Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Site Manager
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Site consists of
- WTW
- Contact tank
- Gas store
- Chemical stores
- Lagoons
- Highlift / Booster pumps
- Boreholes
- Offices
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Site is classed as a :
- Primary Site - Manned site with increased risk of fire and other hazards such as plant / chemicals
- Secondary Site - Unmanned site withfrequent visits. Has welfare facilities and / or hazards such as Plant / Chemicals. Considered medium risk due to low occupancy.
- Tertiary Site - Unmanned site with infrequent visits. Minimal hazards and welfare facilities. Low risk
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Description of site and / or activities taking place at time of inspection
Plant and Equipment
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Is Electrical Plant and equipment included in the inspection
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The High voltage equipment is in a secured area with adequate signage?
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The MCC Panels are in a secured area with adequate matting and signage
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All portable appliances have been PAT inspected and are in date
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The use of extension leads and multiple sockets do not present a fire risk. Leads do not trail and all equipment is in good working condition.
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Where in use, LOTO is being correctly applied
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Is Pressure vessels icluded in the inspection?
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All presure vessels are on the Allianz inspection register, with up to date records
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Is mechanical equipment included in this inspection?
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All equipment has adequate guarding in place to prevent harm
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Emergency isolation stops are in place and clearly identifiable and visible
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All regulatory signage is present and in good condition (Hazard and PPE)
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Is Lifting equipment included in this inspection
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What lifting equipment is present on site?
- Overhead crane / gantry
- Fork Lift Truck
- Lifting strops / chains
- Tripod / Davit arm
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The Safe Working load is clearly displayed on the equipment
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There is evidence of statutory inpections clearly visible on the equipment / Accessories and in date
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FLT - Signage is clearly displayed warning of FLT movement
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FLT - Operators are trained and competent
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FLT - Pre-use checks are being performed and recorded with evidence on site
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FLT is in good condition with no defects
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FLT - There is evidence of planned preventative maintenance
Hazardous Substances / Chemical Management
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Is there Hazardous Gas on site?
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Does the site contain Chlorine and / or Sulphur Dioxide
- Chlorine and / or Sulphur Dioxide
- Ozone
- Acetylene
- Oxygen
- Other
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Chlorine / Sulphur Dioxide - The storage room protected from vehicular damage (5m from any roadway or provided with crash barrier)?
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Chlorine / Sulphur Dioxide - There are lights indicating safe entry and they are in good working order?
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Chlorine / Sulphur Dioxide - There is suitable ventilation to the storage/dosing rooms
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Chlorine / Sulphur Dioxide - Cylinders are secured by clamps
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Chlorine / Sulphur Dioxide - Chlorguard is in place and within inspection date
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Chlorine / Sulphur Dioxide - Cylinders are protected from excessive heat and sunlight
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Chlorine / Sulphur Dioxide - Gas detection is present in the storage and dosing room
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Chlorine / Sulphur Dioxide - Gas detectors have been inspected within the last 6 months
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Chlorine / Sulphur Dioxide - Connection pigtails have been replaced in the last year
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Chlorine / Sulphur Dioxide - A chemical hazard information sheet (CIS) is displayed at point of use
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Chlorine / Sulphur Dioxide - An emergency shower is available?
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Chlorine / Sulphur Dioxide - There is a windsock that is clearly visible on and off site?
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Chlorine / Sulphur Dioxide - There are no houses within 20 meters of the gas store?
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Ozone - The control board is separate from the generating plant itself
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Ozone - The storage/dosing rooms have suitable ventilation
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Ozone - gas detection is present in the dosing room
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Ozone - Lights indicating safe entry are in good working orde
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Ozone - Gas detectors have been checked within the last 6 months
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Ozone - A chemical hazard information sheet (CIS) is displayed at point of use
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Gas Cylinders - The cylinders are adequately secured in an upright position (chains etc.)
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Gas Cylinders - The cylinders protected from excess heat/sunlight
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Gas Cylinders - All fittings and hoses are in good condition
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Gas Cylinders - gas is protected against unauthorised use/theft
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Gas Cylinders - The gas containers are clearly marked
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Gas Cylinders - Empty containers are stored separately away from full containers
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Gas Cylinders - A chemical hazard information sheet (CIS) is displayed at point of use
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Are there Chemicals or other hazardous substances on site?
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COSHH Assessments are available an up to date
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Material Safety Data Sheets (MSDS) are available and current
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Emergency facilities are present and in good working order i.e. Eyewash, Emergency Showers
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The storage / delivery area is bunded
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There is suitable and sufficient signage warning of the dangers and the safet measures to take
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Does the site contain asbestos?
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The controls in place for identifying and managing asbestos is suitable and sufficient
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Is Legionella identified as a risk on site?
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Monthly temperature monitoring, Flushing and disinfection is undertaken, with records to evidence the activities.
Emergency Response
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Fire Risk assessment has been completed for the site within the last 5 years
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All evacuation routes are clearly signed and clear from obstructions
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Emergency lighting is in good working order
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All fire equipment is accesible with evidence of an inspection within the last year
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If applicable, a fire drill has been conducted on site within the last 6 months?
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If applicable, are the operatives trained in the safe use of RPE, with suitable RPE on site, in clean good condition and evidence of pre-use inspections.
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If applicable, are there spill kits on site?
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If applicable, is there a grab bag on site, with all relevant emergecny information contained within?
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First aid kits are available, fully stocked and in date.
Security / Building / Perimeter
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Site is secure, perimeter fence is in good condition and doors are kept shut/ locked
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Walksways are clear and segregated from vehicle where possible
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All manhole covers and valve pits are suitably covered, preventing any slip, trip and fall hazards
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Hatches and Kiosks are locked shut with SEW padlocks
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The structure of the building is in good repair, with no evidence of water ingress
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Lighting inside and outside the building is in good working condition and suitable for he activities being undertaken
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Waste mangement is adequate
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If applicale, suitable welfare facilities are available on site
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Is open water on site i.e. Lagoons, Open reserviors, open tanks
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All areas with open water is fenced if suitable, or appropriately signed to warn of the dangers and life saving epuipment is provided
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Edge protection is present around tanks to prevent falls and suitable toe boards if applicable to prevent falling objects.
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Are there areas which pose a risk of falls from height, such as stairs , steps, ladders etc.
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Stairs / Steps and fixed ladders are in good condition with suitable handrails. Fixed ladders have suitable safety hoops or fall arrest measures and have ladder guards fitted.
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Portable ladders are in good condition with evidence of pre use checks being conducted
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All gantry grids are clamped / secured down to prevent movement
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If applicable, racking is in good condition with no evidence of defect. Racking inspection are being undertaken and recorded
H&S Behaviours
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If applicable, all employees are wearing the correct PPE at all times
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If applicable, visitors are signed in and given an induction to site
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Employees are seen to be working in a safe manner with no indication of safety breaches or shortcuts
Other Hazards
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Are there any other hazards identified on site which are not compliant and pose a safety risk to those working on site