Site Visit Health and Safety Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Job Project Details

• Installation Stage

  1st Fix

  2nd Fix

  other

• Trades Involved

  Select Electrician Plumber Joiner, Builder Plaster Roofer Other

  • Electrician
  • Plumber
  • Joiner, Builder
  • Plaster
  • Roofer
  • Other

• Operatives Name

• Description of Works being done

Health & Safety

• Risk Assessment Complete

  Yes

  No

• Operatives singed in to site register

  Yes

  No

  N/A

• Risk Assessment Complete by all Involved in works

  Yes

  No

• Power tools PAT tested and in date

  Yes

  No

• Access equipment checked and in date

  Yes

  No

• Company Vehicle(s) condition

• Registration of vehicles

• Task(s) observed

• Hard hat

  Yes

  No

  N/A

• Safety Boots

  Yes

  No

  N/A

• High Vis Clothing

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Ear Defenders

  Yes

  No

  N/A

• P2 Mask

  Yes

  No

  N/A

• Eye Protection

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Comments on the above

Quality & Workmanship

• Work area free of debris

  Yes

  No

• Observations on the work carried out, taking into consideration ACOP, Specifications and Regs

• I confirm that I have been made aware of any non compliance items highlighted above and ensure that there is no re-ocurance

• Signed (employee) A

  Sign

• Signed (employee) B

  Sign

• Signed ( employee) C

  Sign

• Signed ( employee) D

  Sign

• Signed ( employee) E

  Sign

• Signed site Supervisor

  Sign

• Signed (person completing report)

  Sign