Information
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Project Name
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Project Number
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Project Team
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Client
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Conducted on
Previous Report Date:
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Have all previous reports internal/external been closed out
Site safety
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Access Equipment/Edge Protection/Scaffolding
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Action Code
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Clear Routes/Walkways/Housekeeping/Materials
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Action Code
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Plant, Machinery & Lifting Equipment/ Appliances (Test Certification)
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Action Code
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Fire appliances/fire alarm systems/drills/signage
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Action Code
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Others (electricity, confined spaces, asbestos)
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Action Code
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Project Manager close out section<br>Signature<br>Date
Public/Visitors/Operatives
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Protection/Appearances
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Action Code
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Trip/Slip/Fall Hazard
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Action Code
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PPE/RPE
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Action Code
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Road Street Works Management (is adequate control in place for deliveries)
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Action Code
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Has site been CCS registered (date)
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Action Code
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Project Manager close out section<br>Signature<br>Date
Welfare/Health
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Suitability/Cleanliness (offices, toilets, welfare facilities) (CDM 15 Requirements)
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Action Code
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HAVs Control/ Manual Handling
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Action Code
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Notices/Posters
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Action Code
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Accidents
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Action Code
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COSHH/Noise/Dust/Asbestos
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Action Code
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Project Manager close out section<br>Signature<br>Date
Management
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Safety Records/Statutory Registers/Permits to Work
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Action Code
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RAMS
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Action Code
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Safety Reviews/Safety Tours/Communication/ Training Certification<br>Action Code:<br>Score:
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Action Code
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Site Security/Site Entry/Safety Visible/Corporate Image<br>Action Code:<br>Score:
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Action Code
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Environmental Issues/SWMP/Waste Disposal/Spill Kit
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Action Code
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Project Manager close out section<br>Signature<br>Date
Audit Completion
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TPS Representative Overview
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TPS Inspector
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Project Representative:
Guideline to the scoring matrix
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A=. Same Day.
B=. Within 24hrs.
C=. Within 3 days.
D=. Within 7 Days.
O=. Observation
Guide to scoring
10. = Excellent Approach to H&S
8. = Meets company policy
1-7 = Concerns
0. = Uncontrolled Risks/No Safe System of Work (SSOW)
80 - 100. Excellent approach to health and safety
70-80. Good safe systems of work and meets Company Expectations
50-70. Site just set up/ A better proactive approach to H&S required
<50. Standards below Company requirements