Information

  • Add Photo of Front Elevation

  • Property Name

  • Site Address
  • Project Reference Number:

  • Contractor

  • Weather at time of visit

  • Visit Date

  • Who was on site?

  • Prepared by

CDM, Health and Safety

  • Were you able to gain safe access to the property?

  • Why could you not access the site?

  • Is the property clean, tidy & safe?

  • Contractor to make arrangements to clean down the site to ensure safe access during works.

Site Control

  • Hazard board and signage up-to date

  • Contractor to make arrangements to update the hazard board and signage.

  • Safety inductions in place

  • Safety inductions to be applied by the principle contractor

  • Safety notice board current

Site Facilities

  • Office clean, adequate and good lighting

  • Contractor to make necessary arrangements to ensure that the site is clean with good lighting.

  • Smoking area / shed/ Agreed location

  • Smoking area to be adjusted in accordance with the pre contract meeting report.

  • Toilets clean with wash facilities

  • Principle contractor to ensure that the toilets are clean and suitable as wash facilities.

  • Tool / equipment sheds/ storage adequate

General Site Tidiness and Accessways

  • Clear, safe access to work areas

  • Stairways and accessways clear

  • Hoardings / fences and gates secure

  • Loose materials secure from wind

Personal Safety Equipment

  • Signage displayed and legible

  • Hard hats being worn

  • Correct footwear being worn

  • Task PPE worn

First Aid / Fire Prevention

  • First aid box available

  • Accident book on site

  • Fire points located

  • Evacuation procedures in place

  • Assembly point located

Additional site safety checks

  • Additional site safety checks to be included where necessary

  • Additional Health and Safety Checks

  • Cranes/ Hoists Lifting: Lift plan in place and communicated

  • Cranes/ Hoists Lifting: Crane certificate current

  • Cranes/ Hoists Lifting: Slings / chains certified

  • Cranes/ Hoists Lifting: Operator procedures in place

  • Cranes/ Hoists Lifting: Inspections in place

  • Cranes/ Hoists Lifting: Emergency plan in place

  • Plant & Equipment: In good condition

  • Plant & Equipment: Inspections in place

  • Plant & Equipment: Operator licence / certification in place

  • Excavations: Correctly shored and inspected

  • Permits to work: Hot work permit in place

  • Permits to work: Permit to dig in place

  • Permits to work: Electrical permit in place

  • Permits to work: Other permits

  • Electrical Equipment: Leads tested and damage free

  • Electrical Equipment: Leads safely placed

  • Electrical Equipment: Transformer located safely

  • Electrical Equipment: Equipment in good condition and tested

  • Electrical Equipment: Adequate lighting

  • COSHH: Correctly stored

  • COSHH: MDS and Coshh sheets on site

  • Tools: PAT tested

  • Tools: Operatives trained in use

  • Scaffolding: Handover certificate on site

  • Scaffolding: TG20 compliance sheet or design on site

  • Scaffolding: Scaf Tag displayed and checked weekly

  • Scaffolding: Scaffold entered onto the temp works schedule

  • Scaffolding: Scaffold checked by the SM

  • Ladders/ Steps: Good condition

  • Ladders/ Steps: Tagged / inspected

  • Ladders/ Steps: Used correctly

  • Fall Hazards: Edge protection in place

  • Temporary Works: Schedule up to date

  • Temporary Works: Items signed off by Temporary Works Co-ordinator

  • Temporary Works: Information attached to schedule

Site Report

Present Position

  • Progress / activity on site since previous report

  • Add progress photos

On Site Progress

  • Is the project on plan?

  • Why have the works been delayed?

  • Has an Extension of time been requested by the contractor?

  • The contractor will need to issue an extension of time request to the contract administrator including the reason for delays, supporting evidence and and updated programme of works.

Planned activity

  • Overview of planned activity in next two weeks

  • Decisions / Choices req'd:

Variations

  • Is a variation to the contract required?

  • Variation Requested

  • The contractor will require official approval to proceed in the form of a contract instruction or formal email correspondence. The contract administrator will need to review all variation requests.

Valuations

  • Is a valuation required / requested by the contractor?

Valuation request

  • Percentage of works completed on site

  • The contract administrator will issue a payment certificate based on the works completed to date.

Action plan following this visit

  • Please provide details of any actions / choices that are required in order to progress the repairs, when this needs to be done and who needs to action this.

    If actions are required then tap on the "Add Action required" button. For each additional action either hit that button again or tap the "+ Add" button.

  • Action required
  • What needs to be done next in order to move this repair forward?

  • Specify the person / party responsible for this action

  • Person (s) responsible for the action.

  • When does action need to be taken by?

Any additional comments

  • Additional comments

Sign Off

  • Add signature

Contract Administrator

  • Contract Administrator information

  • Phone Number:

  • Email Address:

  • Phone Number:

  • Email Address:

  • Phone Number:

  • Email Address:

  • Phone Number:

  • Email Address:

  • Phone Number:

  • Email Address:

  • Phone Number:

  • Email Address:

  • Phone Number:

  • Email Address:

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  • Email Address:

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.