SP 03 PROCON WEEKLY SAFETY RETURN FORM

• Site conducted

  Select

• Supervisor Weekly Inspection Report (SHEQ)

• Form

  Weekly Site Inspection Report

• Conducted on

  Date

• Prepared by

• Location
  Address

1. Site Presentation & Welfare

• Statutory Notices displayed

  Yes

  No

  N/A

• Previous remedial actions dealt with. - Please comment

  No Issues to report

  Action required

  Area to be closed

• Detail actions taken.

• Temporary Signs being displayed

  No Issues to report

  Action required

  Area to be closed

• Temporary Works

  Yes

  No

  N/A

• Availability of drinking water?

  No Issues to report

  Action required

  Area to be closed

• Washing / Toilet conditions?

  No Issues to report

  Action required

  Area to be closed

• Canteen Conditions?

  No Issues to report

  Action required

  Area to be closed

• Record of site operatives and CSR card numbers ?

  No Issues to report

  Action required

  Area to be closed

• First aid facilities / boxes stocked / First aider's availability ?

  No Issues to report

  Action required

  Area to be closed

• Personnel / Inducted - Random check completed ?

  Yes

  No

  N/A

2. Personal Protective Equipment

• Has adequate PPE been provided?

  Yes

  No

  N/A

• Is PPE worn where mandatory or where required?

  No Issues to report

  Action required

  Area to be closed

• Is suitable clothing provided for the conditions (weather) ?

  Yes

  No

  N/A

3. Working Areas

• Materials stored correctly / waste disposed of properly and timely ?

  No Issues to report

  Action required

  Area to be closed

• Safe access and egress to the workplace?

  No Issues to report

  Action required

  Area to be closed

• Barriers / Warning signs, site security, etc in place ?

  No Issues to report

  Action required

  Area to be closed

• Adequate lighting ?

  Yes

  No

  N/A

4. Scaffold / Tower Scaffold

• Is scaffold or tower scaffold in use?

  Yes

  No

  N/A

• On a firm base, linked and secured?

  Yes

  No

  N/A

• Proper access / Egress ?

  Safe

  At Risk

  N/A

• Handrails / Toe boards (150mm) / Guardrails (910mm)?

  Safe

  At Risk

  N/A

• Being used correctly and in good condition?

  Yes

  No

  N/A

• Erected, altered and dismantled by competent and trained persons?

  Yes

  No

  N/A

• Scaff Tagg in place and signed-off every seven days

  Yes

  No

  N/A

• Insert Photo of Scaffold inspection and scaff tag.

  Media

• Wheels locked in position? (Tower Scaffold)

  Yes

  No

  N/A

5. Ladders

• Are any ladders being used ?

  Yes

  No

  N/A

• Condition / Length / Angle of use?

  Yes

  No

  N/A

• Tied / Footed / Secured / Resting on a sold surface?

  Yes

  No

  N/A

• Correct use - 3 points of contact - correctly positioned?

  Yes

  No

  N/A

• Sufficient height above landing place?

  Yes

  No

  N/A

• Registered and inspected?

  Yes

  No

  N/A

• Are A frame step ladders being used? (confined area)

  Yes

  No

  N/A

• Is there appropriate permit in place?

  Yes

  No

  N/A

6. Working at Heights

• Are there any working at height tasks this week?

  Yes

  No

  N/A

• Barriers / Edge protection adequate?

  Yes

  No

  N/A

• Proper equipment being used ?

  Yes

  No

  N/A

• Is adequate protection provided for fragile roof surfaces?

  Yes

  No

  N/A

• Are crawling boards / ladders provided and used?

  Yes

  No

  N/A

• Proper access / egress to heights?

  Yes

  No

  N/A

• Are Mewp's been used?

  Yes

  No

  N/A

• MEWPs - Use, trained personnell

  Yes

  No

  N/A

• MEWPS being used on level & firm ground

  Yes

  No

  N/A

• MEWP test certs in pace and fit for purpose

  Yes

  No

  N/A

• Boom lift - Used by trained operatives only

  Yes

  No

  N/A

• Boom lift - test certs in place

  Yes

  No

  N/A

• Boom lift used on firm and level ground only

  Yes

  No

  N/A

• MEWP & Boom lift operatives harnessed off with correct harness and anchor point

  Yes

  No

  N/A

7. Power Tools / Air

• Power tools / leads / plugs / sockets - General condition ?

  Yes

  No

  N/A

• Tools maintained / PAT tested ?

  Yes

  No

  N/A

• Compressed air used correctly ?

  Yes

  No

  N/A

• Air lines not leaking ?

  Yes

  No

  N/A

8. Plant / Equipment

• Is there any mechanical plant on site in use this week?

  Yes

  No

  N/A

• Is the plant or equipment fit for purpose and required Procon sticker attached?

  Yes

  No

  N/A

• Has the weekly plant inspection taken place by the contractor/operative?

  Yes

  No

  N/A

• Insert photo of the weekly inspection.

  Yes

  No

  N/A

• Are all statutory inspections up to date?

  Yes

  No

  N/A

• Has all plant and equipment been risk assessed?

  Yes

  No

  N/A

• Have safe systems of work been devised and posted where needed?

  Yes

  No

  N/A

• Is plant and equipment serviced and maintained and weekly inspection sheets filled in?

  Yes

  No

  N/A

• Are operatives trained in the use of plant or equipment

  Yes

  No

  N/A

• Have they provided training certification for plant & equipment being operated?

  Yes

  No

  N/A

9. Plant / Lifting Appliances

• Are there any craning/lifting operations this week?

  Yes

  No

  N/A

• Relevant test certificates and licenses in place ?

  Yes

  No

  N/A

• Slings / Shackles / Clamps - General condition ?

  Yes

  No

  N/A

• Are all lifting equipment and accessories registered?

  Yes

  No

  N/A

• Is there lifting plans in place for lifting operations ?

  Yes

  No

  N/A

• Are cranes only operated by trained employees?

  Yes

  No

  N/A

• Have all statutory inspections taken place?

  Yes

  No

  N/A

• Is the right equipment being used in the right manner ?

  Yes

  No

  N/A

• Planing and preparation of lifting operations

  Yes

  No

  N/A

10. Hazardous Substances

• Hazardous substances identified and controlled?

  Yes

  No

  N/A

• Safe bunded storage /hazardous waste safely removed ?

  Yes

  No

  N/A

• Correct PPE and precautionary measures and signs in place ?

  Yes

  No

  N/A

• Are safety data sheets / COSHH assessments in place ?

  Yes

  No

  N/A

11. Fire & Emergency Procedures

• Fire safety Plan current

  Yes

  No

  N/A

• Hot works permit operating

  Yes

  No

  N/A

• Fire extinguishers in place, full and available ?

  Yes

  No

  N/A

• Alarms warning devices tested

  Yes

  No

  N/A

• Emergency routes / Exits clear of materials / debris?

  Yes

  No

  N/A

• Fire Brigade Access Clear

  Yes

  No

  N/A

• Clear Access for other Emergency Services

  Yes

  No

  N/A

• Flammable materials / liquid storage and signs ?

  Yes

  No

  N/A

• Gas / pressurized cylinders upright & secure ?

  Yes

  No

  N/A

• Welding screens / Blankets available ?

  Yes

  No

  N/A

• Visitors / Contractors information in place ?

  Yes

  No

  N/A

• Safe storage and removal of combustible materials ?

  Yes

  No

  N/A

12. Documentation

• Safety policy / H&S law notice / Insurance displayed?

  Yes

  No

  N/A

• Safe systems of work / risk assessments available ?

  Yes

  No

  N/A

• COSHH assessments / safety data sheets available ?

  Yes

  No

  N/A

• Tool box talks happening ?

  Yes

  No

  N/A

• Accident reports - updated ?

  Yes

  No

  N/A

• Training Requirements Identified

  Yes

  No

  N/A

• Permits to Work – Hot Work, Confined Spaces, etc.

  Yes

  No

  N/A

• Method Statements/Risk Assessments Produced & Communicated

  Yes

  No

  N/A

• Night/Special Working Required

  Yes

  No

  N/A

• NI10 / F10 in place if required and posted on the notice board ?

  Yes

  No

  N/A

• Sign-in sheets maintained and recorded

  Yes

  No

  N/A

• Emergency evacuation plan in place and posted on notice board ?

  Yes

  No

  N/A

13. Noise, Vibration & Dust

• Is suitable ear protection provided and worn

  Yes

  No

  N/A

• Is suitable PPE & RA in place for all vibrating tools ?

  Yes

  No

  N/A

• Is there suitable PPE and suppression provided when working with dust ?

  Yes

  No

  N/A

14. Traffic Management

• Road conditions

  Good

  Fair

  Poor

  N/A

• Are vehicles and people kept separate wherever possible ?

  Yes

  No

  N/A

• Is there adequate space for safe vehicle movement?

  Yes

  No

  N/A

• Is plant and machinery only operated by trained persons ?

  Yes

  No

  N/A

• Are loads on tele-handlers secure and driven in a safe manner ?

  Yes

  No

  N/A

• Are passengers prevented from riding on forklift trucks ?

  Yes

  No

  N/A

• Is there a traffic management plan in action ?

  Yes

  No

  N/A

• Is it posted for all operatives to see?

  Yes

  No

  N/A

• Is it being followed by all plant, machinery and deliveries ?

  Yes

  No

  N/A

• Are banksmen being used ?

  Yes

  No

  N/A

15. Environmental

• Is the site maintained in a tidy manner ?

  No Issues to report

  Action required

  Area to be closed

• Are the materials and waste stored and disposed of correctly ?

  No Issues to report

  Action required

  Area to be closed

• Are all waste transfer notes held for further reference ?

  No Issues to report

  Action required

  Area to be closed

• Are recyclable materials segregated from general waste properly ?

  Yes

  No

  N/A

• Is there a system in place to prevent energy waste, e.g lights and machinery off when not in use , prevention of air leaks etc?

  Yes

  No

  N/A

• Quality checks for incoming goods

  Yes

  No

  N/A

16. Temporary Works

• Are temporary works appointment letters on file

  Yes

  No

  N/A

• Is the Register up to date?

  Yes

  No

  N/A

• Is the Temporary Design being followed

  Yes

  No

  N/A

17. Demolitions

• Demolition plan in place

  Yes

  No

  N/A

• Demolition carried out safety

  Yes

  No

  N/A

18. Covid -19

• Temp Checks being carried out

  Yes

  No

  N/A

• Medical Questionnaires

  Yes

  No

  N/A

• Social Distancing

  Yes

  No

  N/A

• Hand Sanitisation

  Yes

  No

  N/A

• Face Coverings

  Yes

  No

  N/A

• Weekly Inspection sign off.

  Sign

• Hours worked by directly employed personnel

• Hours worked by subcontractors inc labour only

• Total Hours worked

• Results of Inspection - Risk factor

  High

  Medium

  Low

• Action Proposed or Taken

• Date actioned

  Date

• Signature

  Sign

• Action Proposed or Taken

• Date actioned

  Date

• Signature

  Sign

• Action Proposed or Taken

• Date actioned

  Date

• Signature

  Sign