Title Page
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Job number and site details
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Location
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Conducted on
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Prepared by
- Mark Butterworth
- Joe Croly
- Fred Croly
- John Davies
- Eleanor Hill
- Other (Please comment name)
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Personnel on site
- John Healy
- Reece Jones
- Keith Thomas
- Fred Croly
- Joe Croly
- Mark Butterworth
- Darren Barrow
- Josh Tinker
- Ray Larry
- Dean Ramsden
- Other
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Who?
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What are the current work activities taking place?
- Mansafe Inspection
- Rope Access/ Working at height works
- Non working at height works
- Other
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Are all Personnel wearing correct PPE?
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What is the name of the personnel not wearing correct PPE?
- John Healy
- Reece Jones
- Keith Thomas
- Fred Croly
- Joe Croly
- Mark Butterworth
- Darren Barrow
- Josh Tinker
- Ray Larry
- Dean Ramsden
- Other
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Why are they not wearing correct PPE?
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Are all Personnel correctly trained to do the current works?
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Who is the Personnel missing training?
- John Healy
- Reece Jones
- Keith Thomas
- Fred Croly
- Joe Croly
- Mark Butterworth
- Darren Barrow
- Josh Tinker
- Ray Larry
- Dean Ramsden
- Other
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What Training is missing?
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Is a Job pack available on site?
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Are all relevant RAMS available?
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Are the Procedures available?
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Is a COSSH register available?
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Is a Scaffold register available?
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Is a Lifting register available?
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Has toolbox talk been undertook?
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Has a POWRA been completed?
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Has a rescue plan been discussed?
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Have Anchor tests been conducted before use?
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How are the welfare facilities?
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How is the storage/ Quarantine?
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Has lifting equipment been tested?
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Are all portable appliances considered in good condition to use?
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Is plant and equipment in good order?
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Is there any hired equipment?
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Has the hired equipment been visually inspected by site personnel?
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Are there any first aid kits available for minor injuries?
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Are all personnel first aid trained?
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How Many Vehicles onsite?
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Are all vehicles compliant (MOT, SERVICE ETC...)
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Do you see any opportunities for improvement for site visits or personnel's way of workings?
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Any other items of note?
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PLEASE SIGN
