Information
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Location
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Ellipse number:
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Inspector:
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Project Engineer / Site Manager
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Site Operatives
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Conducted On:
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Activity or Area
Documentation
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Site documentation
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Permits-to-work
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RAMS / CPP
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CoSHH
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Inductions
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Temporary works
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Safety walkarounds
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Near miss reporting
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Emergency plans
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Waste Transfer Notes
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Electrical installations
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Take two
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Environment
Training
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Specific H&S training
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Training certification
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Toolbox talks
Welfare / first aid
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Welfare facilities
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First aid provisions
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Fire precautions
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Safe access and egress
Behaviour & attitude
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Personal Protective Equipment
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Attitude to safety
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Non-conforming workmanship
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Non-conforming materials
Tools & equipment
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Testing / Guarding / Controls
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Site vehicles
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Hand tools
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Ladders
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Confined spaces equipment
Work Environment
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Hazardous substances
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Housekeeping
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Site security
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Warning signs and notices
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Scaffolding
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Environmental hazards
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Waste
Physical hazards
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Isolation
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Lifting
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Working at height
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Confined spaces
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Excavations
Welfare Hazards
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Noise
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What is the noise level on site?
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Vibration - HAV practices observed
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Exposure in m/s2
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Vibration - HAV practices observed
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Exposure in m/s2
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What measures are in place to reduce risks from using vibrating equipment?
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Manual handling
Site PPE
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Specifics type of gloves used
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Specifics type of eye protection used
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Specifics type of hearing protection used
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Specifics type of respiratory protection used
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What is the APF of the above?
Site waste
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What type of waste is being disposed of?
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What are the disposal methods?
Miscellaneous
Report Summary
Brief summary of inspection (describe work activities, equipment used and site condition)
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Names or number of personnel on site
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Outstanding observations from last inspection dated.....
