Stonbury - Environment Agency Safety Inspection Check Sheet

• Project Name

• Team

• Inspector’s Name

• Location
  Address

• Date

  Date

• Type of Inspection

  On Site

  Off Site

  After Work

• INSTRUCTIONS
  ----------------------
  1. Please answer all the questions below.
  2. Add photos and notes by clicking on the paperclip icon
  3. To add a Corrective Action 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

• Scope of the Works

Site Safety Inspection

• EA - SHEW CoP Section 2.6 and 4.8 : Welfare Facilities

  Yes

  No

  N/A

• Proprietary Welfare facilities compliant to CDM Regs 2015 on site.

  Yes

  No

  N/A

  NI

• Drinking Water

  Yes

  No

  N/A

  NI

• Toilet rolls/ Unisex sign / Hand towels / Antiseptic wipes/ Sanitary bags.

  Yes

  No

  N/A

  NI

• DEB Hand Care Station / Sun cream

  Yes

  No

  N/A

  NI

• EA - SHEW CoP Section 4.11 – 4.34 : Site Documentation

  Yes

  No

  N/A

• Site File – RAMS, COSHH, Inductions, Site Rules, training records

  Yes

  No

  N/A

  NI

• EA Construction Site Safety & Environmental file on site

  Yes

  No

  N/A

  NI

• EA SHEW Cop on site

  Yes

  No

  N/A

  NI

• F10 & Health & Safety Posters

  Yes

  No

  N/A

  NI

• Site Fire Risk Assessment

  Yes

  No

  N/A

  NI

• Construction Phase Plan

  Yes

  No

  N/A

  NI

• Temporary Works Register with working drawings / instruction

  Yes

  No

  N/A

  NI

• Relevant Tool Box Talks given

  Yes

  No

  N/A

  NI

• Insurance Certificate

  Yes

  No

  N/A

  NI

• Emergency Contact Details

  Yes

  No

  N/A

  NI

• EA - SHEW CoP Section 4.13 : Site Cabin / Compound / Storage 5 m away from fuel store

  Yes

  No

  N/A

• Hospital Details

  Yes

  No

  N/A

  NI

• First Aid Box, Eye wash & Burns kit

  Yes

  No

  N/A

  NI

• Hot Topic, Safety Alert, Environ board

  Yes

  No

  N/A

  NI

• Client’s permit / isolation

  Yes

  No

  N/A

  NI

• Fire Extinguisher(s)

  Yes

  No

  N/A

  NI

• Barriers / Demark compound

  Yes

  No

  N/A

  NI

• Mobile phone area

  Yes

  No

  N/A

  NI

• Waste Skip(s)

  Yes

  No

  N/A

  NI

• Drip trays / Plant Nappies & Spill kits

  Yes

  No

  N/A

  NI

• Storage Bunds / Gas Cage

  Yes

  No

  N/A

  NI

• Site Security

  Yes

  No

  N/A

  NI

• Steel Containers / Plant Safe

  Yes

  No

  N/A

  NI

• EA - SHEW CoP Section 4.6 : Signage

  Yes

  No

  N/A

• Site signage as per Encyclopaedia

  Yes

  No

  N/A

  NI

Task Specific Inspection

• EA - SHEW CoP Section 4.14 : Site permits in place and operational

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

  NI

• To Dig

  Yes

  No

  N/A

  NI

• Working at Height

  Yes

  No

  N/A

  NI

• Hot Works

  Yes

  No

  N/A

  NI

• Isolation Permit

  Yes

  No

  N/A

  NI

• Permit to enter

  Yes

  No

  N/A

  NI

• Client Permit

  Yes

  No

  N/A

  NI

• EA - SHEW CoP Section 4.20 : Excavations

  Yes

  No

  N/A

• CAT & Genny scans completed

  Yes

  No

  N/A

  NI

• Soils away from excavation

  Yes

  No

  N/A

  NI

• Excavation battered back / stepped

  Yes

  No

  N/A

  NI

• Trench box / Shoring

  Yes

  No

  N/A

  NI

• Excavation daily inspection

  Yes

  No

  N/A

  NI

• Signage / Barriers

  Yes

  No

  N/A

  NI

Task Specific Inspection

• EA - SHEW CoP Section 4.22 : Scaffolding Fixed / Alloy Tower

  Yes

  No

  N/A

• Scaff tag / Inspect records / Handover

  Yes

  No

  N/A

  NI

• Toe boards in place

  Yes

  No

  N/A

  NI

• PASMA Stabilisers deployed

  Yes

  No

  N/A

  NI

• PASMA Wheels locked

  Yes

  No

  N/A

  NI

• EA - SHEW CoP Section 4.23 : Confined Space Entry

  Yes

  No

  N/A

• Permit to enter open, safety equipment operational

  Yes

  No

  N/A

  NI

• Harnesses tagged and in date

  Yes

  No

  N/A

  NI

• Stretcher and Rescue Plan

  Yes

  No

  N/A

  NI

• Tripod & Winch certification

  Yes

  No

  N/A

  NI

EA - SHEW CoP Section 2.13, 4.15 - 4.25 : Plant & Work Equipment

• Daily Inspections / Service Records

  Yes

  No

  N/A

• Plant Register inspections

  Yes

  No

  N/A

• Plant Bio Oil Certificate

  Yes

  No

  N/A

• LOLER & PUWER records

  Yes

  No

  N/A

• PAT Testing

  Yes

  No

  N/A

• HAVs Records / Vibrational Values

  Yes

  No

  N/A

• Life Vests / Throw lines

  Yes

  No

  N/A

• No plant within 2 meter of water bank unless a dynamic risk assessment has been completed and signed off.

  Yes

  No

  N/A

EA - SHEW CoP Section 4.26 : Traffic Management

• Traffic / Pedestrian Plan

  Yes

  No

  N/A

• Pedestrian routes demarcated

  Yes

  No

  N/A

• Movement of plant controlled

  Yes

  No

  N/A

• Banksman appointed

  Yes

  No

  N/A

EA - SHEW CoP Section 4.26 : Access & Egress

• Lighting

  Yes

  No

  N/A

• Parking

  Yes

  No

  N/A

• Access stairways

  Yes

  No

  N/A

• Protection of the public

  Yes

  No

  N/A

• Overhead Obstructions – Power cables

  Yes

  No

  N/A

• EA - SHEW CoP Section : Lifting Operations

  Yes

  No

  N/A

  NI

• Lifting Plan

  Yes

  No

  N/A

  NI

• Signaller / Slinger Appointed / banks man

  Yes

  No

  N/A

  NI

• Lifting equipment certificated

  Yes

  No

  N/A

  NI

• EA - SHEW CoP Section : Demolition

  Yes

  No

  N/A

  NI

• Demo Plan

  Yes

  No

  N/A

  NI

• Ensure stability of structure(s)

  Yes

  No

  N/A

  NI

• Disconnection of services Isolation

  Yes

  No

  N/A

  NI

Task Specific PPE

• High Impact eye wear (drilling/grinding)

  Yes

  No

  N/A

  NI

• Flame proof clothing (hot works)

  Yes

  No

  N/A

  NI

• Chin straps for hard hats

  Yes

  No

  N/A

  NI

• Spare Visitors PPE

  Yes

  No

  N/A

  NI

• Half Mask with Face fit Testing

  Yes

  No

  N/A

  NI

Additional Details

• Comments

• Copy of Safety Inspection upload onto portal

  Yes

  No

  N/A

Conclusion

• No Near Misses Raised

• No STIG’s Raised

Completion

• Site Inspection Signed Off By : (Name & Signature)

  Sign