Title Page
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Project
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Form Completed By
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Location
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Date / Time
Planning, Documentation and Records
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Have the Clipfine supply chain safety procedures been issued to sub-contractor
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Is there an accepted Clipfine coversheet on the RAMS/Lift Plan
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Is there an accepted client coversheet on the RAMS/Lift Plan signed by relevant managers
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Do sub-contractors have the correct competencies for the planned works and have the competencies been recorded on file in the Clipfine office
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Have the sub-contractors been site inducted
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For high risk activities such as excavations, has a responsible person been nominated by the sub-contractor and appointed in writing by Clipfine (Responsible person for buried services etc)
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Does the sub-contractor have plant, tool and equipment certification in place (CE, PAT, LOLER)
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Are all necessary permits in place
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Has a daily safe start been carried out, and if so, is it to a sufficient standard
Workplace Arrangements
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Is the works area/planned works area safe for works to proceed (Interface with other trades, lifting operations, plant operations etc)
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Are exclusion zones in place, and if so, are they sufficient for the works being carried out
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Is there safe access to the work area
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Has all plant, tools and equipment been inspected (Pre-use, weekly recorded and any other requirements such as LOLER)
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Are plant/vehicles compliant to site standards – CLOCS/FORS Silver, NRMM, Tail lifts fitted with handrail, FOPS, ROPS
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Is all required PPE being worn, and is it in good condition
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Has PPE been inspected (harnesses etc)
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Are works being carried out as per RAMS/Lift Plan
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Is health surveillance being carried out - HAVS, Noise, COSHH
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Are emergency arrangements in place (Spill, first aid, fire)
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Is there sufficient signage in place (Warning, Mandatory, Prohibition, Emergency signage etc)
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Are suitable tool tethers being used
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Is there suitable dust extraction/dust control measures in place
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Is the work environment suitable
Sign Off
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Inspection carried out by
Additional Attendees to Inspection
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Additional attendees to inspection