Information

  • Location
  • Ellipse number:

  • Inspector:

  • Project Engineer / Site Manager

  • Site Operatives

  • Conducted On:

  • Activity or Area

Documentation

  • Policy, insurance, H&S 460, F10, CPP, H&S Law Poster, Site Rules, Site/traffic plan displayed & in date

  • Permits- Displayed / Register completed

  • RAMS / Subcontractor RAMS, approved, available, site specific, briefed & signed.

  • CoSHH Assessment available & briefed

  • Manual handling included in RAMS

  • Take Two completed

  • Passes being carried / inducted / Signing in

  • Temporary works, register, design certs, etc

  • Site managers, weekly inspection / Safety Walkabouts

  • Incident reports / near miss reporting

  • Site specific emergency plans displayed, fire / accident / incident drills carried out

  • Waste Transfer Notes available

  • Electrical installation certificate available

  • Environmental declaration

Training

  • Site induction

  • Toolbox talks

  • Site personnel / subcontractors training records or front page training summary

Welfare / first aid

  • Office, Mess Cabins, toilets, drying rooms - clean & tidy

  • First aid kit available / recorded weekly check

  • Vehicle / pedestrian segregation

  • Fire extinguishers / weekly inspected

Behaviour & attitude

  • Good behaviour / working practices observed

  • Appropriate PPE / inspected / good condition

  • Aware of hazards

  • Aware of emergency procedures / arrangements

  • Other

Tools & equipment

  • Free of visual defects / inspected & recorded weekly

  • Adequate for the job / guards fitted

  • Inspection in date (PAT test) / Calibration in date

  • Noise and vibration managed / trigger times recorded

  • Other

Work equipment

  • Housekeeping

  • Proper storage inc COSHH / diesel bowser / Quarentine

  • Free from spills, spill kits available, Drip trays / plant nappies

  • Free from surplus materials

  • Free from leaking taps / hoses / valves, etc

  • Contaminated ground, explosive atmosphere, etc

  • Adequate barriers and signs / goalposts / security

Work practices - isolation

  • Adequate for job (tagged / ID)

  • Working party lock-offs applied / ID

  • Permit - suitability / displayed / communicated

  • Personnel aware / identification energy sources

  • Area cordoned off

  • Drawings / testing inspection availability

Work Practices - Confined Space

  • Permit - suitability / displayed / communicated

  • Suitable access & egress / ladder secured

  • Personel aware / identified hazard sources

  • Topman present - duties understood I.e. Raise alarm

  • Emergency rescue arrangements tested / suitable

  • Atmosphere testing - equipment / location / suitability

  • Competency checks

  • Other

Work Practices - Lifting

  • Lifting equipment / accessories inspected, statutory inspections available

  • Lift plan developed / approved

  • Fit for purpose (terrain, SWL, etc)

  • Personnel trained, competency evidence

  • Free from defects

  • Out riggers used correctly / stable ground

  • Area barrier off / tag lines used

  • Work at height, scaffold

Plant - Mobile Plant

  • Visual defects / leaks / clean and tidy

  • Weekly inspection register up to date

  • Feeling controlled

Plant - Static Plant

  • Earthed out

  • Visual defects / hoses / cables in good condition

  • Correct junctions / coupling

  • Drip tray / spill mat / double bunded

  • Over pumping hoses / suitable route / security

  • Free from excessive smoke

  • Scaffold

Waste & Environmental Impact

  • Waste removed / segregated / skips labelled / covered

  • Recycling, re-use onsite, conserving energy

  • Consideration of public/plants/wildlife

  • Site noise / dust / vibration controlled / monitored

  • Other

Miscellaneous

Report Summary

Brief summary of inspection (describe work activities, equipment used and site condition)

  • Names or number of personnel on site

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.