Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • PROJECT NO:

CLIENT:

  • Client Name

  • DATE:

TEAM

  • Team Members

OFFICE

  • Which Office is conducting

RSK PERSONNEL ON SITE:

  • Rsk Employees on site

RSK’s SUBCONTRACTOR:

  • Subcontractor working under Rsk

NATURE OF RSK’s ACTIVITIES:

  • Tasks

1.0 DOCUMENTATION

  • 1.1 Are risk assessments / the SHE Management Plan present on site?

  • 1.2 relevant SHE information available (e.g. SHEQMS procedures, guidance) and have forms been completed as necessary?

  • 1.3 Are current plans available showing the location of all buried services and high-risk areas (e.g. tar pits)?

  • 1.4 If applicable, have the Principal Contractor’s and / or Client’s Site Rules been received and passed on to all RSK’s staff and to subcontractors (e.g. at an induction briefing or toolbox talks) and has this action been recorded?

  • 1.5 Have all RSK staff and 3rd party suppliers been advised of risk assessments and the SHE Management Plan and has this been recorded?

  • 1.6 Are project / site specific contact details available within the SHE Management Plan (e.g. for regulators, utilities, A&E hospital location, etc)?

2.0 OPERATIONS

  • 2.1 As far as you can judge, are the requirements of the SHE Management Plan understood and being implemented? (If not, please list all shortcomings in the “Comments” column.)

  • 2.2 Are site operations in accordance with technical procedures?

  • 2.3 Have any accidents, incidents and near misses been reported promptly, including environmental issues (e.g. spillages, noise, dust, wastes)? Have these been subsequently reported by senior management and to third parties (e.g. HSE, Environment Agency) if appropriate? If not, try to find out why and add in “Comments” column

3.0 PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • 3.1 Are RSK site personnel and subcontractors wearing Safety helmet, Safety footwear, Weatherproof clothing (as appropriate), Reflective jacket etc.?

  • 3.2 Are RSK site personnel and subcontractors’ staff wearing additional PPE as required in SHE Management Plan (e.g. gloves, goggles, ear defenders, RPE etc)?

  • 3.3 On contaminated sites, are adequate decontamination / welfare facilities available and have instructions been given on sensible precautions (e.g. before smoking and eating)?

  • 3.4 Are RSK personnel (including subcontractors) on site in possession of the RSK Leptospirosis (Weils Disease) and Lymes Disease Briefing Cards?

  • 3. 4a Can personnel demonstrate an adequate level of awareness of associated symptoms and the necessary preventive measures to be taken?

  • 3.4b Is there evidence that this is being applied? I.e. is there sanitizing/ antibacterial wipes/gel? Are smoking/lunch breaks being applied with appropriate hygiene standards? Etc

  • 3.5 Are appropriate controls in place to manage heat stress/cold stress hazards? (Remember that cold stress can occur in wind and rain, and not necessarily at temperatures below zero)

  • 3.5a Are RSK operatives aware of how to recognise the symptoms associated with heat stress/cold stress incidents, and can they advise on the first response that may be required? I.e. Do they have access to associated safety guidance/bulletins within site SHEQ files?

  • 3. 6 Are RSK’s site personnel and contractors aware of the symptoms that may arise from contact with any contaminants on site and how and to whom to report these (e.g. for dermatitis, asthma / breathlessness, dizziness, nausea, etc)?

4.0 EQUIPMENT

  • 4.1 Is RSK’s and subcontractors’ site equipment visibly in good condition and operating normally?

  • 4.2 Is all 3rd party working apparatus visibly in good condition?

  • 4.3 Are all safety items being used on 3rd party equipment satisfactory (eg safety guards, straps on drilling rigs, etc)?

5.0 THIRD PARTIES

  • 5.1 Are other contractors / subcontractors working on the site?

  • 5.2 Have RSK’s and their subcontractors’ operations been notified to them (if necessary, through the Principal Contractor) and has this been recorded?

  • 5.3 Do the third parties’ subcontractors appear to be operating competently? If not, how has this been drawn to the third parties’ attention?

  • 5.4 If necessary, are all third parties, including other site occupiers and the public, prevented from entering the area where RSK is operating? Have suitable signs been provided?

6.0 WORKING ENVIRONMENT

  • 6.1 Is the work being carried out in an easily accessible / open area?

  • 6.2 Is the area free of any removable obstructions / trip hazards, open excavations / pits / voids / workings, etc?

  • 6.3 Is there adequate lighting for the safe execution of the works?

  • 6.4 In extremes of temperature / weather, are adequate shelter / welfare / PPE facilities available to RSK staff and subcontractors?

7.0 EMERGENCY PROCEDURES

  • 7.1 Are basic first aid measures available on site?

  • 7.2 Is there a plan for dealing with emergencies on site (including environmental emergencies)?

  • 7.3 Are site personnel aware of the location of the nearest hospital / first aid station?

  • 7.4 Are there any client requirements for emergency response? Have these been notified to RSK’s staff and subcontractors, and recorded?

  • 7.5 Is there evidence to show RSK’s site personnel conform to such requirements?

  • 7.6 Is a mobile phone available at all times on site for the use of RSK’s staff and subcontractors?

  • 7.7 Has the RSK site personnel’s office been contacted to communicate that the site personnel have arrived safely?

  • Note: this should be done at least once per day

  • 7.8 Are RSK personnel (including subcontractors) on site in possession of the RSK Emergency Assistance Briefing Card and/or aware of the RSK Duty Director programme?

Hazards Identified

  • Are there any identifiable Hazards

  • Hazard 1

  • Corrective Actions 1

  • Hazard 2

  • Corrective Actions 2

  • Hazard 3

  • Corrective Actions 3

  • Hazard 4

  • Corrective Actions 4

EVIDENCE OF GOOD PRACTICE

  • Is there Evidence of good practice that could be shared

REVIEW

  • Are the measures on site acceptable to address the known risks (safety, health & environmental)? (If not, please list recommended actions, below.)

  • Is a review of the risk assessments / SHE Management Plan required?

  • Are there any changes proposed that can be made to improve any SHEMS documents (please provide details of suggestions)

  • ACTIONS
  • The following actions have been identified:

  • Action 1

  • By Whom

  • By When

SIGN OFF

  • Print Name:

  • Signed:

  • Team Leader/Superviser

  • Add signature

  • Circulate to: SHEQ Director

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