Stonbury - Safety Inspection Check Sheet

• Project Name

• Team

• Inspector’s Name

• Location
  Address

• Date

  Date

• Inspection Type

  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

Welfare Facilities

• 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

  Yes

  No

  N/A

  NI

Site Documentation

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

  Yes

  No

  N/A

  NI

• Esite set up including inductions, training records

  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 Talk(s) given

  Yes

  No

  N/A

  NI

• Insurance Certificate

  Yes

  No

  N/A

  NI

• Emergency Contact Details

  Yes

  No

  N/A

  NI

Site Cabin / Compound / Storage

• 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

• Smoking area / Mobile phone area

  Yes

  No

  N/A

  NI

• Waste Skip(s)

  Yes

  No

  N/A

  NI

• Storage containers

  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

Signage

• Site signage as per Encyclopaedia

  Yes

  No

  N/A

  NI

Personal Protective Equipment

• What Personal protective equipment (PPE) is the Site Team wearing : 5 points of PPE, Safety Boots, Glasses, Gloves, Hard Hat, Hi-viz

  Yes

  NO

Site permits in place and operational

• 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

• Client Permit

  Yes

  No

  N/A

  NI

Excavations

• 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

Scaffolding Fixed / Alloy Tower

• 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

Confined Space Entry

• 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

• Water Space Hygiene Equip

  Yes

  No

  N/A

  NI

Plant & Work Equipment

• Daily Inspections / Service Records

  Yes

  No

  N/A

  NI

• Plant Register inspections

  Yes

  No

  N/A

  NI

• LOLER & PUWER records

  Yes

  No

  N/A

  NI

• PAT Testing

  Yes

  No

  N/A

  NI

• HAVs Records / Vibrational Values

  Yes

  No

  N/A

  NI

• Life Vests / Throw lines

  Yes

  No

  N/A

  NI

Traffic Management

• Traffic / Pedestrian Plan

  Yes

  No

  N/A

  NI

• Pedestrian routes demarcated

  Yes

  No

  N/A

  NI

• Movement of plant controlled

  Yes

  No

  N/A

  NI

• Banksman appointed

  Yes

  No

  N/A

  NI

Access & Egress

• Lighting

  Yes

  No

  N/A

  NI

• Parking

  Yes

  No

  N/A

  NI

• Access stairways

  Yes

  No

  N/A

  NI

• Protection of the public

  Yes

  No

  N/A

  NI

• Overhead Obstructions – Power cables

  Yes

  No

  N/A

  NI

Lifting Operations

• 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

Demolition

• 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

Environmental Controls

• Environmental / impact Assessment / IMS on site

  Yes

  No

  N/A

  NI

• Waste Carriers Licence

  Yes

  No

  N/A

  NI

• Noise / Dust / Vibration / Contamination controls

  Yes

  No

  N/A

  NI

• Waste Transfer/ Consignment Notes on site

  Yes

  No

  N/A

  NI

Additional Details

• Comment

• Copy of Safety Inspection upload onto portal

  Yes

  No

  N/A

Completion

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

  Sign