Title Page
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Site Name
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Conducted on
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Prepared by
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Location
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Project Reference
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Weather Conditions
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Principal Contractor
Security & Public Safety
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Unauthorised access to site prevented
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Site Induction & Security briefing delivered to site workers
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Warning sites in place e.g. no trespassing, hard hat area
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Site sign in/out book appropriately used
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Contractors on site hold appropriate identification
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Work area appropriately segregated from the public
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Adequate lighting for both site and public
Housekeeping
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Exits and access routes maintained and unobstructed
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Machinery and vehicle access points to public highways are clean and clear
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Waste bins are appropriate for the work undertaken with consideration to the hierarchy of waste and are being used in accordance with local instruction (no contamination)
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Waste is being taken away by a licenced waste carrier and is treated/disposed of at a licenced premises
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Waste bins are enclosed
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Arrangements are in place to keep the site and surrounding area clear of litter produced by the works
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Materials stored correctly when not in use
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Site free from unnecessary slip, trip, fall hazards
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Arrangements in place to clean vehicles where needed
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Adequate drainage and/or pumping systems in place to remove build-up of surface water
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No smoking taking place on site
PPE
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Correct PPE being used on site
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PPE in good condition e.g. not torn, hi-viz appropriate
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Appropriate storage for PPE
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Site workers aware of PPE requirements
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Evidence that PPE requirements are being enforced
Electrical Works
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Site workers competent in the use of electrical equipment
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No overloaded electrical sockets on site
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Electrical equipment in good condition e.g. no frayed cable
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Electrical isolations in place where necessary
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110volt dc equipment being used where possible
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Special permits in place for work within 2.75m of OLE
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Adequate PAT on portable electrical equipment
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Lock Out/Tag Out programme in place
Scaffolding
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Erection properly supervised
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Guard rails, intermediate rails and toeboards in place
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Scaffolds erected on solid footing with secure connections
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Protection from falling objects in place
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Scaffold tied to a structure
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Fall protection equipment available and in use
Hazardous/Dangerous Substances & Explosive Atmospheres
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COSHH assessments in place and being followed
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Health surveillance completed (if required)
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Appropriate storage arrangements in place for chemicals
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Appropriate ventilation in place where required
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No explosive materials stored on site
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Spills kits adequate and available where required
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Fuels and other oil based substances are stored on/within bunding
Platform Works
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No work carried out within 1.25m of the platform edge
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No work carried out within 2.75m of the OLE
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No risk to customers from platform works e.g. plant/fumes
Fire
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All staff have received the fire safety brief
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Appropriate firefighting equipment is available on site
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Emergency exit routes from site are free from obstruction
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Potential hazardous run-off from a fire has been considered and controls put in place where needed
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Smoking only in designated areas
Height Access
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Ladders inspected daily (request evidence)
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Ladders not left unattended
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No damaged ladders in use
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Ladders at a 1:4 pitch
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Ladders anchored/tied off and extend 3feet above landing
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Crawling boards are used on fragile roofs
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Areas under the work at height are cordoned off
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Competent workers using height access equipment
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Height access equipment appropriately inspected
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Fall protection equipment available and in use
Excavations and Confined Spaces
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All excavations are guarded
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All excavations are appropriately supported
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Appropriate measures in place for confined space entry
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Breathing apparatus provided & used for confined spaces
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Adequate confined space entry training for workers
Lifting Equipment
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Qualified operators using lifting equipment
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Equipment subject to appropriate regular inspections
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Loads not being lifted where, if dropped, could cause harm
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Equipment locked out/inaccessible when not in use
Asbestos
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R&D Surveys have been completed where required
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Asbestos management survey is readily available on site
Welfare
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Adequate toilet facilities on site
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Adequate hand washing facilities with hot and cold water
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Adequate mess facilities separate from work site
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Drinking water provided on site
First Aid
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Adequate number of trained first aiders on site
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First aid arrangements communicated to site workers
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First aid kit available and properly stocked
Documentation (to include, where applicable, signatures of workers and be readily available to inspector)
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F10 available and in date
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CPP available and approved
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Pre-start safety meeting
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RAMS available on site
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Any required permits to work e.g. for hot works
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Emergency procedures
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Training certificates
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Safety Critical medical notification
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Equipment inspection certificates
Energy
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Contractors are supplying their own energy – unless prior agreement has been sought with Northern
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Equipment, lights and heating are been turned off when not required where feasible to do so.
Nuisance
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Local instruction in place to ensure machinery, mechanical and personnel noise is kept to a minimum; check arrangements are in place where needed and instructions are being followed.
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Lighting is appropriate and not intruding on residential properties.
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Adequate measures are in place to minimise and eliminate vibration on properties and areas used by residents and the public
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Adequate arrangements are in place to minimise / eliminate the production of dusts and fumes passing the site boundary
Bio-diversity
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Work is not being undertaken in areas impacting upon nesting birds.
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Any protected species i.e. bats, badgers and other protected species have been identified and adequate arrangements are in place for their protection and being adhered to
Sign Off
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Name of Site Lead
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Signature of Site Lead
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Signature of Inspector