Title Page

  • Conducted on

  • Work Pack Number

  • Prepared by

  • Location
  • Name of Operatives

  • Initial Photos of site to show site set up and overview

General Safety and Documentation

  • Point of Work Risk assessment

  • nearest hospital location known

  • Team aware of current location.

PPE

  • Do want to answer the questions on PPE

  • Are all workers on site wearing helmets with hearing and eye protection

  • Are all workers on site wearing chainsaw trousers

  • Are all workers on site wearing chainsaw boots

  • Are all workers on site wearing (except climbers off the ground) wearing HiViz

  • Have Are all workers on site got access to gloves (chainsaw protective or others)

  • Is there an accessible personal first aid kit

Streetworks and site set up

  • Do you want to answer the questions on Streetworks and site set up?

  • Vehicle has been safety parked having regards for workforce and public and all vehicles positioned safely as per the code of practice.

  • Vehicle in good order, tyres, lights brakes etc and maintained clean and tidy inside

  • Site team have access to the Red Book - Safety at Street Works and Roads Work on site

  • Site Personnel have correct NRSWA Accreditation / Registration for the work being executed where required?

  • Site is maintained in a tidy condition, tools, materials stored to avoid hazards.

  • Contractors Information board displayed onsite and this displays appropriate streetworks permit number.

  • Correct size signs / barriers / cones for the speed of road and all plant and equipment placed within the barriers?

  • Pedestrian controls in place

  • Are the safety zones and controls in place sufficient to prevent injury to operatives and members of the public from any activities being carried out?

  • Are vehicles and required plant fitted with fully functional amber flashing beacons

  • If Trailer is being towed is it in a serviceable condition?

  • Is Breakaway cable fitted and is it in good order?

  • Is Electric hook up in good condition?

  • Is the Jokey wheel in a serviceable condition?

  • Sandbags available and used effectively.

Manual Handling

  • Do you want to answer the manual handling questions

  • Where practical mechanical or other means are being used to reduce the need for manual handling

  • Operatives on site have relevant training?

COSHH

  • Do you want to answer environmental questions

  • Spill kits available and accessible incase of emergency.

  • Nappy sack or spill trays used for storing or refueling plant

  • Bio degradable oil used for plant

Plant & Equipment

  • Do you want to answer this section

  • Is the Plant and Equipment (including safety guards) in good condition and suitable for the work?

  • Are Operatives trained and competent to operate the plant and equipment on site in line with their appointed role?

  • Have the daily, weekly and monthly checks been logged in the On site/Inspection Register and has it been kept up to date?

  • Chipper on Site and included in inspection

  • Is the tow hitch attached securely with the break away cable attached and in good condition

  • does it look to have been greased recently

  • does the start/stop (key) work

  • open the bonnet, are the belts at the correct tension (these prevent slippage and log jams)

  • how do they open the hopper and do they have the right tool

  • are the chipper chipper blades sharp

  • close bonnet, do the latches secure it correctly

  • start the engine, ask the team to demonstrate the roller feed actions, do they work as prescribed?

  • ask the team to demonstrate the safety features are in working order (this will stop the feed rollers), does it work?

  • Is the safety zone maintained to ensure people will not in injured when chipping is ejected.

  • Chainsaws/ pole saw on site and included in inspection

  • Type of Chainsaw/ pole saw (serial number)

  • Does the stop switch work

  • Does each saws chain brake work (n/a for pole saw)

  • Does the throttle lock work

  • Is the right hand guard in good condition

  • Are the anti vibration mounts in good condition

  • Is the chain catcher in place

  • Are the Safety stickers in place

  • Do the saws run correctly (ie not running on while the throttle is off)

  • Chains sharp

  • chains tightened correctly (when pulling the chain away from the bar it should expose between 3 an 5 drive links)

  • Do the owners of the saw have the relevant training certs and are competent users

  • Is the chainsaw operator using the the chain break where appropriate (while moving or putting the saw down(if poor, detail why))

  • Do you want to inspect another chain saw /pole saw

  • Type of Chainsaw/ pole saw (serial number)

  • Does the stop switch work

  • Does each saws chain brake work (n/a for pole saw)

  • Does the throttle lock work

  • Is the right hand guard in good condition

  • Are the anti vibration mounts in good condition

  • Is the chain catcher in place

  • Are the Safety stickers in place

  • Do the saws run correctly (ie not running on while the throttle is off)

  • Chains sharp

  • chains tightened correctly (when pulling the chain away from the bar it should expose between 3 an 5 drive links)

  • Do the owners of the saw have the relevant training certs and are competent users

  • Is the chainsaw operator using the the chain break where appropriate (while moving or putting the saw down(if poor, detail why))

  • Do you want to inspect another chain saw /pole saw

  • Type of Chainsaw/ pole saw (serial number)

  • Does the stop switch work

  • Does each saws chain brake work (n/a for pole saw)

  • Does the throttle lock work

  • Is the right hand guard in good condition

  • Are the anti vibration mounts in good condition

  • Is the chain catcher in place

  • Are the Safety stickers in place

  • Do the saws run correctly (ie not running on while the throttle is off)

  • Chains sharp

  • chains tightened correctly (when pulling the chain away from the bar it should expose between 3 an 5 drive links)

  • Do the owners of the saw have the relevant training certs and are competent users

  • Is the chainsaw operator using the the chain break where appropriate (while moving or putting the saw down(if poor, detail why))

  • Do you want to inspect another chain saw /pole saw

  • Type of Chainsaw/ pole saw (serial number)

  • Does the stop switch work

  • Does each saws chain brake work (n/a for pole saw)

  • Does the throttle lock work

  • Is the right hand guard in good condition

  • Are the anti vibration mounts in good condition

  • Is the chain catcher in place

  • Are the Safety stickers in place

  • Do the saws run correctly (ie not running on while the throttle is off)

  • Chains sharp

  • chains tightened correctly (when pulling the chain away from the bar it should expose between 3 an 5 drive links)

  • Do the owners of the saw have the relevant training certs and are competent users

  • Is the chainsaw operator using the the chain break where appropriate (while moving or putting the saw down(if poor, detail why))

  • Do you want to inspect another chain saw /pole saw

  • Type of Chainsaw/ pole saw (serial number)

  • Does the stop switch work

  • Does each saws chain brake work (n/a for pole saw)

  • Does the throttle lock work

  • Is the right hand guard in good condition

  • Are the anti vibration mounts in good condition

  • Is the chain catcher in place

  • Are the Safety stickers in place

  • Do the saws run correctly (ie not running on while the throttle is off)

  • Chains sharp

  • chains tightened correctly (when pulling the chain away from the bar it should expose between 3 an 5 drive links)

  • Do the owners of the saw have the relevant training certs and are competent users

  • Is the chainsaw operator using the the chain break where appropriate (while moving or putting the saw down(if poor, detail why))

  • Do you want to inspect another chain saw /pole saw

  • Type of Chainsaw/ pole saw (serial number)

  • Does the stop switch work

  • Does each saws chain brake work (n/a for pole saw)

  • Does the throttle lock work

  • Is the right hand guard in good condition

  • Are the anti vibration mounts in good condition

  • Is the chain catcher in place

  • Are the Safety stickers in place

  • Do the saws run correctly (ie not running on while the throttle is off)

  • Chains sharp

  • chains tightened correctly (when pulling the chain away from the bar it should expose between 3 an 5 drive links)

  • Do the owners of the saw have the relevant training certs and are competent users

  • Is the chainsaw operator using the the chain break where appropriate (while moving or putting the saw down(if poor, detail why))

  • Do you want to inspect another chain saw /pole saw

  • Type of Chainsaw/ pole saw (serial number)

  • Does the stop switch work

  • Does each saws chain brake work (n/a for pole saw)

  • Does the throttle lock work

  • Is the right hand guard in good condition

  • Are the anti vibration mounts in good condition

  • Is the chain catcher in place

  • Are the Safety stickers in place

  • Do the saws run correctly (ie not running on while the throttle is off)

  • Chains sharp

  • chains tightened correctly (when pulling the chain away from the bar it should expose between 3 an 5 drive links)

  • Do the owners of the saw have the relevant training certs and are competent users

  • Is the chainsaw operator using the the chain break where appropriate (while moving or putting the saw down(if poor, detail why))

  • Blower on site and included in inspection

  • Does the stop switch work

  • Are the anti vibration mounts in good condition

  • are all guards in place

Work At Height

  • Climbing teams on site - inspection of Climbing Kits undertaken

  • Type and serial number notes

  • Climbing Kits and Safety Harness meet required standard and have been inspected by the wearer (looking at the condition they are kept in, preferably dry. check the stitching, the wear on the bridge, and any other load points)

  • Carabineers are clean, and the 3 way locking function works effectively

  • Safety Harness correctly are worn and used by operative where necessary?

  • Visually check the condition of the ropes and friction chord (looking for fraying, glazing, missing cords, nicks, and deformation of the rope)

  • Friction savers (looking for fraying, missing cords, nicks out of both the fabric and the metal, and deformation)

  • Friction devices (looking for nicks and wear, and when it is on the rope does it slip)

  • Evidence of appropriate LOLER inspection undertaken (6 Months)

  • Additional climbing kits to be inspected

  • Type and serial number notes

  • Climbing Kits and Safety Harness meet required standard and have been inspected by the wearer (looking at the condition they are kept in, preferably dry. check the stitching, the wear on the bridge, and any other load points)

  • Carabineers are clean, and the 3 way locking function works effectively

  • Safety Harness correctly are worn and used by operative where necessary?

  • Visually check the condition of the ropes and friction chord (looking for fraying, glazing, missing cords, nicks, and deformation of the rope)

  • Friction savers (looking for fraying, missing cords, nicks out of both the fabric and the metal, and deformation)

  • Friction devices (looking for nicks and wear, and when it is on the rope does it slip)

  • Evidence of appropriate LOLER inspection undertaken (6 Months)

  • Additional climbing kits to be inspected

  • Type and serial number notes

  • Climbing Kits and Safety Harness meet required standard and have been inspected by the wearer (looking at the condition they are kept in, preferably dry. check the stitching, the wear on the bridge, and any other load points)

  • Carabineers are clean, and the 3 way locking function works effectively

  • Safety Harness correctly are worn and used by operative where necessary?

  • Visually check the condition of the ropes and friction chord (looking for fraying, glazing, missing cords, nicks, and deformation of the rope)

  • Friction savers (looking for fraying, missing cords, nicks out of both the fabric and the metal, and deformation)

  • Friction devices (looking for nicks and wear, and when it is on the rope does it slip)

  • Evidence of appropriate LOLER inspection undertaken (6 Months)

  • Additional climbing kits to be inspected

  • Type and serial number notes

  • Climbing Kits and Safety Harness meet required standard and have been inspected by the wearer (looking at the condition they are kept in, preferably dry. check the stitching, the wear on the bridge, and any other load points)

  • Carabineers are clean, and the 3 way locking function works effectively

  • Safety Harness correctly are worn and used by operative where necessary?

  • Visually check the condition of the ropes and friction chord (looking for fraying, glazing, missing cords, nicks, and deformation of the rope)

  • Friction savers (looking for fraying, missing cords, nicks out of both the fabric and the metal, and deformation)

  • Friction devices (looking for nicks and wear, and when it is on the rope does it slip)

  • Evidence of appropriate LOLER inspection undertaken (6 Months)

  • Additional climbing kits to be inspected

  • Are work at height operations being undertaken _ do you want to ask these questions.

  • All operatives working at height have received relevant training for the type of work undertaken?

  • Location of electrical hazards have been identified (LV or HV) and correct controls in place

  • Work at height being undertaken in accordance with WPD safety controls (outside 2m)

  • Emergency rescue plan in place and suitable equipment and training provided?

  • Are the site team climbing trees or poles

  • Two points of attachment for climbing and 3 points of attachment for working used appropriately.

  • Ladders are correctly secured and protected ready for or during use.

  • Ladder in use in good order and inspected regularly

  • Are they communicating well (not necessarily verbal (if poor, detail why))

  • MEWP is in use on site

  • MEWP is in good order, maintained, serviced and covered by a current LOLER inspections

  • Sufficiently trained staff on site to carry out emergency operations (if no stop works)

  • Do all operators hold an ipaf ticket and are familiar with the controls

  • Is the operator working at height wearing a harness, and necessary PPE related to the task including hi viz (if no, detail)

  • Is there good communication between the operator and ground staff (not necessarily verbal (if poor, detail why))

Hygiene / Welfare

  • Do you wish to answer these questions

  • Is the first aid kit accessible and everyone know where it is.

  • Do the Team have First Aid supplies on site as required?

  • All dressing in date and kits in good order

  • Is there a first aider on site?

  • Are Washing Facilities available on site?

  • Are Toilet Facilities / details of the nearest Toilet Facilities on site?

  • Is there an adequate supply of drinking water on site

Environmental

  • Do want to answer these questions

  • Have the site team undertaken necessary pre start checks for nesting birds, bats and other protected animals?

  • Have the site team undertaken necessary pre start checks for TPO and other protected plants affected by their work

  • Environmental controls in place and being effectively followed

  • Noise and dust levels controlled to avoid nuisance to residents and animals

  • Waste and arising being handles and disposed of appropriately.

Other SHE issues / Good Practice not covered

  • Tree works quality is suitable to protect the life of the tree (Tree works meet BS3998)

  • Are they communicating well (not necessarily verbal (if poor, detail why))

  • Are the ground staff operating the chipper safely (turning thr revs down/off while not in use for extended periods of time, feeding the chipper from the side, not pushing brash in past the hopper entrance/curtains with their hands etc )

  • Issues / Good Practice Observed

  • Photographs of Issue / Good Practice

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.