Title Page
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Document No.
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Job Number:
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Site Name:
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Conducted on
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Prepared by
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Location
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Personnel
Site Documentation/Site Folders
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Sign in completed?
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Site Inductions completed ?
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JSSP Completed?
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Method Statements available and signed by all?
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TMP Available in folder?
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All relevant permits completed? (Permit to dig/Hot works/Confined space)
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All weekly inspections completed?
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Recent TBT Completed?
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Training records available on site?
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Plant/CAT&Genny Certs available?
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Certs for all lifting equipment available?
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All lifting Equipment Colour Coded?
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Emergency Plan & Contact numbers available?
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AF2 Displayed
Site Presentation & Welfare
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Public Safety?
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Signage?
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Compound/Site/Housekeeping?
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Washing/Toilet Conditions?
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Canteen Conditions?
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Drying Room Conditions?
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Drinking Water Available?
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First Aid Facilities/Supplies?
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Task Lighting?
Traffic Management?
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TMP arrangements erected reflect TMP?
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Adequate Signage/Signage in good condition?
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SLG Operative on site at all times? <br>If not onsite has TM been set up been set up and inspected by SLG op and now maintained by HSARW Card holder?
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Safety Zone clear of plant and Matierals?
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Dedicated Access & Egress Point?
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SLG checklist completed?
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SLG amended and changes recorded?
Excavations
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Service Drawings available & signed by LUGS operative?
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All known services marked?
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Permit to dig in place and signed?
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LUGS Operative needed?
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AF3 Completed & signed by Competent Person?
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Sides stepped/sloped/propped?
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Soil 1m from the edge of all excavations?
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Access & Egress adequate and unobstructed?
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Banksman onsite and working with excavator at all times?
PPE
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Hard Hat worn?
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Eye Protection and adequate?
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Hi-Vis worn by all?
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Safety boots worn and appropriate?
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Ear defenders worn where needed?
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Chin Straps worn?
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Safety Goggles worn where needed?
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Other PPE used as required?
Ladders
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Condition/Length/Angle?
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Tied off correctly?
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Regular inspections completed?
Plant/Lifting Equiptment
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Plant certified and in date?
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Slings/Shackles- General Condition?
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Safe Working Load marked?
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Plant checks completed?
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All vehicles/lorises on site carrying and completing walk around inspections?
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Hot Box carrying Fire Extinguisher?
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Drives - Due care and consideration?
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Colour coding in use?
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Seatbelt a being worn?
Power Tools
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Power tools general condition?
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Power tools- Guards/Deadman Switch?
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Leads General condition?
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All tools 110v or less?
Hazardous Substances
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Substances identified
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Storage adequate?
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Correct PPE in use?
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Data sheets available?
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Chemicals/Fuel stores on bundled area?
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Generators placed within drip tray?
Fire and Emergency Procedures
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Flammable Matierals storage?
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Cylinders upright & Secure?
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Welding Screens/Blankets/ Extinguishers?
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Adequate Fire extinguishers onsite?
Emergency Details
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Emergency numbers posted?
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First Aider on site?
Scaffolding
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Weekly inspection completed?
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Design available if outside standard configuration?
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Scaffold boards/planks in good order
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Any other issues?
Underground/Overhead Servicea
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All OH/UG services identified? Signage in place?
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Continuous scanning carried out?
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CAT/Genny Certs available & in date?
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Machines height restrictors for OH lines?
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Goalposts/Signage/bunting checked?
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Warning signage for overhead services?
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Codes of Practice available?
Other issues highlighted?
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Other items highlighted?