Details

Inspector

Date

Site

Staff Present

Description of works

Health & Safety

Site Specific Risk Assessment

Is the SSRA correctly filled in?

Have Covid-19 / Infectious disease arrangement and control measures been considered?

What measures should be put in place?

Manual Handling

Are good manual handling techniques being carried out?

Reason?

Method Statement

Is this correctly filled in?

Have Covid-19 / Infectious disease arrangement and control measures been considered?

What should be considered?

Site Organisation

Fuelling Station - 4m away from work zone?

Reason?

Drip tray / plant nappy being used?

Reason?

PPE – available, used correctly etc.

Reason?

PPE - related to Covid-19 / Infectious Disease available, used correctly etc.

Reason?

Correct cordoning

Reason?

Traffic Management

Reason?

Chipper location/ conversion of debris – suitable & safely undertaken?

Reason?

General Organisation – tidiness, communication

Reason?

Tools and Equipment

Are the safety procedures for the Compact Tractor being carried out?

Reason?

Are the safety procedures for the Rotavator being carried out?

Reason?

Are the safety procedures for the Stone Burier being carried out?

Reason?

Are the safety procedures for the Mover being carried out?

Reason?

Are the safety procedures for the Herbicide Sprayer being carried out?

Reason?

Are the safety procedures for the Strimmer being carried out?

Reason?

Are the safety procedures for the Seeder being carried out?

Reason?

Are the safety procedures for Hedge Cutting being carried out?

Reason?

Are all manufacturers handbook available?

Reason?

Further action required

Vehicles

Vehicles checked and serviceable

Vehicles loaded and secured correctly

Is a fire extinguisher present, correctly stocked and in date?

Action required

Is a First Aid Kit present, correctly stocked and in date?

Action Required

Is Eye Wash present, correctly stocked and in date?

Action Required

Are all vehicle safety features in place and being correctly used

Reason / Action Required

Are Covid-19 / Infectious Disease management currently in stock and in date. ie. Santiser or hand washing facilities etc. ?

Reason?

Environmental Considerations (EC’s)

Have all EC’s been taken into account? – Fuels /oils stored correctly?

Is there a spill kit on site and an environmental emergency plan?

Biosecurity- has this been considered adequately, if applicable

Certification

Employees adequately qualified for tasks being undertaken?

Driver correctly licensed for vehicle combination?

General Comments

Signed

Quality Checks

Staff understand specification, drawing or instruction?

Action required

Works carried out reflect specification, drawing or instruction?

Action required

Staff courteous, polite, smart in appearance and clean vehicles

Has work been completed?

Site left clean, tidy and safe?

Client happy and satisfied with completed works?

Progress of Work

Has expected amount of work been completed?

Reason?

Are there any issues which have slowed work?

Details

Other

Other site notes/observations

Actions Required

Completed confirmation (Name)

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.