Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

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

  • Drip tray / plant nappy being used?

  • Reason?

  • PPE – available, used correctly etc.

  • Reason?

  • Correct cordoning (if relevant)

  • 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

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

  • Are the plants and materials to the specification required

  • Comment

  • 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

  • Is the condition of the soil affecting the job at all? ie. completion date and health and safety implications

  • Comments

  • Has expected amount of work been completed?

  • Reason?

  • Are there any others issues which have slowed work?

  • Details

  • Photos of work progress

Other

  • Other site notes/observations

  • Actions Required

  • Completed confirmation (Name)

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.