Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Operatives on Site
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Please select all operatives present on site.
- Daniel Hunt
- Joe Burns
- Thomas Sleigh
- Keean Arnold
- Adam Clifton
- Elliot Rushton
- Daniel Dodd
- Martin Dugdale
- Dave Hartley
- Stuart Cameron
- Steven Hardman
- Arran Scott
- Other
Inspection report (documentation)
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If applicable have all operatives been inducted to site with evidence available?
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If applicable are live permits to work in place?
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Please select which permits the works falls under
- Working at height
- Confined space
- Hot works
- Permit to dig
- Permit to work on live electric
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Have all operatives signed up to the most recent version of RAMS with evidence available?
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Do all operatives have the relevant cards & qualifications for the works which they are undertaking?
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Is there a current copy of the Streetworks safety book ACOP available?
PPE
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Are all operative wearing the required mandatory and task specific PPE
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Is the PPE worn in good condition?
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Is any RPE required for the works being undertaken?
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If half face masks are worn have they been face fit tested to ensure suitability?
Inspection report (on-site)
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Has the work area been suitably cordoned off?
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Is suitable and sufficient signage in place?
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If required have suitable and sufficient traffic management controls been erected?
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Are the correct tools being used and do they appear to be in good repair?
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Is there suitable and sufficient lighting in work area, access egress & escape routes?
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Is the work area and access egress & escape routes free of slip & trip hazards?
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Is there suitable and sufficient fire extinguishing media within the close vicinity?
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If applicable, are sharp bins available and ready for use?
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Have waste materials been stored / disposed of appropriately?
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Have any unprotected holes / drops been covered or suitably cordoned off?
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Is there a competent first-aider on site?
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Do the on-site operatives have access to suitable and sufficient welfare facilities?
Works at height (ladders, stepladders & hop-ups)
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Are ladders, stepladders or hop-ups being used to complete this works?
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Have all ladders, stepladders & hop-ups present been inspected prior to use and do they have a current record of inspection displayed dated within the last 7 days?
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Has the user completed work at height training?
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Take a visual inspection, is the equipment being used free of damage?
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Take a visual inspection, is the equipment being used free of damage?
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Has the user completed work at height training?
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Take a visual inspection, is the equipment being used free of damage?
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Take a visual inspection, is the equipment being used free of damage?
Works at height (MEWPS)
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Are MEWPS being used to complete this works?
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Has a pre-use inspection of the MEWP been competed with no defects identified?
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Does the operator hold relevant qualification to deem themselves as competent?
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Does the MEWP hold a current LOLER record of thorough examination and is it available for viewing?
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Are employees clipped on using a safety harness and lanyard?
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Has a pre-use inspection of the safety harness been undertaken and has does it hold a current LOLER record of thorough examination (6 monthly inspection).
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Are employees clipped on using a safety harness and lanyard?
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Does the MEWP hold a current LOLER record of thorough examination and is it available for viewing?
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Does the operator hold relevant qualification to deem themselves as competent?
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Does the MEWP hold a current LOLER record of thorough examination and is it available for viewing?
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Are employees clipped on using a safety harness and lanyard?
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Has a pre-use inspection of the safety harness been undertaken and has does it hold a current LOLER record of thorough examination (6 monthly inspection).
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Are employees clipped on using a safety harness and lanyard?
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Does the MEWP hold a current LOLER record of thorough examination and is it available for viewing?
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Are employees clipped on using a safety harness and lanyard?
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Has a pre-use inspection of the safety harness been undertaken and has does it hold a current LOLER record of thorough examination (6 monthly inspection).
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Are employees clipped on using a safety harness and lanyard?
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Has a pre-use inspection of the safety harness been undertaken and has does it hold a current LOLER record of thorough examination (6 monthly inspection).
Excavations
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Are any excavations required for the completion of this works?
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Has a Cat & Genny been used by a competent persons to identify underground services?
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If scans have not been completed to identify underground services excavations must not commence.
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Have all identified utilities been marked prior to the ground being broken?
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If utilities have not been marked the excavation must not commence.
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Does the excavation have the potential to collapse?
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Have suitable and sufficient controls been implemented to mitigate the risk of collapse?
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Additional controls must be implemented to mitigate the risk of collapse prior to works continuing.
Confined spaces
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Is access required to any confined spaces for the completion of this works?
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Is this a NC1 or NC2 confined space entry?
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Is all relevant documentation in place for a confined space entry?
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Site is to be made safe and work must stop immediately.
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Is there a top man present?
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Is the entry man wearing the correct PPE?
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Is there a tripod or winch onsite and has this been inspected?
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Is there a tripod or winch onsite and has this been inspected?
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Is the top man aware of what to do in the case of an emergency?
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Is all relevant documentation in place for a confined space entry?
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Site is to be made safe and work must stop immediately.
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Is there a top man present?
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Is the entry man wearing the correct PPE?
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Is the top man aware of what to do in the case of an emergency?
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Is the entry man wearing the correct PPE?
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Is the entry man wearing the correct PPE?
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Is there a tripod or winch onsite and has this been inspected?
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Is there a tripod or winch onsite and has this been inspected?
Inspection Report (Vehicles & Emergency Supplies)
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Has a pre-start check of the vehicle been completed?
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Is the vehicle free of damage?
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Has equipment and materials stored within the vehicle been well managed to allow for easy access?
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If applicable are work vehicles fitted with the required hi-visibility chevrons & beacons?
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Are work vehicle fitted with suitable and sufficient first-aid supplies which have not expired?
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Does the vehicle hold suitable and sufficient fire extinguishing media?
Environmental
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Is a spill kit readily available?
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Is there a water testing kit available in the vehicle?
Sign-off page
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Please sign to confirm that all statements made were accurate at the time of inspection.
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Additional comments