Title Page
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Conducted on
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Prepared by
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Location
PSCS & Main Contractor
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Company is the main contractor?
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Method Statements with Hazard & Risk Assessments prepared?
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Scaffolding examined and recorded in register (GA3)?
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Excavations examined and recorded in register (AF3)?
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Lifting appliances examined weekly and recorded in register (GA2)?
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Current examination certificates for cranes, forklifts, excavator, MEWP, chains, slings, shackles, etc. (GA1)?
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Are hot works being carried out safely?
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Are Permits being implemented?
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Are Task Specific Risk Assessments being performed?
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AF1& AF2 posted on-site?
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Company 'Blue Pack' on-site?
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Site personnel inducted?
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Site personnel signing Site Register?
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All emergency access / egress routes unobstructed?
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Adequate number of fire extinguishers present on-site?
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Material stored appropriately in site compound?
Sub-Contractors
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Method statements with hazard & risk assessments received?
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Plant & Machinery certification received?
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Training certification received, Safe Pass, Manual Handling, CSCS etc.
1. Site set up
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Are site facilities adequate?
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First Aid & Assembly Point Signs posted?
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Any issues with Contractor parking?
2. PUBLIC SAFETY AND SIGNS
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Fencing securely erected / maintained?
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Signs adequate for public safety?
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Public protected from site activities?
3. WORKPLACE & ACCESS WALKWAYS
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Is there safe access & egress to all working areas of the site?
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Are access routes adequately lit?
4. PERSONAL PROTECTIVE EQUIPMENT
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Full PPE compliance onsite?
5. HOUSEKEEPING
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Work areas neat & tidy?
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Debris & waste removed regularly to site skip?
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Is site skip full?
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Nails removed & protruding rebar, etc. protected?
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6. DEMOLITION / REFURBISHMENT
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Hazards of asbestos, red lead, PCB, identified?
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Method statement / surveys available?
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Have all services been disconnected / isolated?
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Are Exclusion Zones established?
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Suitable dust superssion in place / personnel wearing dust masks?
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Is there suitable lighting?
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Is material being removed from site on a regular basis?
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7. WORKING AT HEIGHTS
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Adequate access provided to place of work?
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Roof edges protected?
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Ladders used correctly and in good condition?
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Work equipment register in use – weekly inspection of all equipment – pre use check?
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All Ladders on-site in good order & form GA3 completed
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Are Mobile Towers erected correctly & Form GA3 completed?
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MEWP's certified and inspected on Form GA3?
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Personnel wearing harnesses, suitable lanyard & tied off to correct anchor point?
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8. SCAFFOLDING
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Scaffold erection, alteration or dismantling is carried out by a competent person?
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Is Scaffolding on sound footing?
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Are Handrails & mid rails in place?
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Toe boards in place?
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Is scaffolding adequately tied to structure?
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Are platforms fully boarded and all boards in good order?
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Is housekeeping in good order (i.e. no trip hazards, muck etc) present on boards
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Is material suitable stored on the scaffold?
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Is scaffold tagged, Form GA3 complete & signage in place?
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Are trestles suitable erected and maintained?
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9. PLANT & MACHINERY
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Is Plant & Machinery certified
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Has Form GA2 been completed for all Plant & Machinery?
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Is all Plant & Machinery without defects?
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Personnel operating Plant & Machinery CSCS trained?
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10. EXCAVATIONS
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Have any underground services been highlighted?
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Is DFL permit to dig & Form A3 completed?
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Is there safe access into the excavation?
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Are the banks suitably sloped / stepped?
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Is there an exclusion zone & signage posted around excavation?
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Is material stored a safe distance from the edge of the excavation?
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11. LIFTING OPERATIONS / EQUIPMENT
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Is a lift plan in place and signed by all responsible persons?
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Is lifting equipment certified?
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Has the lifting equipment been inspected and recorded on Form GA2?
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Are loads being slung and guided by CSCS trained personnel?
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Is there an exclusion zone set up around the lifting operation?
12. HAND TOOLS / POWER TOOLS
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Tools in good condition?
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Safety Guards in place where required?
13. ELECTRICAL & MECHANICAL SAFETY
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Lock Out / Tag Out permit completed where necessary?
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110v system used?
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Are all cables & leads in good order?
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Transformers in good condition?
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No trailing leads present?
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Suitable & sufficient task specific lighting provided
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Electrical panels closed with signage in place?
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Overhead lines protected?
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14. BURNING AND WELDING
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Is hot works permit in place?
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Equipment in good repair?
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Bottle trolley provided?
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Firefighting equipment present?
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Good ventilation or protection?
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Shields / Goggles and screen used?
15. ENVIRONMENTAL
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Diesel Tank contained?
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Dust / Noise control?
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Hazardous substances identified & handled appropriately?
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Waste disposal in place?
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Existing drains / gully's protected from work activities?
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Drip trays in place where required?
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Plant & Equipment in good order & free from leaks?
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16. COMPRESSED AIR
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Pressure vessel Test Cert (26 month) Available?
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17. CONFINED SPACE
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Risks identified prior to Entry?
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All Control measures in place?
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Confined Space permit completed?
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Personnel Trained in Confined Space Entry?
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All suitable PPE worn?
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All personnel aware of emergency procedures?
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18. TRAFFIC MANAGEMENT
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Has a traffic management plan been prepared?
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All signage erected as per Chapter 8, DoT, Traffic Sign Manual?
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Additional/ Other
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Item
Additional
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Details
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Compliance
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Safety Adviser
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Site Manager