SITE SAFETY INSPECTION

• Location
  Address

• Document No.

• Conducted on

  Date

• Prepared by

• Personnel (Engineers or Staff)

This Inspection is to be completed with any relevant information like photo's, discussions, verbal instructions to whom etc. If NO has been marked for any question, actions of rectification must be included.

Enter Location

• Enter location
  Address

Date and Time

• Enter Date And Time of Inspection.

  Date

Type Of Work

• Type of work Reactive / PPM / Project?

• What task is being completed?

• Building Name & Number?

Standard Checks

• Is the engineer wearing the correct uniform & ID?

  Yes

  No

  N/A

• Have all operatives signed in?

  Yes

  No

  N/A

• Is the engineer working off a VIVO Tablet?

  Yes

  No

  N/A

• Are safety signs displayed as required?

  Yes

  No

  N/A

• Is the site area clean and tidy?

  Yes

  No

  N/A

RAM's, POWRA & Asbestos

• Does the engineer have appropriate RAM's?

  Yes

  No

  N/A

• Is a POWRA required?

  Yes

  No

  N/A

• Has the POWRA been completed and signed?

  Yes

  No

  N/A

• Has the asbestos register been checked signed prior to works being carried out?

  Yes

  No

  N/A

• Has asbestos awareness training being completed?

  Yes

  No

  N/A

PPE

• Are boots and Hi/viz vests being worn?

  Yes

  No

  N/A

• Are 5 points of PPE available as per the MOD contract?

  Yes

  No

  N/A

• What additional PPM is required for tasks being completed?

• Is the additional PPE being used?

  Yes

  No

  N/A

Equipment & Plant Inspections

• Have any steps been inspected?

  Yes

  No

  N/A

• Have any ladders been inspected?

  Yes

  No

  N/A

• Have any towers been inspected and built by an engineer with PASMA?

  Yes

  No

  N/A

• Is all appropriate equipment been PAT tested?

  Yes

  No

  N/A

• Have any test meters been calibrated and upto date?

  Yes

  No

  N/A

• List as required?

COSH

• Have any COSHH items been identified?

  Yes

  No

  N/A

• Are these being stored in the correct manner?

  Yes

  No

  N/A

Vehicle

• Has the company vehicle been parked in a safe manner?

  Yes

  No

  N/A

• Are there any visible signs of damage?

  Yes

  No

  N/A

• Is the external of the vehicle clean?

  Yes

  No

  N/A

• Is the cab of the vehicle clean?

  Yes

  No

  N/A

• Is the back of the vehicle clean?

  Yes

  No

  N/A

• Is a first aid kit available?

  Yes

  No

  N/A

• Is a fire extinguisher available?

  Yes

  No

  N/A

Overview

• Were safe working practices adhered to?

  Yes

  No

  N/A

• General Observations Made?

• General Improvement's Required?

Site Photos

• Take

  Media

Sign Off

• Person submitting inspection report?

  Sign