Title Page
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Site conducted
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Crew
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Client
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Job Number
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Conducted on
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Prepared by
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Location
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Documentation
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CPP / RAMS present, signed onto, being followed
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Permits to work in place e.g. hot work, lifting, confined spaces
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Client authorisation in place e.g. TWOSA / TOCOP / Site Access Authorisation
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Unitspark isolation procedure followed for any safety critical isolations
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Certificates of isolation in place. Lock out -Tag out system in use
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Client informed of operation e.g. call to IAB / WOCC
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Confined space log book in use
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Lorry loader / crane checklist completed
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Unitspark vehicle checks completed
Safe place of work
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Site tidy and dust free, walkways clear and materials stored correctly
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Arrangements for collection and disposal of waste materials (detail any special waste)
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Sufficient work lighting. Noise kept to a minimum
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Suitable protection / signage / barriers to protect others inc members of the public
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Site left safe and secure if not in use
Hygiene and welfare
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Smoking rules observed
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First aid, eyewash, burns kit available and in date
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Access to toilets, washing facilities provided
PPE
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Head protection
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Eye protection (visors etc if jetting or grinding)
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Respiratory Protective Eqt (RPE) if required
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Gloves (including any enhanced protection required)
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Overalls, uniform, high visibilty clothing
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Protective footwear (safety boots, safety wellingtons, safety waders)
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Hearing protection
Confined Space eqt
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Correct gas detectors (check gases present) in use and in date
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Rescue eqt available e.g. winch, davit, harnesses in good condition and in date
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BA eqt in date and tested on site
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Resuscitator available, in date, oxygen cylinder full
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Escape sets in date and being worn
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Top person remaining on post at all times
Hazardous substances
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Safe storage and use (in bund if required)
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Correct additional PPE available and used as per COSHH RA
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COSHH RA available on site and signed up to
Work equipment
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Tools in good condition and used correctly
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All electrical eqt 110v or battery operated
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Portable electrical eqt PAT tested and records available
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Safe means for carrying tools inc work at height
Work at height
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Safe system of work in place for work at height
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Suitable edge protection in use
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Fragile surfaces protected
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Ladders inspected, secured, pitched correctly and on suitable surface
Scaffolds / work towers
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Correctly installed - inc access, top rail, intermediate rail, toe board, on stable ground
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Warning signs erected to prohibit unauthorised use
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Sufficient bracing / stabilisers
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Safe means to transport materials to work location
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Scaffolds scaff tagged and inspections within date
Lifting operations
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Lift plan, SSoW and permit in place
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Lifting eqt in good condition, LOLER certs available
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Crane or other eqt correctly placed
Plant and machinery
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Dangerous parts correctly guarded, eqt in good repair
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Evidence of periodic maintenance
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Operators trained and competent
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Plant and high hazard eqt immobilised to prevent unauthorised use
Positive observations
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Positive observations
Remedial actions
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