SMS Form - Site set up check list (Draft)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

• HSE Checklist - Principal Contractor Site Set up Checklist

  Yes

  No

  N/A

Documents/Equipment

• In Files

  Yes

  No

  N/A

• Display

  Yes

  No

  N/A

• Install

  Yes

  No

  N/A

• Company Health & Safety Policy

  Yes

  No

  N/A

• Public Liability Policy

  Yes

  No

  N/A

• Employers Liability Policy

  Yes

  No

  N/A

• Form F10

  Yes

  No

  N/A

• ‘Health and Safety at Work’ Law Poster

  Yes

  No

  N/A

• Asbestos register

  Yes

  No

  N/A

• Construction Phase Plan

  Yes

  No

  N/A

• Project Directory/Contact list and numbers

  Yes

  No

  N/A

• Site/Clients Rules (Where applicable)

• Current & Relevant Health and Safety Memos and Bulletins

  Yes

  No

  N/A

• Induction Procedures to include list below:

• Site Rules/Procedures

• Accident Reporting procedures

  Yes

  No

  N/A

• First Aid procedures

  Yes

  No

  N/A

• Risk/COSHH Assessments & Method Statements

  Yes

  No

  N/A

• Signing In/Out procedures

  Yes

  No

  N/A

• Equipment Inspections

  Yes

  No

  N/A

• Induction Record Form

  Yes

  No

  N/A

• OHH Construction Site Office sign

  Sign

• Safety Signage:

• Safety Hats

  Yes

  No

  N/A

• Safety Footwear

  Yes

  No

  N/A

• Ear Protection

  Yes

  No

  N/A

• Evacuations procedures

  Yes

  No

  N/A

• Eye Protection

  Yes

  No

  N/A

• Face Protection

  Yes

  No

  N/A

• Hi-Vis

  Yes

  No

  N/A

• Hand Protection

  Yes

  No

  N/A

• Emergency Exit - various

  Yes

  No

  N/A

• ‘Fire Point’

  Yes

  No

  N/A

• Fire Appliances – Water, Foam, Co2 etc

  Yes

  No

  N/A

• First Aid Room

  Yes

  No

  N/A

• ‘Assembly Point’

  Yes

  No

  N/A

• ‘No Smoking’

  Yes

  No

  N/A

• Fire Appliance/s in Site Office and around Site:

• Water, Foam, CO2 etc

  Yes

  No

  N/A

• Copy of Site Fire Plan/Evacuation Procedures:

• (Up-dated during project)

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• List of First Aiders and Appointed Persons

  Yes

  No

  N/A

• Fire Assessment carried out for building/site

• Documents/Equipment

  Yes

  No

  N/A

• In Files

  Yes

  No

  N/A

• Display

  Yes

  No

  N/A

• Install

  Yes

  No

  N/A

• Toolbox Talks

  Yes

  No

  N/A

• Plant/Equipment Inspections Registers plus use of Scaftag system for mobile working platforms and steps

  Yes

  No

  N/A

• Permit systems in place?

  Yes

  No

  N/A

• Permits to Work

  Yes

  No

  N/A

• Hot Works Permit

  Yes

  No

  N/A

• Access Permits

  Yes

  No

  N/A

• Works at Height

  Yes

  No

  N/A

• All office electrical equipment to have current PA Test certificate/stickers (Where Applicable)

  Yes

  No

  N/A

• All Sub-Contractors electrical equipment to have current PA Test certificates/stickers

  Yes

  No

  N/A

• Site Documentation: Must be available in hard copy

• Accident Book

  Yes

  No

  N/A

• Accident Investigation Form

  Yes

  No

  N/A

• Site Safety Report Form

• Manual Handling Assessment Form

  Yes

  No

  N/A

• PPE Checklist

  Yes

  No

  N/A

• Site Safety Awareness Briefing Notes

• Site Health & Safety Induction Training Records

• Risk Assessments

  Yes

  No

  N/A

• Method Statements

  Yes

  No

  N/A

• COSHH Assessments

  Yes

  No

  N/A

• Site Welfare (See Data Sheet)

• Toilets (Check HSE Guidance Notes on quantity)

  Yes

  No

  N/A

• (Male & Female)

  Yes

  No

  N/A

• Welfare:

• Hot & Cold Water; Fridge:

• Microwave; Kettle/Water Boiler;

  Yes

  No

  N/A

• Tables & Chairs;

  Yes

  No

  N/A

• Rubbish Bin etc

  Yes

  No

  N/A

• Drying Room c/w Heater

  Yes

  No

  N/A

• Hand Cleaner (Dispenser)

  Yes

  No

  N/A

• Hand Cream (Dispenser)

  Yes

  No

  N/A

• Soap

  Yes

  No

  N/A

• Paper Towels

  Yes

  No

  N/A

• Rubbish/Dust Bin

  Yes

  No

  N/A

• Security Fencing (Where applicable)

  Yes

  No

  N/A

• Security Fencing/Perimeter Signage (Where applicable)

  Yes

  No

  N/A

• Document/Equipment

  Yes

  No

  N/A

• In Files

  Yes

  No

  N/A

• Display

  Yes

  No

  N/A

• Install

  Yes

  No

  N/A

Training Records:

• Abrasive Wheels

  Yes

  No

  N/A

• Mobile Towers (PASMA)

  Yes

  No

  N/A

• MEWP’s

  Yes

  No

  N/A

• Confined Spaces

  Yes

  No

  N/A

• First Aid/Appointed Person

  Yes

  No

  N/A

• Manufacturer’s/Suppliers information on safe use of plant & equipment on site

Inspection Records:

• Mobile Towers

  Yes

  No

  N/A

• Stepadders

  Yes

  No

  N/A

• Site Safety