Information

  • Project Name

  • Project No.

  • Client

  • Site Representative

  • Conducted By

  • Conducted on

Core Modules

Site Setup

  • Welfare: Cabins, Toilets & Mess Facilities (Warm Water, Clean & Smoke Alarms)

  • Plant Inspections: PUWER, LOLER & PAT

  • Tool Storage & Quarantine

  • Traffic Management: Signage, Cones/Barriers, Reverse Parking & Turning

  • Access & Walking Routes: Segregation, Crossings, Surfaces, Obstructions, Stairs

  • Lighting: Compound, Access Route & Cabins

  • Security & Fencing: Fenced Perimeter, Pedestrian Gates, Locks

  • Signage & Branding: Entrance Board, Company Logos, New Signage

  • First Aid, Eye Wash & Fire Fighting: Equipment Inspection Register, Expiry Dates, Used items

  • Refuelling Area: Segregation, Fire Risk, Spill Kits, Lockable

Risk Management

  • Documentation: CPP, WPP, Method Statement (Signed off, Briefed Regularly, Relevant)

  • Risk Assessment: (Signed off, Relevant)

  • Site Induction: Separate Worker & Visitor content, Briefing Register

  • Briefing Boards: Daily Whiteboard & H&S information

  • Close Calls: Operative engagement, Site Manager reports

  • COSHH Assessments: Briefed Regularly & Register

  • Exclusion Zones: Mobile Plant, Scaffolding, Blasting, Spraying & Hot Works (Setup & Suitability)

  • Permits: Dig, Blast, Hot Works (Control Measures suitable, Closed Out)

  • Competency & Supervision: SMSTS, Staff Training, New Starters, Foreman distribution

  • Emergency Procedures & Equipment: Plan displayed, Stretcher, GOTCHA, Plan tested

  • PPE: Correct items worn, issue recorded, suitable condition, RPE pre-use & maintenance checks

Hazards

  • Guarding: Angle Grinders, Mag Drills, Chains/Straps, Shut-Off Valves

  • Working at Height: MEWPs, Towers, Clipping on, Harness Register/Inspections

  • Storage of Flammable Liquids: Ventilation, FlamBox,Watercourses/Drains

  • Mobile Plant: Keys, Pedestrian Segregation, Banksman, Training, Inspection, Lift Plans

  • Manual Handling: Activities, Loads, Assessments & Training

  • Slips, Trips & Falls: Winter Working, Laydown Areas, Surfaces

  • Railway: Protection, Isolation, Segregation, Plant & Access Equipment

Safety Conversation

  • Record the results of a Safety Conversation you have held

Environmental

  • Emissions: Dust and Fumes

  • Noise: Acoustic Sheeting, Boarding, Plant locations

  • Spill Protection: Drip Trays, Bunds, Chemical & Oil Spill Kits

  • Waste Management: Signage, Secure, Paperwork

  • Biodiversity: Protected Species, Nesting Birds and Invasive Species

  • Litter, Graffiti and Vandalism

Optional Modules

Scaffold & Encapsulation

  • Design: AFC Drawings issued, Compliant build

  • Inspection: Handover Certs, ScaffTag, Inspection Register, Pull Tests

  • Faults: Ladders, Caps, Trapdoors, Leftover Materials

  • Overloading: Steel, Grit Depth

  • Boards: Uneven surfaces, gaps, trap-ends or voids, External boards fastened down

Preparation & Painting

  • Compressed Air: Whip Checks, Deadman Handle, Breathable Air Testing

  • Extraction: Running, Suitable Capacity, Exhaust Placement

  • Blast Pot: Cover Plates & PSSR Certificates

  • HAVS: Points System, Records submitted to HSQE email

  • Decontamination: Contaminated Clothes storage, Clean Side/Dirty Side, Towels & Soap)

  • ICATS: Percentage of trained ICATS staff

  • Isocyanate: Urine Testing undertaken

Engineering

  • Permanent Works: AFC Drawings available

  • Formwork: Temporary Works Design, Build/Dismantle methodology

  • Abrasive Wheels: Training, Storage, Correct Disc usage

  • Hand Tools: Condition, Inspections

  • HAVS: Points System, Records submitted to HSQE email

  • One-out-One-in: Methodology followed

Trackside

  • Access: Barriers, Signage, Surface, Gradient, Handrails, Access Equipment

  • PPE: Full High-Vis including Correct Sponsor

  • SSoW: Briefed & Signed, Live Line Test, Card Checks, Swipe In/Out

  • Lighting: Task Lighting

  • Tidiness: Cables, Waste, Walking Routes, Obstructions, Site Hazards

  • RRV: Exclusion Zone, Machine Controller, Horn Use, Speed

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.