Title Page
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Site Name
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Site Location
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Date of Inspection
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Role Out Manager
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Principle Contractor
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On site Supervisor
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Scaffolding/Edge protection
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Excavations
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Plant / Machinery
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Site Tidiness
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Access/egress
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Fire Precautions/Plan/FRA
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Notices/signs
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Lighting
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Environmental
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Noise/Vibration
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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C.O.S.H.H.
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Welfare
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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First Aid
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Personal Protective Equipment
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Traffic Management
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Manual Handling
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Public Protection
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Waste Management
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Site Security
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
-
Asbestos
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Use of access equipment
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Permissions/Licenses/Consents
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Dust/Smells
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
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Ground Contamination
- Excellent
- Good
- Requires Improvement
- Below Standards
- Poor
- Unacceptable
- N/A
- Not Checked
Documentation
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Induction Records
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Toolbox Talks
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Permit Systems
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Risk Assessments
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Method Statements
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Training
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Registers/Lifting plans
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Construction Phase Plan
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Waste Documentation
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
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Temporary Works
- Excellent
- Good
- Requires Improvement
- Below Standard
- Poor
- Unacceptable
- N/A
- Not Checked
General Comments
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undefined
Signatures
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Role Out Manager
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Onsite Supervisor