Title Page
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Client / Site
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Conducted on
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Prepared by
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Location
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NJS Trades Present on Site
- NJS Brickwork
- NJS Scaffolding
- NJS Roofing
- NJS Safe Deck
- NJS Access Solution
Administrative
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Temporary Works Designs/Compliance Sheets in Place?
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Site/Task Specific RAMS in place
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First aid kit(s) present or Site First Aid provided
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Tool Box Talk done
Site Conditions
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Welfare Facilities
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Provide information relating to condition
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Pedestrian Walkways in Place and well maintained
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Exclusion Zones Established Around Lifting or Work at Height Activities/Excavations
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Presence of Slips, Trips or Falls on the same level
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Housekeeping in Good Order
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Suitable Lighting Conditions/Task Lighting
Personal Safety Equipment for Employees/ Visitors
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Hi-Visibility Vests or Jackets Worn and in Good Condition
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Hard Hats Being Worn Correctly, No Baseball Caps or Hoodies Worn Underneath.
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Safety Glasses Worn (Site Requirement or Task Specific)
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Respiratory or Hearing Protection Worn (Task or Client Specific)
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Appropriate Safety Footwear Worn and in Good Condition
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Fall Arrest Equipment Worn Correctly if Applicable
Fall Protection
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Is there a risk of objects falling from height?
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If yes, provide information.
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Are Employees adequately protected from Falls From Height
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Do Working Platforms Have the Correct Guardrails and Toe-Boards in Place (Scaffolding and Tower Systems)
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Is the proper equipment available on site to complete the task
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If not, what action needs to be taken?
Tools and Equipment
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Are System products in use on site (Haki Stairs/Aluminium Towers etc.)
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Power cables, transformers etc in good order (PAT Test Tag)
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Up to date fire extinguishers on-site and in place
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Machine and tool guards in place
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Ladders in proper condition (No broken rungs, feet or stiles)
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Ladders adequately secured and set at correct angle
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Tools in safe condition
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Step ladders being used properly (Permit to Use)
Environmental Inspection
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Are the correct Waste Disposal Procedures Adhered To (Correct Skips used etc.)
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Excessive Waste Materials Present on Site
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Are Hazardous Products Stored Safely on Site
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Noise Nuisance or Dust Issues Identified From Our Activities
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What action needs to be taken?
Customer Feedback
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What is the overall impression of NJS?
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What are the issues to discuss
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Have NJS employees complied with H&S Requirements? (PPE Etc.)
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What issues have been raised?
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Has the Quality of work met your expectations?
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If poor, what are the issues raised?
Overall impression
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Necessary to follow up with written documentation
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Were there any critical deficiencies
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Were they corrected immediately?
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Provide details
Completion
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Inspected by
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Date