Use of equipment in compliance with the law
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Lifting done in compliance with the rules
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No man/load contact except for precision work
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Man position in relation to equipment
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Comments
