Title Page

  • Contract Title

  • Conducted on

  • Conducted by

  • Site Manger

  • Site Supervisor

Summary / Areas of Concern

  • Site Manager / Supervisor

  • Signature

  • Date

  • SHEQ Manager

  • Signature

  • Date

  • Observations & Actions Required from Inspection
  • undefined

KPI - Management and Administration

  • Actions from previous inspection / audit closed out.

  • Method Statements raised, signed and current.

  • Risk Assessments current and applicable.

  • Accident Book present and in use.

  • Accidents investigated.

  • Near Misses recorded and reported.

  • Site inductions carried out and up to date By PC)

  • Permits to Work Issued by PC

  • DAB’s completed and documented

  • Toolbox Talks completed and documented

  • Current Safety Alert actioned

  • Competency cards checked and available (CSCS etc)

  • Training Database is current and up to date

  • Meeting Minutes communicated.

KPI - Work at Height / Temporary Works

  • Ladders, stepladders, hop ups being used correctly and are Scaff-Tags and in date

  • Roof / edge protection / safety nets / handrails in place where required in areas under Frosts Control

  • Mobile towers / stair towers and podiums constructed correctly and scaff-tags fitted.

KPI - Site and Work Activities

  • Flammable gas storage

  • Lighting levels and security lighting of areas under Frosts Control

  • Confined space entry is controlled in areas under Frosts Control

  • Work over water and work close to water in areas under Frosts Control

  • Buried services identified in areas under Frosts Control

  • Overhead services Identified in areas under Frosts Control

  • Heras Fencing & Edge and void protection in areas under Frosts Control

  • Safety signage / Warning signage in areas under Frosts Control

  • Trailing cables protected and routed in areas under Frosts Control

  • PPE being used as set out in RAMS

  • Water Authority stand pipe permit present where necessary

  • Manual handling assessments in place

  • Manual handling techniques being correctly adapted

  • Use of HAVS Aid Memoir for vibration hand tools being used by all operatives involved

  • Noise and dust suppression implemented appropriate to tasks undertaken

  • Records for noise monitoring in areas under Frosts Control

  • Face Fit records available

  • Irrigation hoses covered by hose protectors and signage deployed where hoses cross footpaths in areas under Frosts Control

KPI - Works Equipment (PUWER & LOLER)

  • Lift Plans in date and appropriate (Revision no, Equipment Etc)

  • Competent Person on site for lifting operations

  • Lifting equipment serviceable and appropriate

  • Lifting equipment certification available (LOLER)

  • Lifting accessories serviceable and appropriate

  • Lifting accessory certification available (LOLER)

  • Qualified Slinger / Signaller

  • Portable tools appropriate, serviceable and being used for their intended use

  • Equipment and plant serviceable and appropriate

  • PUWER certification or thorough examination

  • Equipment Check completed

  • PAT certification available and in date

  • Calibration certificates available and in date

  • Competent persons operating equipment

  • Keys removed from equipment when not in use

  • Warning beacons functioning

KPI - Traffic Management & Mobile Plant

  • Mud / debris dropped on public highway in areas under Frosts Control

  • Hose guards and / or mats laid in areas under Frosts Control

  • Wheel-wash being used

  • Banksman being used in areas under Frosts Control

KPI - Emergency Arrangements

  • Suitable number of First Aiders and Appointed Persons on site

  • First Aid provisions adequate

  • Correct type of fire extinguishers in place

KPI - Site / Public Segregation

  • Dust suppression in place in areas under Frosts Control

  • Noise suppression in place in areas under Frosts Control

  • Noise level readings recorded in areas under Frosts Control

KPI - Housekeeping & Environment

  • Site waste Management Plan (SWMP) in place and up to date in areas under Frosts Control

  • Drip trays and plant nappies used where necessary in areas under Frosts Control

  • Spill kits are serviceable and suitably placed around site, with easy access in areas under Frosts Control

  • COSHH locker in place and locked

  • COSHH Register in use and available

  • COSHH Store and fuel bowser correctly bunded

  • Environmental complaints (dust, noise) recorded and acted upon

  • Housekeeping in active areas under Frosts Control

  • Housekeeping in inactive areas under Frosts Control

  • Water sources / open drains protected in areas under Frosts Control

  • Storage of materials

  • Storage of equipment

  • Waste Transfer notes filed

  • Operatives “Spillage Response” trained

  • Waste Carrier licences kept in vehicles for areas under Frosts Control

KPI - Quality

  • Inspection Test Plan (ITP) complete

  • NCR raised and closed

  • FSC certificates present

  • Quality of materials checked

  • Quality of finished products checked

  • Complaints and satisfaction surveys Completed

  • Document control

  • Contractor appraisals complete

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.