Title Page
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Inspection Number
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Job Number
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Site Name
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Client
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Conducted on
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Prepared by
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Location
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Number of persons on site
Discription Of Works
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Description Of Works Brief description of the project, type of structure/area/building, what operations are required, how long work has been on going and duration of the contract.
Site Documentation
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Actions From Previous Visits<br>Have all actions from previous visits been completed?
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Site Documentation
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Construction Phase Plan in Place?
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Demolition and refurbishment Survey
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Service Termination Certificates/Infiormation
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F10 Notification
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Section 81 in place?
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Health ad Safety Poster and Insurance Documents Displayed?
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Emergency Procedures
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Emergency/Fire Escape Routes Displayed?
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Signing in Sheets
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Induction Register
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Adequate and appropriate RAMs for Tasks in Hand?
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Tool Box Talk Register
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PUWER LOLER Records
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Harness and Lanyard Checks in Place?
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Hand Arm Vibration Records in Place?
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Asbestos Exposure Records in Place?
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Adequate Training for Tasks at Hand?
First Aid
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First Aid
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First Aid Equipment in Place and Satisfactory?
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Eye Wash Station in Place and Satisfactory
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Who are the First Aiders on Site?
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First Aid Book/Report Forms in Place?
Temporary Works
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Temporary Works
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Scaffolding Design in Place?<br><br>N/A If Conforming to Standard TG 20 Configuration
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Hand Over Certificates and 7 Day Checks in Place?
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Propping
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Temporary Works Register in Place and Completed
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Type of security fencing used?
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Checks Carried Out on Security Fencing?
Site Set Up and Signage
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Site Set Up
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Site Security and Fencing Adequate
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Adequate Warning, Hazard and Information Signage in Place
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Welfare Sufficient?
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Welfare Unit Clean and Tidy?
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Welfare Unit Earthed?
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PA Tests on Electrical Items in Welfare
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Safe Area Erected Outside Welfare?
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Site Parking Arrangements
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Pedestrian/Traffic Management
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Emergency Muster Point in Place?
Site Tour
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Site Tour
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Demolition Areas
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Manual Soft Strip Being Carried Out Safely
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Manual Demolition<br><br>Are all operatives working from a safe location?
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Mechanical Demolition<br><br>Is the mechanical demolition process being carried out in a safe and controlled manner?
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Drop Zones
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Working At Height
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Edge Protection/Open Edges
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Hot Works <br><br>Are hot works being carried out in a safe manner?
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Confined Spaces
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Over Head/Underground Services
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Excavations
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House Keeping/Waste Storage<br><br>Are wastes stored on site in a tidy manner?
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Street Works/Access
Fire Precautions/Prevention
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Fire Precautions/Prevention
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Fire Points in Place
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Fire Extinguishers<br><br>Are fire extinguishers suitable and in date?
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Fire Warning System in Place?
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Fire Evacuation Procedure<br><br>Has the procedure been communicated to the workforce?
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Hot Work<br><br>If hot works are being carried out (oxy-propane cutting/disc cutters/ grinders) is the work being carried out safely?
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Oxygen/Propane Cylinders<br><br>Are oxygen and propane cylinders being stored correctly? (10m apart internally, 3m apart externally in secure facilities)
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Fuels <br><br>Are fuels stored away from working area?
Work Equipment
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Work Equipment
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List Work Equipment (plant, machinery, appliances, tools)
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Inspection Certificates For Plant<br><br>Are all certificates in place and in date for plant and machinery?
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Equipment Suitable For Tasks in Hand
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Demolition Plant<br><br>Is the demolition plant suitable and sufficient for tasks required?
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Crushing Plant<br><br>Are crushing operations being carried out safely?
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MEWPS<br><br>Are all MEWPS sufficient for task required?
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Rescue Plan For MEWPS
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Scaffold Towers<br><br>Have scaffold towers been erected/checked by a PAZMA trained operative?
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Daily Checks<br><br>Are daily checks carried out and recorded?
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PA Tests in Place For Electrical Items?
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Hot Cutting Equipment<br><br>Is all hot cutting equipment (oxy-propane) suitable and in good working order?
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Abrasive Wheels and Cutting Discs<br><br>Are the correct discs being used and being used in an appropriate manner?
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Guarding<br><br>Are all guards in place on equipment and adjusted correctly?
Occupational Health
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Occupational Health
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Asbestos
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COSHH<br><br>COSHH items imported for works stored in safe secure location?
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COSHH<br><br>COSHH items found during works stored in a safe location and manner?
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Safety Data Information<br><br>On site and sufficient for items imported for works?
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BIO Hazards<br><br>Are any Bio hazards present and are there any controls in place?<br>(If no Bio hazards are present N/A)
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Dust/Fumes<br><br>Are any nuisance dust or fumes being created and are there any controls in place?<br>(If no nuisance dusts or fumes are being created N/A)
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Silica<br><br>Has Silica dust monitoring been carried out?<br>
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Lead<br><br>Is work with lead products (to include paint) being carried out and are controls in place?<br>(If no lead work is being carried out N/A)
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Noise<br><br>If possible enter decibel readings of work area.
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Vibration
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Radiation
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Manual Handling
Environmental
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Environmental
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Fuel Storage/Refuelling Location<br><br>Is the fuel storage and refuelling area away from drains/watercourses which could be contaminated?
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Spill Kits Available and Sufficient?
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Hazardous Waste Produced During Works
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Hazardous Waste/Items/Substances<br><br>Are hazardous waste/items/substances found on site being sufficiently controlled?
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Waste Management<br><br>Are wastes being disposed of correctly and movements recorded?
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Waterways/Ground Contamination Hazard
Ecological
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Are Ecological Considerations Being Met?
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List Ecological Consideration/Observations/Requirements
Special Considerations
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Special Considerations
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Young Persons/Expectant Mothers
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Working Over Water
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Other
Personal Protective Equipment
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Personal Protective Equipment
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Head Protection<br><br>Are all operatives wearing suitable head protection
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R.P.E<br><br>Are all operatives who require R.P.E using it? are they clean shaven? do they have the correct filters?
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R.P.E Face Fit<br><br>Are all operatives wearing R.P.E face fit tested? are certificates on site.
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Disposable Coveralls For Asbestos Removal
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Eye Protection<br><br>Are operatives wearing appropriate eye protection?<br>If abrasive wheel cutting/grinding, using hand held breakers or pressure washers GOGGLES must be worn (EN 166 B) NOT GLASSES
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Ear Protection<br><br>Are all operatives wearing sufficient ear protection for tasks and surrounding operations?
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Hand Protection<br><br>Are all operatives wearing appropriate hand protection for task?
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Foot Protection<br><br>Are operatives wearing appropriate foot protection for tasks being carried out?
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Hi Visibility Clothing<br><br>Are all operatives wearing sufficient hi vis clothing? <br>Is hi vis clothing in good clean condition?
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Flame Proof Clothing<br><br>Where extensive hot cutting is being carried out is flame proof clothing being worn?
Accidents/Incidents/near miss
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Accidents/Incidents/Near misses
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RIDDOR Reportable Incidents
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Accidents
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Incidents
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Near misses
Observations/Action List
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Observations/Action List
List observations/actions required
Sign Off
Sign Off
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Site Supervisor
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Safety Advisor Signature
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Date Time Report Completed