SITE SAFETY INSPECTION

• Location / Site
  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.

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 where required?

  Yes

  No

  N/A

• Is the engineer working off a VIVO Tablet?

  Yes

  No

  N/A

• Are safety signs / barriers being used?

  Yes

  No

  N/A

• Is there safe access to the work face?

  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

• Has the POWRA been completed on the tablet?

  Yes

  No

  N/A

• Is a paper copy POWRA required?

  Yes

  No

  N/A

• Has the paper copy POWRA been completed and signed?

  Yes

  No

  N/A

• Has the asbestos register been checked in the VIVO office?

  Yes

  No

  N/A

• Has the engineer checked its safe to proceed?

  Yes

  No

  N/A

• Is the engineer aware of their asbestos awareness training expiry date?

  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 PPE is required for tasks being completed?

• Is the additional PPE being used?

  Yes

  No

  N/A

Equipment & Plant Inspections

• Is task lighting required?

  Yes

  No

  N/A

• 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 a MEWP or Lifting Equipment being used?

  Yes

  No

  N/A

• Is an in date harness being used?

  Yes

  No

  N/A

• Is the LOLER Certificate available for the above equipment?

  Yes

  No

  N/A

• Has 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?

  Pass

  Fail

  N/A

• Has the damage been recorded and reported?

  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 and accessible?

  Yes

  No

  N/A

• Is a fire extinguisher available?

  Yes

  No

  N/A

• Is the engineer carrying any Don't Walk By Cards?

  Yes

  No

  N/A

• What was the engineers last recorded Don't Walk By?

  Yes

  No

  N/A

• 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