Title Page
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Site conducted
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Project Manager
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Contracts Manager
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Address
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Date & Time
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Inspected by
Item
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01. Access/Egress
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
-
02. Accident Book
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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03. Accident Returns
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
-
04. Contamination Protection
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
-
05. Mixing Areas
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
-
06. Electrical Equipment
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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07. Fire Points
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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08. First Aid
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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09. Flammable Substance
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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10. H&S Plan
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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11. Hoist
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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12. House Keeping
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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13. HSE Notifications/Visits
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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14. Insurance
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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15. Lifting Equipment
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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16. Lighting
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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17. Manual Handling
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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18. Plant & Equipment
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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19. Personal Protective Equipment
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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20. COVID 19 Practices in Place
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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21. Protection of Holes
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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22. Public Interface
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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23. RAMS
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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24. Registers
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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25. Road Works
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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26. Security/Hoarding
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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27. Signage
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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28. Site Traffic Management
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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29. Storage
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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30. Sub-Contractors
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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31. Supervision
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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32. Tool Box Talks
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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33. Training & Inductions
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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34. Trip Hazards
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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35. Unsafe Acts
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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36. Vibration
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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37. Welfare Facilities
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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38. Work Areas
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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39. Work at Height
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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40. Improvement Recommendations
Environmental
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41. Control of Emissions
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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42. Dust Control
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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43. COSHH
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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44. Noise
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
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45. Waste Disposal
- Very Good
- Good
- Meets Standard
- Poor
- Prohibitive / Dangerous
- N/A - Client issues
Completion
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Additional Comments
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Inspection Completed By (Signature)
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Project Manager (Signature)
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Document no: SBCL-IMS-2055
Rev.No 02
Approved by: M. Walsh Date: 22/01/2020
Authorised by: N.Fogarty Date: 22/01/2020
