Title Page
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Client:
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Report No.:
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Date:
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Prepared by
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Consultant:
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Ground Works Supervisor:
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Address:
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Contracts Manager
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Number Of Operatives on site
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Activities carried out while on site
DOCUMENTATION
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RAMS ) safety folder available and signed?
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COSHH assessments on site/in date?
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Lifting Gear tagged and Certificates available?
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Permit Systems being completed?
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Sign in register completed?
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Toolbox Talks being carried out?
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C.A.T calibration certs available?
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Plant checklists for types of plant available?
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Plant Risk assessment completed?
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Hired Ops Induction Complete?
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Small Plant/Lifting accessory register complete?
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Small plant safe to use?
MOBILE PLANT
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Trained operators
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Seat belts/interlock system/flashing beacons activated
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Safe operation
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Thumbs up signs fitted?
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Keep compartment locked warning sticker fitted?
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Thorough exams in available?
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Pre-use checks carried out?
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Faults reported?
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Keys removed from plant?
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Safety critical Features fitted/working?
EXCAVATIONS
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Excavation safe to enter?
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Service tracks/Holes safe?
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Safe access to excavation provided?
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Shoring in place/required?
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Edges protected?
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Excavation register completed?
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Water management in place/maintained?
PPE
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Standard PPE worn?
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Hearing protection?
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Eye protection?
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Respiratory protection?
GENERAL SITE SAFETY
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Safe access/egress Provided to work areas?
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Public safety?
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Occupied areas safe?
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Material storage safe/tidy?
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Housekeeping regime in place?
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Adequate plant segregation/traffic management?
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Working at height controls in place?
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Ladders ( safe to use) ? securely footed?
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Fire risk controls in place?
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First aid cover provided?
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Live services safe system of work being followed?
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Working Close to Overhead Powerlines SSoW being followed?
OPERATIVES
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Working safely?
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Competent/trained?
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Hand/arm vibration?
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Manual handling?
WELFARE
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Running hot/cold water?
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Soap/hand towels?
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No of toilets adequate?
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Drying room adequate?
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Welfare Facilities Covid secure?
ENVIRONMENTAL
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Fuel secured?
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Spill kits in place/drip trays in place?
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Surface water management plan in place/maintained
CONFINED SPACES
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Permit to enter completed
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Confined space SSoW being followed?
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Entry/rescue equipment on site/being used?
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Trained persons?
Lifting Operations
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Lift plans available/completed?
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Trained/competent operatives?
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Lifts being carried out safely?
Supervision/Management
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Supervision/Management adequate for task?
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Supervision/management in place?
Miscellaneous
Signature page
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