Title Page

  • Site conducted

  • Crew

  • Client

  • Job Number

  • Conducted on

  • Prepared by

  • Location

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Documentation

  • CPP / RAMS present, signed onto, being followed

  • Permits to work in place e.g. hot work, lifting, confined spaces

  • Client authorisation in place e.g. TWOSA / TOCOP / Site Access Authorisation

  • Unitspark isolation procedure followed for any safety critical isolations

  • Certificates of isolation in place. Lock out -Tag out system in use

  • Client informed of operation e.g. call to IAB / WOCC

  • Confined space log book in use

  • Lorry loader / crane checklist completed

  • Unitspark vehicle checks completed

Safe place of work

  • Site tidy and dust free, walkways clear and materials stored correctly

  • Arrangements for collection and disposal of waste materials (detail any special waste)

  • Sufficient work lighting. Noise kept to a minimum

  • Suitable protection / signage / barriers to protect others inc members of the public

  • Site left safe and secure if not in use

Hygiene and welfare

  • Smoking rules observed

  • First aid, eyewash, burns kit available and in date

  • Access to toilets, washing facilities provided

PPE

  • Head protection

  • Eye protection (visors etc if jetting or grinding)

  • Respiratory Protective Eqt (RPE) if required

  • Gloves (including any enhanced protection required)

  • Overalls, uniform, high visibilty clothing

  • Protective footwear (safety boots, safety wellingtons, safety waders)

  • Hearing protection

Confined Space eqt

  • Correct gas detectors (check gases present) in use and in date

  • Rescue eqt available e.g. winch, davit, harnesses in good condition and in date

  • BA eqt in date and tested on site

  • Resuscitator available, in date, oxygen cylinder full

  • Escape sets in date and being worn

  • Top person remaining on post at all times

Hazardous substances

  • Safe storage and use (in bund if required)

  • Correct additional PPE available and used as per COSHH RA

  • COSHH RA available on site and signed up to

Work equipment

  • Tools in good condition and used correctly

  • All electrical eqt 110v or battery operated

  • Portable electrical eqt PAT tested and records available

  • Safe means for carrying tools inc work at height

Work at height

  • Safe system of work in place for work at height

  • Suitable edge protection in use

  • Fragile surfaces protected

  • Ladders inspected, secured, pitched correctly and on suitable surface

Scaffolds / work towers

  • Correctly installed - inc access, top rail, intermediate rail, toe board, on stable ground

  • Warning signs erected to prohibit unauthorised use

  • Sufficient bracing / stabilisers

  • Safe means to transport materials to work location

  • Scaffolds scaff tagged and inspections within date

Lifting operations

  • Lift plan, SSoW and permit in place

  • Lifting eqt in good condition, LOLER certs available

  • Crane or other eqt correctly placed

Plant and machinery

  • Dangerous parts correctly guarded, eqt in good repair

  • Evidence of periodic maintenance

  • Operators trained and competent

  • Plant and high hazard eqt immobilised to prevent unauthorised use

Positive observations

  • Positive observations

Remedial actions

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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.