Site Inspection Sheet

• Document No.CDM 001

• Audit Title Site Inspection Sheet

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Site Overview

Site Tour

• Confined Space

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Demolition

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Edge Protection

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Excavations

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Electricity

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Hot Works

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Housekeeping/Material Storage

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• LOLER

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Piling

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• PUWER

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Street Works/Access

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Underground/Overhead Services

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Work at Height

  Major

  Minor

  Advisory

  Satisfactory

  N/A

Site Set Up

• Signage

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Pedestrian/Traffic Management

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Site Security

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Welfare

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Fuel Storage

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Hazardous/Waste Management

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Pollutants

  Major

  Minor

  Advisory

  Satisfactory

  N/A

Occupational Health

• Asbestos

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Bio Hazards

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• COSHH

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Dust/Fumes

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Lead

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Manual Handling

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Noise

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• PPE

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Radiation

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Vibration

  Major

  Minor

  Advisory

  Satisfactory

  N/A

Special Operations

• Other

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Work Over Water

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Young Persons

  Major

  Minor

  Advisory

  Satisfactory

  N/A

Documentation

• Actions from previous audit

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Construction Phase Health and Safety Plan

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Asbestos Survey

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Emergency Procedure

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Fire Risk Assessment

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• First Aid

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Induction Records

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Permit to Work

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• RAMS

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Scaffold Design

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Scaffold TG20 Compliance Sheet

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Signing in Records

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Statutory Inspections

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Statutory Notices

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Temporary Works Register

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Tool Box Talks

  Major

  Minor

  Advisory

  Satisfactory

  N/A

• Site diary

  Major

  Minor

  Advisory

  Satisfactory

  N/A

Accidents

• Any Accidents

  Yes

  No

• Detail Information

Future Works

• Future works

• Details

• Site Manager

  Sign

• Health and Safety Advisor

  Sign

• In the event that the company named within this report is investigated by or on behalf of the Health and Safety Executive, CDM Management Limited shall not be liable to the said company for the Fees For Intervention paid by said company to the Health and Safety Executive in accordance with the Health and Safety (Fees) Regulations 2012.