Title Page
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Contract Number
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Job Number
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Location
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Date of inspection
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Prepared by
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Team Supervisor
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Additional personnel on site
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Brief description of work activity
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Client
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Executive Summary
Health and Safety
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Daily Risk Assessment (DRA) available and signed off by all relevant staff?
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All persons signed in/out of site?
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Site Managers briefing Instruction completed and briefed to all relevant Safety critical staff in advance of works?
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All site operatives inducted?
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Staff appropriately trained for the works they are carrying out?
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Method Statement & Risk Assessments (RAMS) available and signed by all relevant staff?
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Permit to Work in place?
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NI10 form available?
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Correct PPE being worn? (Behaviour/Compliance)
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Seat belts being worn when operating plant?
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Suitable site access and egress?
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Site security adequate? E.g. fencing, locked gates etc.
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Housekeeping adequate? (Slips, trips, falls, adequate lighting)
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Traffic management (signing / lighting / guarding) in place where applicable?
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Excavations safely guarded / battered back?
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Underground services identified? HSG47
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Weekly inspection of excavations completed?
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Overhead lines protected? GS6
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Is there an appropriate lift plan in place?
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Work at height properly planned?
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Aluminium tower fit for purpose and appropriate inspections carried out?
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Scaffolding fit for purpose and appropriate inspections carried out?
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Work on or near water properly planned?
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Measures in place to manage and control temporary works safely?
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Asbestos Refurbishment & Demolition Survey Report / Register available?
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Are toolbox talks being carried out weekly?
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Are good catches being recorded?
Kit & Equipment
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Tools and Equipment have reflective tape and clearly visible?
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Weekly LOLER inspections completed?
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Weekly PUWER inspections completed?
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Thorough examination certs (TEC) available for all plant & equipment?
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Thorough examination certs (TEC) available for all lifting equipment?
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Daily plant inspections completed?
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CAT & Genny available and calibrated?
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Fire fighting equipment available?
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First Aid Kit (FAK) & Eye Wash stations available?
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Trained first aider on site and known to workers?
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Welfare facilities in place and adequate?
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Portable Appliance Testing (PAT) in place and up to date?
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Any hazards that require immediate intervention not stated above?
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Please state below any other observations identified on site
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Please state below any other observations identified on site
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Please state below any other observations identified on site
Environmental
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All hazardous substances stored correctly? e.g. drip trays
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All hazardous substances labelled correctly?
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Spill kits available?
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Waste disposed of correctly?
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Dust and noise controls in place?
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COSHH Assessments available?
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Please state any other observations identified on site
Quality
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Quality of works to an acceptable standard?
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Company insurance policy available and in-date?
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Company forms used in line with ISO procedures?
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Company procedures adhered too?
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Sub-contractors used for the works approved in line with company procedure?
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Verification sub-contractor has implemented a modern slavery policy and were not in place has agreed to work under ACPL policy?
Signature
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