Information
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Site conducted
Maintenance Team Safety Inspection
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Work Order Number
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Conducted on
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Location
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Personnel
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Prepared by
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Add signature
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Are changes required to Risk Assessments?
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Take Photograph of the area
Documentation
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Do all operatives have access to the relevant Risk Assessments and COSHH Assessments?
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Are the Health, Safety and Environmental risks of this work covered by the Estates Dynamic Risk Assessment or other specific Risk Assessments and are all the control measures in place?
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Is the task considerably different to what was expected by the Work Order?
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Are additional Controls required and are they in place?
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STOP THE TASK AND RE-ASSESS
People
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Have all the operatives been trained in the equipment/plant they are using?
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Do the operatives have the right plant/equipment for the task to be carried out?
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Is mobile electrical equipment being used?
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Is the equipment 110 Volt?
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Does the equipment have an in date PAT label?
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If the operatives are working in the vicinity of underground/overhead services, are necessary Control Measures in place?
Access Equipment
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Does the work involve access equipment
STEPLADDERS
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INSPECTING ITEMS RELATED TO THIS SECTION?
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Does the task have to be completed at Height?
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Are steps suitable for the task?
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Do the steps have valid in date Scafftag?
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Has the operator had relevant training in correct use?
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Do operatives have ready access to the relavent Risk Assessment or Operating Procedures for using Step Ladders
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Are SWPs being followed?
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Are the steps Class 1 - industrial or Class 2 - Trade?
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Have the steps been inspected before use?
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Ensure non-conducting steps are used near electrical plant
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Are the steps on a firm base?
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Is the operator aware never to stand on the top step of stepladders?
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When required does the operative know to obtain a second man to foot or use anti slip device?
MOBILE LADDERS
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INSPECTING ITEMES RELATED TO THIS SECTION?
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Does the task have to be completed at Height?
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Is a ladder the most suitable equipment to use for the task?
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Does the ladder have a valid in date Scafftag?
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Has the operator had relevant training in correct use?
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Do operatives have ready access to the relavent Risk Assessment or Operating Procedures for using Ladders
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Are Risk Assessments and Operating Procedures being followed?
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Is the ladder Class 1 - industrial or Class 2 - Trade?
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Have the steps been inspected before use?
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Ensure non-conducting steps are used near electrical plant
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Are the steps on a firm base?
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Can the operative maintain 3 points of contact at all times?<br>NOTE. Ladders should only be used as access equipment not as a Working Platform
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Are items carried limited to 10kgs?<br><br>NOTE: TOOLS MUST ONLY BE CARRIED IN TOOL BELTS
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Is the use of ladders limited to tasks of less than 30 minutes?
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Has the area below been cordoned off or guarded/protected to prevent others knocking the ladder or being struck by falling items?
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Is the ladder set at the correct angle - 4 feet up for every 1 foot out?
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Is the ladder secured at the top with rope or use of ladder stays?<br><br>Where this is not possible, a second man is to foot or use anti slip device!
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Does the ladder extend 5 rungs past the landing, if used to step off?
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Is the operator working safely ie avoiding over-reaching?
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Is the operator avoiding Lone Working?
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Other (please specify)
FIXED LADDERS
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INSPECTING ITEMS RELATED TO THIS SECTION?
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Has operative carried out visual check on condition?
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Are vertical ladders hooped above 2 metres?
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Has operative received relevant training in correct use?
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Do operatives have ready access to the relavent Risk Assessment or Operating Procedures for using Fixed Ladders?
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Are operatives following Risk Assessments or Operating Procedures?
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Is all equipment winched up?
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Are site conditions deemed safe?
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Other (please specify)
MOBILE TOWER SCAFFOLD
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INSPECTING ITEMS RELATED TO THIS SECTION?
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Has the scaffold been erected by a competent trained person? - check In date PASMA
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Do operatives have ready access to the relavent Risk Assessment or Operating Procedures for using Mobile Scaffold?
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Are relavent Risk Assessment or Operating Procedures being followed?
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Has the tower been erected in accordance with the manufacturers patent handbook?
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Has the tower been inspected after erection? Is there a valid in-date signature?
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Is tower clear of all services at height (at least 5m)?
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Is tower only used when weather is fine?
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Are outriggers fully extended and brakes applied?
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Other (please specify)
SCAFFOLDS
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INSPECTING ITEMS RELATED TO THIS SECTION?
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Competent Person supervised Erection?
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Tagged and inspected by Competent Person? Ensure records show that it has been inspected within 7 working days?
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Do operatives have ready access to the relavent Risk Assessment or Operating Procedures for working on Scaffolding?
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Are relavent Risk Assessment or Operating Procedures for working on Scaffolding being followed?
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Base (sills/plates/jacks/casters - secured/level)
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Scaffolding not accessed in high winds
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Platforms (fully planked, secure/proper overhang, condition)
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Access (ladder - attached/integrated in frame)
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Secured to Structure/Outriggers in place
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Guardrails, Toeboards, Personal Fall Prot.
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Other (please specify)
MOBILE ELEVATED WORKING PLATFORM
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INSPECTING ITEMS RELATED TO THIS SECTION?
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Are operatives trained to operate MEWP - CITB/IPAF
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Is MEWP within its LOLER compliance date?
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Does the operative have access to the relavent Risk Assessment or Operating Procedures for working on MEWPs
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Are relavent Risk Assessment or Operating Procedures for working on being followed?
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Is machine stable?
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Are outriggers or stabilisers used where necessary?
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Are users wearing a full safety harness clipped the the machine?
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Is load within the machines safe working load?
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Does work stop if the wind speed or weather conditions deteriorate to an unacceptable level?
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Are there at least 2 operatives at all time?
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Are barriers provided around machine to prevent vehicle collisions?
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IS THERE A RESCUE PLAN IN THE EVENT THAT AN OPERATIVE FALLS FROM THE CAGE?
ROOF WORK
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Does the work involve Roof Work?
Flat Roof Guarded
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INSPECTING ITEMS RELATED TO THIS SECTION?
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Confirm that the Roof is load bearing and edge protection has been confirmed as safe?
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Are the weather conditions suitable ie no high winds or other inclement weather which could jeopardise safe practice?
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Is there sufficient light to start or continue with the job?
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No loose items, loose items must be winched up if using ladders to gain access?
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Is there a risk of items falling to a lower level?
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Hard Hats to be worn?
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Appropriate Signage in Place?
FLAT ROOF UNGUARDED
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INSPECTING ITEMS RELATED TO THIS SECTION?
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If a MEWP can be used. Use it Instead. IF A MEWP CAN NOT BE USED THEN THE MAN SAFE SYSTEM MUST BE USED.
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Can the work be carried out from underneath using a MEWP without the need to stand on the roof?
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Is there a Man Safe system?
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Does the Man Safe system have an in date inspection label attached?
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Is the operative trained on the Man Safe system?
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Are the harness and lanyards where applicable checked before use and in date with insurance inspection?
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Does the lanyard stop the operative reaching the edge of the roof?
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Confirm with Building Surveyor/Supervisor that Roof is load bearing and edge protection has been confirmed as safe?
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Are the weather conditions suitable ie no high winds or other inclement weather which could jeopardise the safety personnel?
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Is there sufficient light to start or continue with the job?
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No loose items, loose items must be winched up not carried?
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Is there a risk of items falling to a lower level?
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Affected area to be cordoned off?
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Hard Hats to be Worn?
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Appropriate Signage in Place?
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IF ANY ITEMS ARE SHOWN AS RED, STOP WORK AND REASSESS TASK!
FLAT ROOF UNGUARDED - SHORT TIME PERIOD ONLY - SHORT TIME IS IDENTIFIED AS MINUTES< NOT HOURS. NO WORK IS TO AKE PLACE WITHIN 2 METRES OF THE EDGE
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Inspecting Items Related to this section?
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Confirm with Building Surveyor/Supervisor that Roof is Load bearing and edge protection has been confirmed as safe?
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Are the weather conditions suitable ie no high winds or other inclement weather which could jeopardise the safety of personnel?
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Is there sufficient light to start or continue with job?
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Is there a risk of items falling to a lower level?
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Affected area to be cordoned off?
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Hard Hats to be Worn?
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Appropriate Signage in Place?
Demarcation are for short work. If work is to be carried out, no closer that 2m from edge
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Is area Demarcated at least 2 metres from edge, demarcation area to be indicated by a continuous physical barrier?
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Is work limited to this area ie from which nobody can fall?
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Is the task subject to close supervision making sure nobody strays outside?
ENVIRONMENTAL CONSIDERATIONS
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Are COSHH products being used?
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Do the operatives have access to COSHH assessment?
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Are Operatives wearing protective equipment iaw COSHH Assessment?
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Are weather and ground conditions increasing any risk on site?
SUMMARY
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Do you have any other health, safety or environmental concerns about the work you have been asked to carry out?
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Are any of the answers RED?
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What are the additional risks you have identified?
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What measures are you planning on taking to control these risks?
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How are you planning to do the work?
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Have you resolved the issue(s) identified from this audit? Have you got everything you need, (the right people, right work equipment and materials) to do the job)
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Brief all the team (who, what, when and how). List all the people below and continue working safely and effectively.
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IF CHANGES AE REQUIRED TO RISK ASSESSMENTS OR OPERATING PROCEDURES, COMPLETE SECTION ON FRONT PAGE BEFORE FORWARDING THE AUDIT
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Enter Auditor's Name and Signature.