SLS FRM F011 - HSQE Site Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Project Title:

• Location:

• Date of Inspection:

  Date

• Name of Supervisor:

• Weather:

• Work in Progress:

Site Safety:

• Have all workers had 12 hours rest since previous shift

  Yes

  No

  N/A

• Are all workers aware of the WorkSafe procedure

  Yes

  No

  N/A

• Has COSS Briefing been correctly completed, briefed out and signed by all

  Yes

  No

  N/A

• Do WPP / TBF’s (inc. Risk Assessments) cover the work being undertaken

  Yes

  No

  N/A

• Are staff aware of the hazards

  Yes

  No

  N/A

• Is the Team working as per the SSOW planned

  Yes

  No

  N/A

• Protection – are the resources available sufficient to carry out the work safely

  Yes

  No

  N/A

• Authorised Access Point used and suitable

  Yes

  No

  N/A

• If lone working, are the associated hazards addressed within the above

  Yes

  No

  N/A

• If manholes are to be lifted, confined spaces trained if entering

  Yes

  No

  N/A

• If working at night, is lighting available and adequate

  Yes

  No

  N/A

• PPE correct, clean and fit for purpose (including armbands)

  Yes

  No

  N/A

• Spare PPE and other necessary consumables (spray paint, batteries)

  Yes

  No

  N/A

• First Aid Kit – on site and fit for purpose, replenished, in date

  Date

• Welfare – toilets, hand washing / wiping facilities, sufficient drinking water

  Yes

  No

  N/A

• Is the site tidy / good housekeeping

  Yes

  No

  N/A

• Public protected from working site / area

• Is site access authorised, safe and clear to park

  Yes

  No

  N/A

Buried Services Work:

• Service drawings for the area of works available on site

• Permit to Dig available and correctly completed and signed

  Yes

  No

  N/A

• CAT / GPR Scan record completed

  Yes

  No

  N/A

• Is CAT Scan user trained? Cert No: Expiry Date:

  Date

spare

spare

• Competency:

• Do all rail workers have the relevant Sentinel competencies (COSS / IWA / PTS)

  Yes

  No

  N/A

• Has COSS scanned all Sentinel cards

  Yes

  No

  N/A

• Verified (by scanning) that competencies are correct and in date

  Date

• Have any accessed site using Track Visitor Permit

  Yes

  No

  N/A

• First Aid training – name the First Aider on site: Expiry:

Plant, Tools and Equipment:

• Correct plant, tools and equipment being used

  Yes

  No

  N/A

• Operative trained in use of plant, tools and equipment being used

  Yes

  No

  N/A

• Plant, tools and equipment in good condition and free from visible defects

  Yes

  No

  N/A

• Weekly records maintained of visual inspections

  Yes

  No

  N/A

• Is all equipment calibrated / tested (CAT, survey equipment etc.) Type of Equipment: Calibration / Test Expiry: Type of Equipment: Calibration / Test Expiry: Type of Equipment: Calibration / Test Expiry:

Vehicle – Enter Vehicle Registration:

• Mileage:

• Vehicle displaying SLS Corporate Livery (logo’s etc.)

  Yes

  No

  N/A

• Vehicle maintained in a clean and tidy condition

  Yes

  No

  N/A

• Is there any damage to the vehicle

  Yes

  No

  N/A

• Vehicle parked safely without causing obstruction

  Yes

  No

  N/A

• Parking arrangements adequate

  Yes

  No

  N/A

• Is there a First Aid Kit (fully replenished and in date)

  Date

• Is there a Fire Extinguisher (in date)

  Date

Environmental:

• Is there an Environment Management Plan available

  Yes

  No

  N/A

• Is there a Spill Kit available (fully replenished) (Trial Hole Teams)

  Yes

  No

  N/A

• Any waste generated correctly managed and removed from site (spray cans, batteries)

  Yes

  No

  N/A

Quality Assurance:

• Is there a Quality Management Plan available

  Yes

  No

  N/A

• Is there an Inspection and Test Plan available

  Yes

  No

  N/A

• Latest edition of all documentation held

  Yes

  No

  N/A

STOP WORK?

• If there are any non-compliances above, please give details below

  Yes

  No

  N/A

• Action Levels:

• H – requires immediate action: M – to be resolved in 24 hrs.: L – to be resolved in 7 days:

• O – date to be resolved by (if longer than 7 days)

  Date

• Item No. from above

• Summary of findings (ticked NO’s), general comments and observations:

  Yes

  No

  N/A

• Action

  Yes

  No

  N/A

• Level

  Yes

  No

  N/A

• Action to be carried out by who

• Closed out on day?

  Yes

  No

  N/A

• If NO,

• close out

  Yes

  No

  N/A

• due by date

  Date

Please provide details below of the attitude and behaviours displayed of those on site:

• Yes

  No

  N/A

Any Issues / Problems on Site:

• Yes

  No

  N/A

Feedback from Workforce on Site:

• Yes

  No

  N/A

Details of any Items Issued:

• HSQE Manager Comments:

• Include Any Photo’s here: