Site Environmental, Health and Safety Report - duplicate

• Document No.

• Site

• Client

• Conducted on

  Date

• Prepared by

Manditory Documents

• Does this project fall under the CDM regulations?

  Yes

  No

• Is Tyco the Principle Contractor?

  Yes

  No

• Is the F10 form displayed?

  Yes

  No

  Yes PC Responsibility

  No PC Responsibility

• Date of F10

  Date

• F10 Duration

• Is the Construction Phase Health and Safety Plan available?

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Is the F10 form displayed?

  Yes

  No

  Yes PC Responsibility

  No PC Responsibility

• Date of F10

  Date

• F10 Duration

• Yes

  No

  N/A

• Corrective Action

• Corrective Action to be completed by:

  Date

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

  Yes

  No

  Yes PC Responsibility

  No PC Responsibility

• Corrective Action

• Corrective Action to be completed by:

  Date

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

  Yes

  No

  Yes PC Responsibility

  No PC Responsibility

• Corrective Action

• Corrective Action to be completed by:

  Date

• Is the current Employers Liability Insurance certificate displayed?

  N/A

  Yes

  No

• Expiry Date:

  Date

• Corrective Action

• Corrective Action to be completed by:

  Date

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

  Yes

  No

  PC

  Client

• Policy review date:

  Date

• Corrective Action

• Corrective Action to be completed by:

  Date

• Is the current Smoking policy displayed?

  Yes

  No

  PC

  Client

• Policy review date:

  Date

• Corrective Action

• Corrective Action to be completed by:

  Date

• Is the current Substance Abuse Policy displayed?

  Yes

  No

  N/A

  Client Rules

• Policy review date:

  Date

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Is the Electric Shock & Treatment Notice Displayed?

  N/A

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Are Fire Evacuation plans displayed?

  Yes

  No

  PC

  Client

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Are the Hospital details displayed

  Yes

  No

  PC

  Client

• Corrective Action

• Corrective Action to be completed by:

  Date

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

  Yes

  No

  N/A

• Corrective Action

• Corrective Action to be completed by:

  Date

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

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

First Aid Book

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

  Yes

  No

  PC

  Client

• Corrective Action

• Corrective Action to be completed by:

  Date

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

  No

  Yes

• Provide details of the reported incidents.

First Aiders

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

  Yes

  No

  N/A

First Aid Kits

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

  Yes

  No

  Yes PC Responsibility

  No PC Responsibility

• Is there a First Aid kit on site?

  Yes

  No

  PC

  Client

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

  Yes

  No

  N/A

• Are the content checked regular?

  Yes

  No

  N/A

• First Aid kit expiry date

  Date

Eye Wash Stations

• Are eye wash stations available?

  Yes

  No

  N/A

• Are the wash bottles still sealed?

  Yes

  No

  N/A

• The eye wash bottle expiry date

  Date

• What are the First Aid arrangements on site?

Medical / Medication

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

  No

  Yes

• Has the this been followed up with the individual?

  Yes

  Action Required

Site Welfare

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

  N/A

  Yes

  No

• Corrective Action to be completed by?

  Date

• Corrective Action?

• Clean and tidy without any hazards?

  Yes

  No

  N/A

• Corrective Action to be completed by?

  Date

• Corrective Action?

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

  Yes

  No

• Corrective Action?

• Corrective Action to be completed by?

  Date

• Canteen <br>Provided, suitable and clean?

  Yes

  No

• Corrective Action?

• Corrective Action to be completed by?

  Date

• Drinking Water<br>Is drinking water available?

  Yes

  No

• Corrective Action?

• Corrective Action to be completed by?

  Date

• Is there facilities to heat up food?

  Yes

  No

• Corrective Action?

• Corrective Action to be completed by?

  Date

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

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

  Yes

  No

• Corrective Action?

• Corrective Action to be completed by?

  Date

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

  Yes

  No wet working

  Yes (no dry facilities)

  N/A

• Corrective Action?

• Corrective Action to be completed by?

  Date

• Is there a designated smoking area

  Yes

  No

  N/A

  Client Rules

• Corrective Action?

• Corrective Action to be completed by?

  Date

• Is there suitable segregation for pedestrians for traffic?

  Yes

  No

  N/A

• Corrective Action:

• Corrective Action to be completed by:

  Date

Fire Marshal

• Are there designated Fire Marshals on site?

  Yes

  No

  PC

  Client

Fire Drills

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

  Yes

  No

  PC

  Client

• Is there any corrective action recorded?

  No

  Yes

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

  Yes

  No

Fire Fighting Equipment

• Are there fire extinguishers located in suitable locations?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Fire Evacuation

• Are all evacuation routes clear and un-obstructed?

  Yes

  No

  N/A

• Corrective Action:

• Corrective Action to be completed by:

  Date

Risk assessment Review

• Is there Risk Assessment for the work being undertaken?

  Yes

  No

• Note: Risk Assessment description & number?

• What is the risk assessment date?

  Date

• Have all operatives signed the risk assessment register?

  Yes

  No

• Corrective Action: All operatives to be briefed / read the risk assessment and sign on to it.

• Corrective Action to be completed by:

  Date

• Are all work activities classified?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are the control methods identified been followed and suitable?

  Safe

  At Risk

  N/A

• Is there Young Persons working on site?

  No

  Yes

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

Zero Harm Point of Work Assessments

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

  Yes

  No

  N/A

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

  Yes

  No

• Are the extra controls measure being implemented and followed?

  Yes

  No

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

  Yes

  No

  N/A

Method Statement

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

  Yes

  No

  N/A

• What is the method statement identification number?

• What is the Method Statement Date?

  Date

• Has the working method been clearly definded?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Has the method statement identified specific training?

  Yes

  No

  N/A

• Have the operatives got the relevant training?

  Yes

  No

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

  Yes

  No

  N/A

• Corrective action:

• Corrective action to be completed by:

  Date

Electrical Portable Appliance

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

  Yes

  No

  N/A

• Portable appliance retest date?

  Date

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

  No

  Yes

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Have all portable appliances got an inspection label?

  Yes

  No

Training Records

• What training is required on site

  Select IPAF (MEWP and Boom) PLASMA (mobile scaffolding Forklift Truck (counterbalance) Telehandler CSCS/ECS CCNSG (safety Passport) Confined Space Asbestos Awareness Face Fit (respiratory) Slinger / Banksperson

  • IPAF (MEWP and Boom)
  • PLASMA (mobile scaffolding
  • Forklift Truck (counterbalance)
  • Telehandler
  • CSCS/ECS
  • CCNSG (safety Passport)
  • Confined Space
  • Asbestos Awareness
  • Face Fit (respiratory)
  • Slinger / Banksperson

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

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be implemented by:

  Date

• Has the site stipulated a minimum health and safety training

  Yes

  No

  N/A

• Have operative had the necessary health and safety trainig

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be implemented by:

  Date

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

  Safe

  At Risk

  N/A

• Corrective action to be implemented by:

  Date

• Corrective action:

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

  Select MEWP Mobile Elevated Working Platform (scissors) Boom Lifts (cherry pickers) Forklift Truck Telehandler

  • MEWP Mobile Elevated Working Platform (scissors)
  • Boom Lifts (cherry pickers)
  • Forklift Truck
  • Telehandler

Mobile Elevated Working Platform

• What is the expiry date of the statuary inspections?

  Date

• Are pre-use inspections being competed and recorded?

  Safe

  At Risk

  N/A

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Have any faults been identified?

  Yes

  No

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

  Safe

  At Risk

  N/A

• Is there any signs of fluid leaking?

  No

  Yes

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

  Safe

  At Risk

  N/A

• Are thr ground condition suitable for the plant?

  Safe

  At Risk

  N/A

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

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

  Safe

  At Risk

  N/A

• Corrective action to be completed by:

  Date

• Corrective action:

• Are the equipment controls legible?

  Safe

  At Risk

  N/A

• Corrective action to be completed by:

  Date

• Corrective action:

Boom Lifts (cherry picker)

• What is the expiry date of the statuary inspections?

  Date

• Are pre-use inspections being competed and recorded?

  Safe

  At Risk

  N/A

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Have any faults been identified?

  Yes

  No

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

  Safe

  At Risk

  N/A

• Is there any signs of fluid leaking?

  No

  Yes

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

  Safe

  At Risk

  N/A

• Are thr ground condition suitable for the plant?

  Safe

  At Risk

  N/A

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

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

  Safe

  At Risk

  N/A

• Corrective action to be completed by:

  Date

• Corrective action:

• Are the equipment controls legible?

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be completed by:

  Date

Forklift Truck

• What is the expiry date of the statuary inspections?

  Date

• Are pre-use inspections being competed and recorded?

  Safe

  At Risk

  N/A

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Have any faults been identified?

  Yes

  No

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Are the equipment controls legible?

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be completed by:

  Date

• Is there any signs of fluid leaking?

  No

  Yes

• Are the ground condition suitable for the plant?

  Safe

  At Risk

  N/A

CONFINED SPACE

• Is work being undertaken in an confined space

  No

  Yes

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

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be implemented by:

  Date

• Are operatives suitably trained to work in confined space?

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be implemented by:

  Date

• Are operatives suitably trained to work in confined space?

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be implemented by:

  Date

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

  Safe

  At Risk

  N/A

• Corrective action:

• Corrective action to be implemented by:

  Date

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

  Select Gas Monitor Tripod & Winch Rescue Harnesses Touches Communication devices Emergency escape sets

  • Gas Monitor
  • Tripod & Winch
  • Rescue Harnesses
  • Touches
  • Communication devices
  • Emergency escape sets

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

  Safe

  At Risk

  N/A

• Corrective actions

• Correction actions to be implemented by:

  Date

• If Scaffolding being used please select type?

  Select Fixed Scafolding Mobile Scaffolding

  • Fixed Scafolding
  • Mobile Scaffolding

Mobile Scaffolding

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

  Yes

  No

• Corrective Actions

• Corrective Action to be completed by:

  Date

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

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

  Yes

  No

• Corrective Action:

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

  Yes

  No

• Corrective Action

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

  Yes

  No

• Corrective Action

• Are the horizontal braces been fitted?

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Have the stabilizers been fitted

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Is there a suitable number of cross braces fitted?

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Are the toeboards fitted?

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Are all locking pins locked inplace?

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

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

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• is there an access gate platform on each level?

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Are the scaffolding manufacturers instructions available?

  Safe

  At Risk

  N/A

• Corrective Action:

• Corrective Action to be completed by:

  Date

Fixed Scafolding

• Are all the handrails inplace?

  Yes

  No

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

  Yes

  No

• Is the scaff-tag valid?

  Yes

  No

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

  Safe

  At Risk

  N/A

• Is there a threading / cutting machine being uesd?

  Yes

  No

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

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

  Yes

  No

• Corrective Actions:

• Corrective Action to be completed by:

  Date

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

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Is there a barrier around the threading machine?

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Is there any signs of damage or miss use of the threading machine?

  Yes

  No

• Corrective Action:

• Corrective Action to be completed by:

  Date

• Are ladders or step ladders being used on site?

  Yes

  No

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

  Safe

  At Risk

  N/A

• Have all ladders included in the inspection reports?

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all areas clean and materials stored correctly?

  Yes

  No

• Provide details of poor housekeeping

• Photographs of poor housekeeping observed

  Media

• Are all work area clean and tidy?

  Yes

  No

• Provide details of access and egress routes

• Photographs of poor housekeeping observed

  Media

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

  Yes

  No

• Provide details of access and egress routes

• Photographs of poor housekeeping observed

  Media

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

  Yes

  No

• Provide details of access and egress routes

• Photographs of poor housekeeping observed

  Media

• Are harnesses and lanyards being used?

  Yes

  No

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

  Yes

  No
Tap to enter information

• Corective action:

• Action to be completed by:

  Date

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

  Yes

  No
Tap to enter information

• Corective action:

• Action to be completed by:

  Date

• 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

  Yes

  No
Tap to enter information

• Corective action:

• Action to be completed by:

  Date

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

  Yes

  No
Tap to enter information

• Corective action:

• Action to be completed by:

  Date

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

  Yes

  No
Tap to enter information

• Corective action:

• Action to be completed by:

  Date

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

  Yes

  No
Tap to enter information

• Corective action:

• Action to be completed by:

  Date

COSHH

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

  Yes

  No

  N/A

• COSHH assessment Review Date

  Date

• Are the Coshh assessments with the review date:

  Yes

  No

• Corrective Action

• Corrective Action to be completed by:

  Date

• Are MSDS sheet attached to the COSHH assessments?

  Yes

  No

• Are COSHH substances being stored correctly?

  Safe

  At Risk

  N/A

• Are all COSHH substances being used in suitable locations?

  Yes

  No

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

  No

  Yes

Personal Protective Equipment

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Yes

  No

• STOP WORK

  Yes

  No

  N/A

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

  Yes

  No

• Is there spill kits on site?

  Yes

  No

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

  Yes

  No

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

  Yes

  No

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

  Yes

  No

Storage

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

  Yes

  No

  N/A

• Has all materials been stored in a safe manor

  Yes

  No

  N/A

• Is there suitable access to the storage area?

  Yes

  No

  N/A

• Is there waste being created?

  Yes

  No

• Is Tyco responsible for its removal?

  Yes

  No

  N/A

• Who is responsible of its disposal?

• Is there suitable waste skips provided?

  Yes

  No

• Is there waste transfer notes available?

  Yes

  No

• Are the waste transfer note fully complete?

  N/A

  Yes

  No

NOISE and VIBRATION

Vibration

• Is vibrating equipment being used?

  Yes

  No

• Corrective action:

• Corrective action to be implemented by:

  Date

• Is there a risk assessment covering vibration

  Yes

  No

  N/A

Noise

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

  No

  Yes

• Is there a record of the noise exposure levels?

  Yes

  No

  N/A

• Signature:

  Sign

• Select date

  Date