Title Page

  • Inspection Number

  • Job Number

  • Site Name

  • Client

  • Conducted on

  • Prepared by

  • Location
  • Number of persons on site

Discription Of Works

  • 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

  • Actions From Previous Visits<br>Have all actions from previous visits been completed?

  • Site Documentation

  • Construction Phase Plan in Place?

  • Demolition and refurbishment Survey

  • Service Termination Certificates/Infiormation

  • F10 Notification

  • Section 81 in place?

  • Health ad Safety Poster and Insurance Documents Displayed?

  • Emergency Procedures

  • Emergency/Fire Escape Routes Displayed?

  • Signing in Sheets

  • Induction Register

  • Adequate and appropriate RAMs for Tasks in Hand?

  • Tool Box Talk Register

  • PUWER LOLER Records

  • Harness and Lanyard Checks in Place?

  • Hand Arm Vibration Records in Place?

  • Asbestos Exposure Records in Place?

  • Adequate Training for Tasks at Hand?

First Aid

  • First Aid

  • First Aid Equipment in Place and Satisfactory?

  • Eye Wash Station in Place and Satisfactory

  • Who are the First Aiders on Site?

  • First Aid Book/Report Forms in Place?

Temporary Works

  • Temporary Works

  • Scaffolding Design in Place?<br><br>N/A If Conforming to Standard TG 20 Configuration

  • Hand Over Certificates and 7 Day Checks in Place?

  • Propping

  • Temporary Works Register in Place and Completed

  • Type of security fencing used?

  • Checks Carried Out on Security Fencing?

Site Set Up and Signage

  • Site Set Up

  • Site Security and Fencing Adequate

  • Adequate Warning, Hazard and Information Signage in Place

  • Welfare Sufficient?

  • Welfare Unit Clean and Tidy?

  • Welfare Unit Earthed?

  • PA Tests on Electrical Items in Welfare

  • Safe Area Erected Outside Welfare?

  • Site Parking Arrangements

  • Pedestrian/Traffic Management

  • Emergency Muster Point in Place?

Site Tour

  • Site Tour

  • Demolition Areas

  • Manual Soft Strip Being Carried Out Safely

  • Manual Demolition<br><br>Are all operatives working from a safe location?

  • Mechanical Demolition<br><br>Is the mechanical demolition process being carried out in a safe and controlled manner?

  • Drop Zones

  • Working At Height

  • Edge Protection/Open Edges

  • Hot Works <br><br>Are hot works being carried out in a safe manner?

  • Confined Spaces

  • Over Head/Underground Services

  • Excavations

  • House Keeping/Waste Storage<br><br>Are wastes stored on site in a tidy manner?

  • Street Works/Access

Fire Precautions/Prevention

  • Fire Precautions/Prevention

  • Fire Points in Place

  • Fire Extinguishers<br><br>Are fire extinguishers suitable and in date?

  • Fire Warning System in Place?

  • Fire Evacuation Procedure<br><br>Has the procedure been communicated to the workforce?

  • Hot Work<br><br>If hot works are being carried out (oxy-propane cutting/disc cutters/ grinders) is the work being carried out safely?

  • Oxygen/Propane Cylinders<br><br>Are oxygen and propane cylinders being stored correctly? (10m apart internally, 3m apart externally in secure facilities)

  • Fuels <br><br>Are fuels stored away from working area?

Work Equipment

  • Work Equipment

  • List Work Equipment (plant, machinery, appliances, tools)

  • Inspection Certificates For Plant<br><br>Are all certificates in place and in date for plant and machinery?

  • Equipment Suitable For Tasks in Hand

  • Demolition Plant<br><br>Is the demolition plant suitable and sufficient for tasks required?

  • Crushing Plant<br><br>Are crushing operations being carried out safely?

  • MEWPS<br><br>Are all MEWPS sufficient for task required?

  • Rescue Plan For MEWPS

  • Scaffold Towers<br><br>Have scaffold towers been erected/checked by a PAZMA trained operative?

  • Daily Checks<br><br>Are daily checks carried out and recorded?

  • PA Tests in Place For Electrical Items?

  • Hot Cutting Equipment<br><br>Is all hot cutting equipment (oxy-propane) suitable and in good working order?

  • Abrasive Wheels and Cutting Discs<br><br>Are the correct discs being used and being used in an appropriate manner?

  • Guarding<br><br>Are all guards in place on equipment and adjusted correctly?

Occupational Health

  • Occupational Health

  • Asbestos

  • COSHH<br><br>COSHH items imported for works stored in safe secure location?

  • COSHH<br><br>COSHH items found during works stored in a safe location and manner?

  • Safety Data Information<br><br>On site and sufficient for items imported for works?

  • 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)

  • 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)

  • Silica<br><br>Has Silica dust monitoring been carried out?<br>

  • 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)

  • Noise<br><br>If possible enter decibel readings of work area.

  • Vibration

  • Radiation

  • Manual Handling

Environmental

  • Environmental

  • Fuel Storage/Refuelling Location<br><br>Is the fuel storage and refuelling area away from drains/watercourses which could be contaminated?

  • Spill Kits Available and Sufficient?

  • Hazardous Waste Produced During Works

  • Hazardous Waste/Items/Substances<br><br>Are hazardous waste/items/substances found on site being sufficiently controlled?

  • Waste Management<br><br>Are wastes being disposed of correctly and movements recorded?

  • Waterways/Ground Contamination Hazard

Ecological

  • Are Ecological Considerations Being Met?

  • List Ecological Consideration/Observations/Requirements

Special Considerations

  • Special Considerations

  • Young Persons/Expectant Mothers

  • Working Over Water

  • Other

Personal Protective Equipment

  • Personal Protective Equipment

  • Head Protection<br><br>Are all operatives wearing suitable head protection

  • 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?

  • R.P.E Face Fit<br><br>Are all operatives wearing R.P.E face fit tested? are certificates on site.

  • Disposable Coveralls For Asbestos Removal

  • 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

  • Ear Protection<br><br>Are all operatives wearing sufficient ear protection for tasks and surrounding operations?

  • Hand Protection<br><br>Are all operatives wearing appropriate hand protection for task?

  • Foot Protection<br><br>Are operatives wearing appropriate foot protection for tasks being carried out?

  • Hi Visibility Clothing<br><br>Are all operatives wearing sufficient hi vis clothing? <br>Is hi vis clothing in good clean condition?

  • Flame Proof Clothing<br><br>Where extensive hot cutting is being carried out is flame proof clothing being worn?

Accidents/Incidents/near miss

  • Accidents/Incidents/Near misses

  • RIDDOR Reportable Incidents

  • Accidents

  • Incidents

  • Near misses

Observations/Action List

  • Observations/Action List

    List observations/actions required

Sign Off

Sign Off

  • Site Supervisor

  • Safety Advisor Signature

  • Date Time Report Completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.