Information

  • Document No.

  • Site

  • Client

  • Conducted on

  • Prepared by

01 - Manditory Documents

Manditory Documents

  • Does this project fall under the CDM regulations?

  • Is Tyco the Principle Contractor?

  • Is the F10 form displayed?

  • Date of F10

  • F10 Duration

  • Is the Construction Phase Health and Safety Plan available?

  • Is the F10 form displayed?

  • Date of F10

  • F10 Duration

  • Is there a Health & Safety Law Poster displayed?<br>

  • Are the Health & Safety contact details completed and correct?

  • Is the current Employers Liability Insurance certificate displayed?

  • Expiry Date:

  • Is the current Environmental, Health & Safety policy displayed?

  • Policy review date:

  • Is the current Smoking policy displayed?

  • Policy review date:

  • Is the current Substance Abuse Policy displayed?

  • Policy review date:

  • Is the Electric Shock & Treatment Notice Displayed?

  • Are Fire Evacuation plans displayed?

  • Is there an assessment of the environmental aspects/impacts of the project?

  • Has it identified and assessment the environmental impact for the project.

  • Are the latest Safety Alerts displayed or given as tool box talks

02 - First Aid

First Aid Book

  • Is there a First Aid book (BI 510) available?<br>

  • Have there been any accidents, incidents or near misses reported?

First Aiders

  • Is there a contract requirement that first aiders have to be provided?

  • What are the First Aid arrangements on site?

  • Is there a suitable amount of first aiders?<br>including suitable cover for sickness and holidays?<br>

First Aid Kits

  • Is there a First Aid kit on site?

  • Is the first aid kit suitable for the number of operatives on site?<br>

  • Are the content checked regular?

  • First Aid kit expiry date

Eye Wash Stations

  • Are eye wash stations available?

  • Are the wash bottles still sealed?

  • The eye wash bottle expiry date

Medical / Medication

  • Has there been any ill health or medication requirements been brought to the attention of site during induction etc?

  • Has the this been followed up with the individual?

03 - Site Welfare

Site Welfare

  • Office/Temp Building suitable for intended use?<br>

  • Clean and tidy without any hazards?

  • Toilet / Washing Facilities<br>Provided, suitable & clean?<br>Hot Water available?

  • Canteen <br>Provided, suitable and clean?

  • Drinking Water<br>Is drinking water available?

  • Is there facilities to heat up food?

  • Is there facilities to keep food fresh i.e. fridge?

  • Public Protection / Site Security<br>Area of work protected by fencing or barriers to prevent unauthorised entry to the area?

  • Drying Room<br>If working in wet conditions is a drying room available?

  • Is there a designated smoking area

  • Is there suitable segregation for pedestrians for traffic?

04 - Fire Safety

Fire Marshal

  • Are there designated Fire Marshals on site?

Fire Drills

  • Has a Fire Drill been carried out within the last 12 months

  • Is there any corrective action recorded?

  • Where actions have been highlighted has corrective action been completed?

Fire Fighting Equipment

  • Are there fire extinguishers located in suitable locations?

  • Have the fire extinguishers been inspected within the last 12 months?

  • Are the anti-tamper seals in place without damage?

Fire Evacuation

  • Are all evacuation routes clear and un-obstructed?

05 - Risk Assessments

Risk assessment Review

  • Is there Risk Assessment for the work being undertaken?

  • Note: Risk Assessment description & number?

  • What is the risk assessment date?

  • Have all operatives signed the risk assessment register?

  • Are the control methods identified been followed and suitable?

  • Is the level of risk correctly assessed for each hazard?

  • Are all work activities classified?

  • Are all the significant hazards relating to work activities identified?

  • Is there Young Persons working on site?

  • Is there a young person risk assessment in place and adequate for the work?

Zero Harm Point of Work Assessments

  • Are Zero Harm Risk Assessment or the site POW's being completed?

  • Has the POW identified any additional risks or control measures?

  • Are the extra controls measure being implemented and followed?

  • Is there any other method used to identify and additional hazards?

06 - Method Statements

Method Statement

  • Is there a method statement in place covering the work?

  • What is the method statement identification number?

  • What is the Method Statement Date?

  • Has the working method been clearly definded?

  • Have the method statement been signed by all personnel involved in the work?

  • Has the method statement identified specific training?

  • Have the operatives got the relevant training?

  • Are the operative following the method as detailed within the method statement.

07 - Portable Appliances

Electrical Portable Appliance

  • Have all the electrical appliances been portable appliance tested (PAT)?

  • Portable appliance retest date?

  • Is there signs of any damage on any of the electrical appliances?<br>Note equipment inspected!

  • Have all portable appliances got an inspection label?

  • Are portable appliances suitable for its intended use?

  • Are power leads run in a safe manor to prevent trips and falls and fully uncoilled?

08 - Training

Training Records

  • Has the site stipulated a minimum health and safety training

  • What training is required on site

  • Have operative had the necessary health and safety trainig

  • Are training record available and in date for all operatives?

  • Do the operators of plant and equipment carry the correct valid training to the plant and equipment being used?

  • Are the training records up to date

09 - Powered Access & Lifting Plant

Powered Access Equipment and Plant

  • Is there any powered Access or Lifting plant being used Please select the relevant plant

Mobile Elevated Working Platform

  • What is the expiry date of the statuary inspections?

  • Are pre-use inspections being competed and recorded?

  • Have any faults been identified?

  • Has the plant been removed from service and engineer called?

  • Are the equipment controls legible?

  • Is a restraint harness and fixed/adjustable lanyard being used?

  • Is there any signs of fluid leaking?

  • Are the ground condition suitable for the plant?

  • Is the working platform clean and clear of materials, tools.

  • Has the MEWP got a "SKY RACK" fitted and is being used?

  • Has the operator got the correct IPAF training for the plant being used?

Boom Lifts (cherry picker)

  • What is the expiry date of the statuary inspections?

  • Are pre-use inspections being competed and recorded?

  • Have any faults been identified?

  • Has the plant been removed from service and engineer called?

  • Are the ground condition suitable for the plant?

  • Is the working platform clean and clear of materials, tools.

  • Is a restraint harness and fixed/adjustable lanyard being used?

  • Is there any signs of fluid leaking?

  • Has the operator got the correct IPAF training for the plant being used?

  • Is a "SKY RACK" fitted and being used?

  • Is a "SKY SIREN" fitted?

Forklift Truck

  • What is the expiry date of the statuary inspections?

  • Are pre-use inspections being competed and recorded?

  • Have any faults been identified?

  • Has the plant been removed from service and engineer called?

  • Has the operator got the correct training for the Forklift Truck being used?

  • Is the cab clean and clear of materials, tools etc

  • Are the ground condition suitable for the plant?

  • Is there any signs of fluid leaking?

  • Are the equipment controls legible?

Telescopic Handler

  • Are the equipment controls legible?

10 - Confined Space

CONFINED SPACE

  • Is work being undertaken in an confined space

  • Is there a risk assessment in place and signed by all operatives working in the confined space?

  • Are operatives suitably trained to work in confined space?

  • Are operatives suitably trained to work in confined space?

  • Is there a record of all operatives working in the confined space including regular communications?

  • What equipment is being use to work in the confined space?

  • Is the equipment being inspected before use and the correct equipment for the risk associated with working in this confined space?

11 - Fixed and Mobile Scaffolding

  • If Scaffolding being used please select type?

Mobile Scaffolding

  • Are the scaffolding manufacturers instructions available?

  • Is thereĺ trained opertives on site with PASMA "Mobile Tower" training?

  • Is there records of inspection of the scaffolding tower (scaff-tag)?

  • Are all locking pins locked inplace?

  • Are the toeboards fitted?

  • Is there a suitable number of cross braces fitted?

  • is there an access gate platform on each level?

  • Is the access ladder installed on the inside of the tower?

  • Is the ground suitable for the use of a mobile Tower?

  • Has the mobile scaffolding be assembled with all breaks applied?

  • Have the stabilizers been fitted

  • Are the horizontal braces been fitted?

  • Is the mid and guardrail in place on both sides?

Fixed Scafolding

  • Are all the handrails inplace?

  • Is the fixed scafolding inspected every 7 days and a scaff-tag system inplace?

  • Is the scaff-tag valid?

  • Is the access ladder suitable and secured to the scafolding?

  • Is the suitable fall protection at the top of the access ladder?

12- Plant and Equipment

  • Please select plant and equipment being used?

Pipe Cutting and Threading Machine

  • Is the power lead routed to prevent a trip hazard?

  • Is the threading machine been used in a drip tray?

  • Is the machine located in a safe location and not causing a hazard?

  • Is there a barrier around the threading machine?

Generator

  • Is the generator being used in a safe located including exposure to fumes?

  • Is the generator being used in a drip tray?

  • Is there record for the generators last service/maintenance?

  • Is the generator free of defects and damage

Compressor

  • Are there records of the compressors last maintenance/service?

  • Is the compressor located in a safe location?

  • Is the compressor free of damage /faults

Other Plant Please Specify

  • Provide details of plant being used.

  • Is the plant safe for use, service and maintenence records

13 - Ladders & Steps

  • Are ladders or step ladders being used on site?

  • Are ladders / step clearly identified with inspections date/colour?

  • Have all ladders included in the inspection reports?

  • Are ladders in good condition with no signs of damage?

  • Are ladders / step suitable for the work being carried out?

  • Are all ladders and step included on a ladder register?

14 - General Housekeeping

  • Are all areas clean and materials stored correctly?

  • Photographs of poor housekeeping observed

  • Provide details of poor housekeeping

  • Are all work area clean and tidy?

  • Photographs of poor housekeeping observed

  • Provide details of access and egress routes

  • Are all power lead routed to prevent trips and falls.

  • Photographs of poor housekeeping observed

  • Provide details of access and egress routes

  • Are all access and egress routes clear and free of hazards

  • Photographs of poor housekeeping observed

  • Provide details of access and egress routes

15 - Harnesses & Lanyards

  • Are harnesses and lanyards being used?

  • Has the harness / lanyard been inspected be a competent person (LOLER)

  • Have the users of the harnesses been trained in harness use?

  • Is the harness and lanyard suitable for its intended use?<br>Boom = Restraint harness with adjustable / fixed lanyard<br>Confined Space = Rescue harness<br>Static Position = Restraint harness with shock absorbing lanyard

  • Is there a record of regualr inspections of harnesses and lanyards?

  • Is there suitable storage facilities for the harnesses / lanyards when not in use?

16 - Control Of Substances Hazardous To Health (COSHH)

COSHH

  • Are CoSHH substances being used?

  • Check that all COSHH assessments are in place for all substances used on-site?

  • COSHH assessment Review Date

  • Are MSDS sheet attached to the COSHH assessments?

  • Are COSHH flammable substances being used near any sources of ignition?

  • Are all COSHH substances being used in suitable locations?

  • Are COSHH substances being stored correctly?

  • Are the Coshh assessments with the review date:

17- Personal Protective Equipment (PPE)

Personal Protective Equipment

  • Is there a record of PPE issued on this site?

  • Is the PPE being worn suitable for its intended use and not causing a hazard?

  • Is special PPE provided for specific work being provided and worn?

  • Is the PPE being worn as per the task risk assessment?

18 - Spill Kits

  • Does the work being carried out have a requirement to have a spill kits available?

  • Is there spill kits on site?

  • Is the spill kit of a suitable size and material to deal with any protentual spill?

  • Is the spill kit subject to regular inspections of its contents?

  • Is the spill kit located close to where is could be needed?

19 - Storage / Stores

Storage

  • Is there suitable space for storing materials and tools provided?

  • Has all materials been stored in a safe manor

  • Is there suitable access to the storage area?

20 - Waste

  • Is there waste being created?

  • Is Tyco responsible for its removal?

  • Who is responsible of its disposal?

  • Are suitable waste skips provided?

  • Is there waste transfer notes available?

  • Are the waste transfer note fully complete?

21 - Noise & Vibration

NOISE and VIBRATION

Vibration

  • Is vibrating equipment being used?

  • Is there a risk assessment covering vibration

Noise

  • Is there any area of the site that has been classified as a mandatory hearing protection area?

  • Is there a record of the noise exposure levels?

  • Has hearing protection been provided and worn?

  • Has the risk assessment covered exlosure to noise?

22 - Signature of Person completing this report

  • Signature:

  • Select date

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