SL301 - Periodic Safety Inspection Record

• SL301 - Safety Inspection Record

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Select date

  Date

• Operation

  Select Tree Surgey Stump Grinding Hard Landscaping Soft Landscaping Garden Maintenance

  • Tree Surgey
  • Stump Grinding
  • Hard Landscaping
  • Soft Landscaping
  • Garden Maintenance

• Staff On Site

  Select Gerard Kelly Mirka Kelly Neil Motherway Piotre Szpilka Jaceq Szpilka Ariane Menut Chris

  • Gerard Kelly
  • Mirka Kelly
  • Neil Motherway
  • Piotre Szpilka
  • Jaceq Szpilka
  • Ariane Menut
  • Chris

Inspection Details

• Risk Assessment Used Correctly

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Method Statement

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

Site Organisation

• Fuelling Station

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• PPE - available & used correctly etc.

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Correct Cordoning signing, lighting and guarding

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Chipper Location, conversion of debris

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• General Organisation - ropes, tidiness

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Climbing Techniques

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Arial Rescue Provision

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• First Aid Provision

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Effective Communication

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Other Site Issue, covered, e.g. water sharps etc.

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

Tools & Equipment

• Chainsaws comply with AFAG 301

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Chainsaws comply with AFAG 604

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Grinders AFAG 606 and available handbook

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Climbing kit checked and serviceable

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Rigging kit checked and serviceable

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

• Vehicles checked and serviceable

  Safe

  At Risk

  N/A

• Action Required

• Completed By

  Sign

Certification

• Employees adequately qualified for tasks being undertaken

  Yes

  No

  N/A

• Action Required

• Completed By

  Sign

• Driver correctly licensed for vehicle combination

  Yes

  No

  N/A

• Action Required

• Completed By

  Sign

Other

• Action Required

• Completed By

  Sign

Completed By

• Add signature

  Sign

• Select date

  Date