Static Site Competency Assessment

• Document No.

• Location (including Site Number, if applicable)
  Address

• Date and time of assessment

  Date

• Name and role of assessor

• Name and role of assessee

• Is there a workshop on site that is used by Arcus colleagues?

  Yes

  No

General Condition

• Is the workshop lockable?

  Yes

  No

• Is the workshop kept locked when not in use by Arcus colleagues?

  Yes

  No

• Is the workshop clean and tidy?

  Yes

  No

• Are there any slip or trip hazards in the workshop?

  Yes

  No

• Are all items within the workshop stored safely with heavier items lower down in shelving to aid manual handling?

  Yes

  No

• Please take a photograph of the shelving.

  Media

Tools & Equipment

• Are the tools stored safely?

  Yes

  No

• Select 3 random electric tools from the site (unless previously advised which 3 to sample by the HSQE team).

• Enter item 1, including Make and Model

• Enter item 2, including Make and Model

• Enter item 3, including Make and Model

• Are the power tools safe to use? i.e. free from defects, cables are intact, no major dents or visible performance affecting damage.

  Yes

  No

• Provide a photograph showing the reason it is unsatisfactory.

  Media

• Remove the item from use and instruct the colleague to order a replacement from Procurement.

• Check that the sampled tools are on the approved tool list.
  http://arcusfs01/sites/qms/hs/hssa/Documents/Forms/AllItems.aspx

• Are the tools on the approved tool list?

  Yes

  No

• Remove the item from use and notify Procurement of an approved equivalent if required.

• For item 1: What is the expiration date of the last PAT inspection.

  Date

• For item 2: What is the expiration date of the last PAT inspection.

  Date

• For item 3: What is the expiration date of the last PAT inspection.

  Date

• Are there ladders on site?

  Yes

  No

• Is the ladder on the approved equipment list?

  Yes

  No

• Is the ladder labelled?

  Yes

  No

• Is the inspection for the ladder in date?

  Yes

  No

• Please enter the date of the inspection

  Date

• What is the condition of the ladder?

  Excellent

  Satisfactory

  Unsatisfactory

• Please provide information for why it is unsatisfactory.

• Include a photograph if applicable.

  Media

• Is there a spill kit on site?

  Yes

  No

• What is the condition of the spill kit?

  Excellent

  Satisfactory

  Unsatisfactory

• Please provide a photograph of the spill kit.

  Media

PPE

• Is there a Harness, Lanyard and Transfastener on site?

  Yes

  No

• Are the Harness, Lanyard and Transfastener on the approved PPE list?

  Yes

  No

• Are the Harness, Lanyard and Transfastener labelled?

  Yes

  No

• Is the inspection for the Harness, Lanyard and Transfastener in date?

  Yes

  No

• Please enter the date of the inspection

  Date

• Is the certificate for the Harness, Lanyard and Transfastener present and in-date?

  Yes

  No

• Please enter the expiry date on the certificate

  Date

• What is the condition of the Harness, Lanyard and Transfastener?

  Excellent

  Satisfactory

  Unsatisfactory

• Please provide information for why it is unsatisfactory.

• Select 3 random items from the approved PPE list (unless previously advised which 3 to sample by the HSQE team).
  http://arcusfs01/sites/qms/hs/hssa/Documents/Forms/AllItems.aspx

• Enter item 1, including Make and Model (if available).

• Enter item 2, including Make and Model (if available).

• Enter item 3, including Make and Model (if available).

• Are all three items selected present?

  Yes

  No

• State what items were not present and a reason why (if applicable).

• Are the PPE items safe to use? i.e. free from defects, no visible damage affecting performance / purpose, etc.

  Yes

  No

• Remove the item from use and request a replacement through Arcus Procurement.

COSHH

• Select 3 random COSHH items from the workshop / storage area.

• Enter item 1

• Enter item 2

• Enter item 3

• Check they are listed on the COSHH approved list (follow the link for this list).
  http://arcusfs01/sites/qms/hs/coshh/Documents/Forms/AllItems.aspx

• Are all three selected items present on the approved COSHH list?

  Yes

  No

• State what items weren't on the list and reason why.

• Include a photograph of the item.

  Media

• Are COSHH items in their original container with a label and lids secure?

  Yes

  No

• Are COSHH items stored above a suitable bund?

  Yes

  No

• Take photograph of COSHH storage area.

  Media

Main Office

• Is the office area clean and tidy?

  Yes

  No

• Include a photograph of the office area.

  Media

• Sample three random electronic items i.e. Laptops, PC, Monitor, Other office equipment, etc.

• Is an asset tag / number present on the items?

  Yes

  No

• Asset Number of item 1.

• Asset Number of item 2.

• Asset Number of item 3.

• Have the selected items got a PAT sticker on them?

  Yes

  No

• Item 1: Enter date of inspection.

  Date

• Item 2: Enter date of inspection.

  Date

• Item 3: Enter date of inspection.

  Date

• Are there any slip or trip hazards within the office area?

  Yes

  No

• Please provide details of the hazard.

• Please provide a photograph.

  Media

• If applicable, remove or mitigate the hazard to prevent any harm.

• Are all electrical sockets appropriately loaded? i.e. extension leads not connected to other extension leads, extension plug blocks not being used.

  Yes

  No

• Report the issue and seek advice.

• Are there any lights out in the office area?

  Yes

  No

• Sample three random electronic items i.e. Laptops, PC, Monitor, Other office equipment, etc.

• Is an asset tag / number present on the items?

  Yes

  No

• Asset Number of item 1.

• Asset Number of item 2.

• Asset Number of item 3.

• Have the selected items got a PAT sticker on them?

  Yes

  No

• Item 1: Enter date of inspection.

  Date

• Item 2: Enter date of inspection.

  Date

• Item 3: Enter date of inspection.

  Date

Kitchen Area

• Is there a kitchen on site that is used by Arcus colleagues?

  Yes

  No

• Is the kitchen area clean and tidy?

  Yes

  No

• Sample three random electronic items i.e. Microwave, kettle, toaster, fridge, etc.

• Have the selected items got a PAT sticker on them?

  Yes

  No

• Item 1: Enter date of inspection.

  Date

• Item 2: Enter date of inspection.

  Date

• Item 3: Enter date of inspection.

  Date

• Are there any slip or trip hazards within the kitchen area?

  Yes

  No

• Please provide details of the hazard.

• Please provide a photograph.

  Media

• If applicable, remove or mitigate the hazard to prevent any harm.

• Are all electrical sockets appropriately loaded? i.e. extension leads not connected to other extension leads, extension plug blocks not being used.

  Yes

  No

• Report the issue and seek advice.

• Are there any lights out in the kitchen area?

  Yes

  No

Office Based Worker / Manager

• Is the chosen colleague an office worker?

  Yes

  No

• Colleague's Name

• Colleague's Department

• Has the colleague completed a DSE assessment in the last 12 months.

  Yes

  No

• Insert date of the last DSE assessment

  Date

• Is the colleague aware of how to access TouchPoint for HSQE information?

  Yes

  No

• Is the colleague aware of the site's fire procedures and where their assembly point is?

  Yes

  No

• Is the colleague aware of who their HSQE Champion is?

  Yes

  No

• Name of HSQE Champion given by colleague

• Is the colleague aware of the accident reporting procedures?

  Yes

  No

• Has the colleague had an accident in the last year?

  Yes

  No

• Was the accident reported?

  Yes

  No

• All accidents, incidents and near misses must be reported. Please follow this link to view the procedure for reporting:
  http://arcusfs01/sites/qms/hs/hssp/Documents/Forms/AllItems.aspx

• Is the colleague aware of the Near Miss / Hazard spotting procedure?

  Yes

  No

• All accidents, incidents and near misses must be reported. Please follow this link to view the procedure for reporting:
  http://arcusfs01/sites/qms/hs/hssp/Documents/Forms/AllItems.aspx

• Has the colleague reported any hazards in the last 12 months?

  Yes

  No

Technician

• Is the chosen colleague a Technician?

  Yes

  No

• Colleague's Name

• Colleague's Department

• Has the colleague completed ladder user training?

  Yes

  No

• Insert the date of when the training was completed.

  Date

• Has the colleague completed IPAF training?

  Yes

  No

• Insert the date of when the training was completed.

  Date

• Observe the colleague conducting a task.

• What is the task to be performed? Include a reference number / work order number if applicable:

• Can the colleague demonstrate where the task specific RAMS are?

  Yes

  No

• Task specific RAMS can be accessed through TouchPoint / SharePoint. Please show the Technician how to access these by following the link below.
  http://arcusfs01/sites/qms/hs/default.aspx

• Please list the task specific RAMS for this task.

• Is the colleague aware of the sites fire procedures and where their assembly point is?

  Yes

  No

• The colleague must be aware of the fire procedures and the assembly point. They should familiarise themselves with this before proceeding any further with this assessment.

• Was the task carried out in a safe manner and in accordance with the RAMS?

  Yes

  No

• Please provides reasons for 'No'.

• Is the colleague aware of who their HSQE Champion is?

  Yes

  No

• Name of HSQE Champion given by colleague

• Is the colleague aware of who their Site Environmental Champion is?

  Yes

  No

• Name of HSQE Champion given by colleague

• Is the colleague aware of the accident reporting procedures?

  Yes

  No

• Has the colleague had an accident in the last year?

  Yes

  No

• Was the accident reported?

  Yes

  No

• All accidents, incidents and near misses must be reported. Please follow this link to view the procedure for reporting:
  http://arcusfs01/sites/qms/hs/hssp/Documents/Forms/AllItems.aspx

• Is the colleague aware of the Near Miss / Hazard spotting procedure?

  Yes

  No

• All accidents, incidents and near misses must be reported. Please follow this link to view the procedure for reporting:
  http://arcusfs01/sites/qms/hs/hssp/Documents/Forms/AllItems.aspx

• Has the colleague reported any hazards in the last 12 months?

  Yes

  No

Compliance Register

• What is the percentage of the previous period's Site Compliance Report?

• Are there any outstanding actions that bring the percentage below 100%?

  Yes

  No

• What was the date of the last Compliance Report?

  Date

• Do all outstanding compliance actions have a Work Order raised to resolve?

  Yes

  No

• Instruct the onsite management to raise the work orders that are required.

• Are there any outstanding compliance issues over 6 months old?

  Yes

  No

• Provide the work order number(s) for those that are outstanding.

• Are these raised on the latest exception report?

  Yes

  No

  N/A

• Select a random item from the compliance register that is showing as compliant, and input the work order number:

• What is the date on the compliance register for this item?

  Date

• Log on to Verisae and check the work order number. Is all required paperwork and supporting information present and correct?

  Yes

  No

• Please provide additional information for what is not present / correct.

• Does the date on the compliance register match the Verisae work order information?

  Yes

  No

• Please provide additional information for what the discrepancy is.

• Please take a photo of the Compliance Register.

  Media

PPM Checks

• Select a random PPM completed that week, and input the work order number.

• Routine Check Name

• Arcus Colleague Name

• Date of check completed

  Date

• Is the sheet correctly populated?

  Yes

  No

• Please provide a photograph.

  Media

• Please state what wasn't correct.

• Was the check completed on time?

  Yes

  No

• Were any remedial works identified?

  Yes

  No

• Are all remedial works completed?

  Yes

  No

Building Fabric Checks

• Is a building fabric check required?

  Yes

  No

• Check the following areas, and report on any issues.

• Office areas: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• Plant rooms: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• Car parks: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• Service yards: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• Fuel islands and fuel pumps: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• Storage tanks: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• External buildings: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• FM Storage: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• Colleagues canteen: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• All roof areas: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

• Warehouse: Any issues to report?

  Yes

  No

• What are the issues to report?

• Please provide a photograph of the issues.

  Media

Live Contractor Safety Check

• Is there currently a contractor working on site?

  Yes

  No

• What is the name of the contractor company on site being checked?

• What is the work order number for the task being carried out?

• Enter a brief description of the task being carried out?

• What is the permit number?

• What is the names of the contractor's personnel on site?

• Has the contactor personnel on site been inducted?

  Yes

  No

• Please enter the date of the last induction.

  Date

• Are there suitable RAMS in place for the task they are completing?

  Yes

  No

• Enter the issue date of the RAMS.

  Date

• If the RAMS are not suitable, not present, or the issue date is not within the last 2 years then instruct the contractor to stop work immediately, and contact the HSQE team for further advice.

• Is there Employer's Liability and Public Liability insurances available for this contractor?

  Yes

  No

• Enter the expiration date of the Employer's liability insurance.

  Date

• Enter the expiration date of the Public Liability insurance.

  Date

• If either of the insurance documents are not present, or not valid then instruct the contractor to stop work immediately, and contact the HSQE team for further advice.

• Has monitoring taken place as it has been entered on the Permit to Work?

  Yes

  No

• What type of permit has been issued? (i.e. General / Work at Height / Hot Works / Electrical / Confined Space / Other)

• Is this permit suitable for the type of work the contractor is undertaking?

  Yes

  No

• Instruct the contractor to stop work immediately and obtain the relevant permit, then notify the site management of the occurrence.

• Monitor the contractor working for 5 minutes, are they working safely and as per their RAMS?

  Yes

  No

• Inform the contractor of the appropriate procedure to follow to be working safely.

• Provide a brief explanation for why the work was not safe.

• Is there currently a contractor working on site?

  Yes

  No

• What is the name of the contractor company on site being checked?

• What is the work order number for the task being carried out?

• Enter a brief description of the task being carried out?

• What is the permit number?

• What is the names of the contractor's personnel on site?

• Has the contactor personnel on site been inducted?

  Yes

  No

• Please enter the date of the last induction.

  Date

• Are there suitable RAMS in place for the task they are completing?

  Yes

  No

• Enter the issue date of the RAMS.

  Date

• If the RAMS are not suitable, not present, or the issue date is not within the last 2 years then instruct the contractor to stop work immediately, and contact the HSQE team for further advice.

• Is there Employer's Liability and Public Liability insurances available for this contractor?

  Yes

  No

• Enter the expiration date of the Employer's liability insurance.

  Date

• Enter the expiration date of the Public Liability insurance.

  Date

• If either of the insurance documents are not present, or not valid then instruct the contractor to stop work immediately, and contact the HSQE team for further advice.

• Has monitoring taken place as it has been entered on the Permit to Work?

  Yes

  No

• What type of permit has been issued? (i.e. General / Work at Height / Hot Works / Electrical / Confined Space / Other)

• Is this permit suitable for the type of work the contractor is undertaking?

  Yes

  No

• Instruct the contractor to stop work immediately and obtain the relevant permit, then notify the site management of the occurrence.

• Monitor the contractor working for 5 minutes, are they working safely and as per their RAMS?

  Yes

  No

• Inform the contractor of the appropriate procedure to follow to be working safely.

• Provide a brief explanation for why the work was not safe.

Past Contractor Paperwork Check

• Select a random attendance visit from a contractor in the last month.

• What is the name of the contractor company on the permit?

• What was the work order number for the task being carried out?

• Enter a brief description of the task that was carried out?

• What is the permit number?

• What were the names of the contractor's personnel on site?

• Had the contactor personnel on site been inducted?

  Yes

  No

• Please enter the date of the last induction.

  Date

• Were there suitable RAMS in place for the task they were completing?

  Yes

  No

• Enter the issue date of the RAMS.

  Date

• If the RAMS were not suitable, not present, or the issue date was not within the last 2 years then instruct inform site management, and contact the HSQE team for further advice.

• Was there Employer's Liability and Public Liability insurances available for this contractor?

  Yes

  No

• Enter the expiration date of the Employer's liability insurance.

  Date

• Enter the expiration date of the Public Liability insurance.

  Date

• If either of the insurance documents were not present, or not valid then inform the site management, and contact the HSQE team for further advice.

• Had monitoring taken place as it had been entered on the Permit to Work?

  Yes

  No

• What type of permit had been issued? (i.e. General / Work at Height / Hot Works / Electrical / Confined Space / Other)

• Was this permit suitable for the type of work the contractor is undertaking?

  Yes

  No

• Notify the site management of the occurrence, and inform the HSQE team.

HSQE Notice Board

• Is there a HSQE notice board displayed on site?

  Yes

  No

• Does it have at least the static site HSQE manager and local HSQE Champion contact details displayed?

  Yes

  No

  N/A

• What is the first name displayed?

• What is the second name displayed?

• Are the Arcus insurances displayed?

  Yes

  No

• What is the expiry date on the insurance?

  Date

• Is the site's emergency evacuation procedure displayed?

  Yes

  No

• Is the current HSQE Policy / Statement of Intent displayed?

  Yes

  No

• What is the date of issue for the HSQE policy / Statement of Intent?

  Date

• Is there a law poster displayed?

  Yes

  No

HSQE Communication

• Are all relevant Toolbox Talks kept on file?

  Yes

  No

• Have the Toolbox Talks been read and signed by all employees on site?

  Yes

  No

• Is there at least one year's worth kept on file?

  Yes

  No

• What is the last Toolbox Talk on file?

• Is there a folder with all HSQE comms?

  Yes

  No

• Does it contain at least a year's worth of comms?

  Yes

  No

• What is the last HSQE comms on file?

Site Compliance

• Are all waste streams in the Arcus controlled areas being followed?

  Yes

  No

• Are the Arcus areas clean, tidy and free from waste?

  Yes

  No

• Please include a photo of the Arcus areas.

  Media

• Is all waste being effectively managed on site?

  Yes

  No

• Please provide details of any issues.

• Are there spill kits on site that can be used by Arcus employees?

  Yes

  No

• Have Arcus colleagues been training in the use of spill kits?

  Yes

  No

• Note the colleague(s)' name(s) and arrange training for them.

• Please enter the date of the training.

  Date

• Signature of Assessor

  Sign

• Signature of Assessee

  Sign