Title Page
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Site conducted
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Inspection By :
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Accompanied By :
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Job No. & Site :
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Date :
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Location
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INSTRUCTIONS
1. Answer on the questions below.
2. Add photos and notes by clicking on the paperclip icon
3. To add a Corrective Measure click on the paperclip icon then ""Add Action"", provide a description, assign to a member, set priority and due date
4. Complete audit by providing digital signature
5. Share your report by exporting as PDF, Word, Excel or Web Link
General Information
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Is Previous Inspection Date Performed needed?
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• Date Performed
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Are any actions left unresolved? (If Yes, click the PaperClip Icon and state reason)
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List Subcontractors Checked during inspection (Click Add Subcontractors) :
SUBCONTRACTORS
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Name of Company
INSPECTION CHECKLIST
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NOTE : Method of scoring. All subject matters require a response. The majority of the checks will attract the application of a or in the corresponding box to indicate if you are satisfied or not. The choices are: for satisfied for dissatisfied
NA if subject matter does not apply (Note: NA is not always an option)
1.0 Site Access and Security
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1.1 Safety Signage visible and adequate
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1.2 Walking routes clear, tidy and demarcated
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1.3 Site Fencing Secure
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1.4 Site Gates/Entrance Locked
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1.5 Materials stored to discourage theft
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1.6 Key control for machinery & Cabins/Stores
2.0 Site Cleanliness & Tidiness
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2.1 Work areas tidy and free of debris
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2.2 Compound areas tidy and free of debris
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2.3 Boot clean facility at Entrances to Buildings
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2.4 All small plant cleaned after use
3.0 Adequacy of Lighting
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3.1 Site Compound adequately illuminated
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3.2 Areas of work adequately illuminated
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3.3 Access/Egress to the work site illuminated
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3.4 All lighting accessories in good order
4.0 PPE & RPE
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4.1 Hi Vis clothing clean & correct sponsor
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4.2 Correct safety footwear (no riggers)
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4.3 Correct hard hat (type/colour)
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4.4 Gloves being worn by all
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4.5 Ear protection correct type and use
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4.6 Safety harnesses worn and used correctly
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4.7 Masks Correct type (P1, P2, P3, Single Use)
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4.8 Eye protection correct type and use (Impact/Chemical/UV Light)
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4.9 Has a PPE issue sheet been completed when new PPE is issued (if applicable)?
5.0 Welfare Facilities
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5.1 Toilets serviced and clean
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5.2 Hand wash facilities serviced and clean
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5.3 Hand care facilities available
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5.4 Canteen with food & drink preparation facilities provided and clean
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5.5 Date PAT tests of electrical appliances due?
6.0 Safety Of The Public
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6.1 Provisions to prevent falling material
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6.2 Prevention of Noise & Vibration nuisance
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6.3 Prevention of Dust & Fumes nuisance in place
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6.4 Is Traffic Management correct? (Chapter 8)
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6.5 Public Segregated from working area
7.0 Fire/Appliances and Prevention
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7.1 When is Fire Extinguisher servicing due?
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7.2 How many Fire Wardens are appointed?
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7.3 Muster are identified
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7.4 Fire Escape Routes free from obstruction
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7.5 How is liquid fuel stored?
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7.6 When was the last fire drill performed?
8.0 First Aid/Emergency Response
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8.1 Are you readily able to identify a First Aider?
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8.2 How many first aid stations are on site?
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8.3 Is the quantity of first aid stations adequate?
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8.4 When was the first aid stations last replenished?
9.0 Environmental Protection
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9.1 Waste stored in correct and marked skips
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9.2 Chemical storage in Secure Facility
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9.3 Spill kits and dip trays provided
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9.4 No evidence of spills Fuel/Oil or Chemical
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9.5 Gas Storage labelled and caged
10.0 Lifting
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10.1 Does the CS173 contain all lifting equipment accessories on site?
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10.2 Is all out of test/faulty plant and equipment located in the sites quarantine area?
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10.3 Select a piece of lifting equipment /lifting accessory and provide service records.
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10.4 Are appropriate lifting plans in place?
11.0 Additional Hazards/Risks/Events identified and not recorded elsewhere within this report
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11.1 Did you (Auditor) witness any near miss, close call, hazardous event or uncontrolled risk during this visit but not recorded elsewhere within this audit? This could include (but not be limited to): Person (s) not wearing the correct PPE for the task being performed/works being undertaken in an unsafe manner or without proper risk control measures in place/poor behaviours such as tomfoolery-bad language-poor attitudes-smoking outside of defined areas etc or other safety event worthy of notice safety event worthy of notice?
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11.2 Provide details below of any near miss, close call, uncontrolled risk, or hazard identified at the site. This must include any issues that were 'Closed Out' at the time of identification.
12.0 NEW - Site Induction
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12.1 Spencer induction delivered, including video
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12.2 Competences being verified and suitable checked
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12.3 Engaging induction delivered
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12.4 CS266 completed and signed onto by all staff and operatives
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12.5 Arm bands issued
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12.6 Operatives PPE checked for suitability
13.0 NEW - Daily Briefing
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13.1 Was the briefing clear, concise and well received?
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13.2 Were those in attendance engaged?
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13.3 Was the daily briefing board fully complete?
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13.4 Was a senior member of staff delivering the briefing?
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13.5 Were the required personnel in attendance?
14.0 NEW - Documentation On Display
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14.1 Lifesaving Rules
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14.2 F10 Form
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14.3 Emergency arrangement/contact details
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14.4 Employers Liability Insurance Certificate
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14.5 Company Policies
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14.6 List of Authorised Signatories for Goods Received
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14.7 Hospital Route Plan
15.0 NEW - Excavation Protection
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15.1 Are deep excavations protected from collapse (trench, supports, drag boxes, battered) and ingress of water/fumes
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15.2 Excavations access ladder secure and permanent when operatives working
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15.3 Is edge protection sufficient for excavations
16.0 NEW - Work At Height
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16.1 Are all ladders safe to use, on a register and being used safely?
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16.2 Are all work at height activities being performed safely?
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16.3 Is edge protection sufficient for heights to prevent falls?
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16.4 Working at height adequate crash deck
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16.5 Working at height safety netting provided
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16. 6 Working at height debris netting provided
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16.7 Mobile scaffolding assembled properly by PASMA trained operatives (where used)
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16.8 Steps appropriate to task and used safely
17.0 NEW - COSHH
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17.1 List the substance last used on site that is subject to the COSHH Regulations
18.0 NEW - Risk Assessment Briefings
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18.1 Is the content of the method statement or task briefing adequate and appropriate for the works taking place?
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18.2 Consider the work presently taking place on site and record the reference number of one of the relevant method statements or task briefing packs
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18.3 What date was the method statement or task briefing last briefed?
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18.4 Does the briefing contain signatures of all operatives?
19.0 NEW - Plant and Equipment
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19.1 Portable power tools being used safely
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19.2 Examine the CS173 document; does it list all Spencer and hired plant?
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19.3 Pick a hired item of plant; state it's ID number and sate next full service is due
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19.4 Daily pre-use checks being completed
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19.5 Suitable weekly checks being undertaken
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19.6 Thorough examination certificates available for relevant equipment
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19.7 Who is undertaking the weekly plant checks and how are they being completed to confirm adequacy?
20.0 NEW - Safety Action Group
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20.1 Was the meeting productive, with engagement from all parties, and did everyone feel able to speak freely?
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20.2 Did everybody participate?
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20.3 Were the correct amount of people in attendance based on the current activities on site?
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20.4 Was a senior member of staff leading the meeting?
21.0 NEW - Point of Work Risk Assessment
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21.1 Is the Point of Work Risk Assessment being used on site?
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21.2 Is it being conducted at the location of works?
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21.3 Is the POWRA being completed by the supervisor?
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21.4 Did the POWRA address the relevant risks?
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21.5 Was an adequate assessment achieved?
22.0 NEW - Railway Works
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22.1 Is the site working ALO? If so, are works properly planned and managed?
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22.2 Is there an ALO site coordinator on site managing the works with an authorised copy of the ALO work plan?
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22.3 Are the control measures and minimum permissible separation distances set out in the ALO plan in place on site?
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22.4 Was this shift/work undertaken in a possession?
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22.5 Is fatigue being managed with travel times inputted onto the CS063 form and authorisation of excessive working hours risk assessments completed for exceedances?
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22.6 Are Sentinel cards being scanned and checked by the site COSS, and are Sentinel swipe in's being checked and monitored?
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22.7 Was the COSS briefing clear, relevant and effective?
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22.8 Is the safety critical equipment in good working order?
23.0 NEW - Safe Working Practices
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23.1 Do operatives hold relevant competences for the tasks they are carrying out?
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23.2 Employees lifting safely where manual handling is required
24.0 NEW - Weekly Safety, Health, Environmental & Quality Inspection (CS053)
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24.1 Did the inspection cover all required areas, equipment and processes outlines in the inspection guidance checklist at the back of the CS053 from?
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24.2 Were any hazards or safety concerns identified and were appropriate corrective actions taken promptly?
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24.3 Did the team involved in the inspection provide detailed notes and documentation for each observation made?
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24.4 Were any recommendations or follow-ups from previous inspections addressed during the weekly safety tour?
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24.5 If close calls were raised, were they identified and are processes in place to ensure these are uploaded onto the close call system?
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24.6 Were photos taken during the inspection, and were they uploaded to the CS053 form?
25.0 NEW - Lead Working
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25.1 Has lead been sampled with analysis reviewed to determine the level of exposure?
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25.2 Has a Safe System of Work been set up and all relevant individuals briefed on this?
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25.3 Are suitable hygiene controls in place on site and suitable to manage the risk? i.e. No smoking/Eating Policy, Washing Facilities, Decontamination Procedure in place?
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25.4 All are exposed operatives wearing suitable protective clothing and RPE?
26.0 NEW - Site Observation
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26.1 What works were taking place on site?
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26.2 How many operatives were involved?
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26.3 Were the activities witnessed safe?
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26.4 Was anything else identified during the site observation that could be improved?
COMPLETION
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Project Representative Signature
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Inspector's Signature
