Site Inspection Safety Tour - July 20

• Project

• Conducted on

  Date

• Prepared by

• Location
  Address

• Summary of site

• Add media

  Media

• Instructions
  
  1. Answer "0-UNACCEPTABLE", "1-POOR", “2-SATISFACTORY”, "3-GOOD", "4-EXCELLENT" on the items below, then provide a Hazard Priorty if Score is 0 or 1.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Action, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

• Please select all Categories needed for this inspection

  Select Fire, Safety COSHH Noise, Dust Excavations Admin Housekeeping Access System Risk to Public Electrical Safety Plant & Work Equipment Lifting equipment Protective clothing / equipment Traffic Management Welfare, Training & Information Covid-19

  • Fire, Safety
  • COSHH
  • Noise, Dust
  • Excavations
  • Admin
  • Housekeeping
  • Access System
  • Risk to Public
  • Electrical Safety
  • Plant & Work Equipment
  • Lifting equipment
  • Protective clothing / equipment
  • Traffic Management
  • Welfare, Training & Information
  • Covid-19

1. Fire, safety

• Fire Risk Asessment

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Fire Plan/Exit Routes Displayed

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Assembly point signs in Place

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Fire Point / appliances in place & in date

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Emergency Drill carried out

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• No smoking compliance & smoking area provided

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Fire Safety Log Book being completed

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

2. COSHH

• COSHH Assessments in Place & Register Complete

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Disposal procedures (Hazardous Waste bin)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Specific PPE

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Safe storage (COSHH Store if req'd)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

3. Noise, Dust

• Temporary screening

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Dust dampening/extraction

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Neighbourhood Disruption

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Hearing protection Zones

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

4. Excavations

• Protective barriers

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Suitable access/egress

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Trench supports, sheeting or excavations battered/stepped

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Spoil heap location and sealed

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Warning notices

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

5. Admin

• Notice board location / layout including Hazard Board & Welcome notice

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Construction Phase Plan in place and reviewed

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• RAMS in place & signed up to

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• RAMS reviewed and adequate

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• HAVs assessments carried out and HAVs monitoring sheets being used

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Daily Inspection sheets & Site Vacation sheets

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Hospital Route Displayed

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Site start up checklist completed and updated (if req'd)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Permits in place and recorded in register

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Positive interventions (number of)

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

6. Housekeeping

• Waste control on/off site

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Stores cabins

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Material storage

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Site offices/canteens

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Skips (Covered)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• General cleanliness (Site)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Access to workface

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

7. Access System/Working at Height

• Edge Protection

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Warning Signage

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Hazards to public (foam, ladder guards, signage)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Ladders(suitable for use)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Guard rails / toe boards / ties

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Mobile towers: operative training, condition / safe use

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• tags/registers/compliance/design

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• trestles / staging

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Condition of scaffold

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Other

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

8. Risk to Public

• Fencing / Hoarding

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Barriers

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Security of site

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Signage

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Trip hazards

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

9. Electrical Safety

• Temporary electrics

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• 110v tools or Battery

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Task lighting

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Trailing cables

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Pat Testing

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Cabins certificated

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

10. Plant & Work Equipment

• Maintenance certificates

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Operative training

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• General condition

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Trailing hoses / leads

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Vehicle / pedestrian routes across site, suitable condition

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Weekly plant checks, carried out and do these reflect what's seen on the plant on site

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Weekly Non-operated plant, carried out and do these reflect what's seen on the plant on site

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Is Plant/Equipment being operated safely (beacons, seat belts, dumper drivers dismounting etc.)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

11. Lifting equipment

• Lifting tackle storage

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Inspection records/certificates

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Lifting plans etc

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Banksman / operator training & competence

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

12. Protective clothing / equipment

• Hard hats

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Goggles, gloves,

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Footwear

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Reflective clothing

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Any specialist PPE / RPE

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• PPE Register

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

13. Traffic Management

• Traffic Management Plan in place & dated

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Traffic lights

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Lighting

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Barriers / cones

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Pedestrian / Traffic / Plant segregation

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Signage inside/outside Site

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

14. Welfare, Training & Information

• Previous Months Accident Returns Available

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Induction Training

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Persons on Site Signed in

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Toolbox Talks

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Training / competence records

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Site Safety forums

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Safe access/egress to welfare

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• First aid provision (Eyewash & First Aid Kit (suitable and stocked)

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Trained First Aider on site

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Accident Book

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Drying room, toilets / canteen

  Select 4 - Excellent 3 - Good 2 - Could do Better 1 - Poor 0 - Unacceptable N/A

  • 4 - Excellent
  • 3 - Good
  • 2 - Could do Better
  • 1 - Poor
  • 0 - Unacceptable
  • N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Take a Photo

  Media

• Comments

15. Covid-19

• Is there a handwash in place at entrance & exit and is it well stocked & clean

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Is the Covid-19 Signage displayed throughout

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Covid-19 Induction being carried out

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Is evidence of site activities being planned demonstrated

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Is Social Distancing in place on site (or RPE worn)

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Is cleaning regime in place & checksheets completed

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Suitable numbers using facilities (Welfare, Office, WC)

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

• Are Brenig Vehicles being kept clean (Hygeine)

  Yes

  No

  N/A

• Hazard Priority

  A = STOP & RECTIFY

  B = 24HRS TO COMPLY

  C = 1 Week TO COMPLY

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• I confirm all actions from the audit of ___________________________ at ___________________________ have now been completed. Sign________________________________ Print __________________________________ Date_______________________________________