Information
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Client:
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Job:
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Conducted on:
-
Sheet:
-
Client No:
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Principal Contractor:
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Advisor:
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Received by:
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Time on site:
-
Time off site:
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Overall Site Rating
- Excellent
- Above Average
- Below Average
- Poor
- Appalling
Section 1
-
Plant/Machinery
- OK
- NA
-
Item Number
-
Registers
- OK
- NA
-
Item number
-
Demolition
- OK
- NA
-
Item number
-
Guarding
- OK
- NA
-
Item number
-
Fencing
- OK
- NA
-
Item number
-
Portable Tools
- OK
- NA
-
Item number
-
Electricity
- OK
- NA
-
Item number
-
Gases
- OK
- NA
-
Item number
-
PPE
- OK
- NA
-
Item number
-
Health Hazards
- OK
- NA
-
Item number
-
Welfare
- OK
- NA
-
Item number
Section 2
-
First Aid
- OK
- NA
-
Item number
-
Traffic Routes
- OK
- NA
-
Item number
-
Housekeeping
- OK
- NA
-
Item number
-
Public Interface
- OK
- NA
-
Item number
-
Site Security
- OK
- NA
-
Item number
-
Lifting Accessories
- OK
- NA
-
Item number
-
Health and Safety Policy
- OK
- NA
-
Item number
-
Safety Plan
- OK
- NA
-
Item number
-
Method Statement
- OK
- NA
-
Item number
-
Risk Assessments
- OK
- NA
-
Item number
-
COSHH Assessments
- OK
- NA
-
Item number
Section 3
-
H&S Law Poster
- OK
- NA
-
Item number
-
Insurances
- OK
- NA
-
Item number
-
Safety Signage
- OK
- NA
-
Item number
-
Fire Plan / Routes
- OK
- NA
-
Item number
-
Evidence of Task Training
- OK
- NA
-
Item number
-
Evidence of Inductions
- OK
- NA
-
Item number
-
Ladders
- OK
- NA
-
Item number
-
Access Equipment
- OK
- NA
-
Item number
-
Scaffolding
- OK
- NA
-
Item number
-
Excavations / Earthworks
- OK
- NA
-
Item number
-
Lifting Appliances
- OK
- NA
-
Item number
Overview
-
Overview
-
Client Signature
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Consultant Signature
Section 4
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Client:
-
Job:
-
Date
-
Sheet No:
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Item
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Action (By when/whom
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React
-
Comments
-
Item
-
Action (By when/whom)
-
Rect
-
Comments
-
Item
-
Action (By when/whom
-
Rect
-
Comments
-
Item
-
Action (By when/whom
-
Rect
-
Comments
-
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