Watercare Pump Stations H&S Inspection Form

• Project:

• Location
  Address

• Inspection Date:

  Date

• Inspected By:

• Workers/subcontractors Inspected:

SECTION 1: SAFETY

1.0 GENERAL

• 1.1 Field Manual & SHEWMS is readily accessible on site and up to date with information

  Yes

  No

  N/A

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• 1.2 Workers are wearing the appropriate Personal Protective Equipment (PPE) including steel cap boots, high-vis vest / clothing, safety glasses and hard hat as required

  Yes

  No

  N/A

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• 1.3 Specialist PPE is being used appropriately and according to hazardous task

  Yes

  No

  N/A

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• 1.4 PPE is fit for purpose and in good condition?

  Yes

  No

  N/A

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• 1.5 All workers are trained on how to use PPE?

  Yes

  No

  N/A

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• 1.6 Site and/or pathways clear of slip / trip hazards?

  Yes

  No

  N/A

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2.0 HAZARDOUS SUBSTANCES

• 2.1 Is storage for hazardous substances secure and in accordance with the appropriate Material Safety Data Sheets (MSDS)?

  Yes

  No

  N/A

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• 2.2 Is the MSDS available and readily accessible on site for each substance in use?

  Yes

  No

  N/A

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• 2.3 Are all containers labelled clearly?

  Yes

  No

  N/A

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• 2.4 Are gas bottles stored upright and secured?

  Yes

  No

  N/A

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3.0 INDUCTION TRAINING / CERTIFICATES

• 3.1 Have all persons on site undertaken the appropriate induction training?

  Yes

  No

  N/A

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• 3.2 Are personnel appropriately licensed / certified to undertake work where applicable? ( E.G. Excavators, Riggers, Crane drivers, etc)

  Yes

  No

  N/A

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4.0 TOOLS / PLANT

• 4.1 Are tools / plant being used in a safe manner with the required guarding on- site?

  Yes

  No

  N/A

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• 4.2 Are tools & plant stored securely?

  Yes

  No

  N/A

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• 4.3 Are rotating amber beacons fitted and operational on plant?

  Yes

  No

  N/A

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• 4.4 Are reversing alarms fitted and operational on all mobile plant?

  Yes

  No

  N/A

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• 4.5 Are certified ROPS / COPS fitted to plant?

  Yes

  No

  N/A

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• 4.6 Are the operators completing daily pre- start checklists?

  Yes

  No

  N/A

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• 4.7 Are operators wearing seat belts?

  Yes

  No

  N/A

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• 4.8 Are persons working with plant appropriately trained and certified?

  Yes

  No

  N/A

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5.0 SITE SECURITY & PUBLIC PROTECTION

• 5.1 Is the site secure from entry by unauthorised persons, particularly after hours? (Consider both safety and security, remembering that children may try to enter to the site.)

  Yes

  No

  N/A

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• 5.2 Are movements of people on and off site controlled?

  Yes

  No

  N/A

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• 5.3 Is night lighting sufficient?

  Yes

  No

  N/A

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• 5.4 Do pedestrians have safe passage?

  Yes

  No

  N/A

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6.0 TRENCHING, EXCAVATION AND DRILLING

• 6.1 Are there overlay plans available on site?

  Yes

  No

  N/A

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• 6.2 Have all utility services been located using a locating device as per plans?

  Yes

  No

  N/A

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• 6.3 Have all utility services been marked up and positively identified

  Yes

  No

  N/A

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• 6.4 There are appropriate forms of access and egress (E.g. ramps, ladders, etc.) in trenches deeper than one metre?

  Yes

  No

  N/A

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• 6.5Has a daily pre-start inspection been completed on any operating plant or equipment?

  Yes

  No

  N/A

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• 6.6 Are the appropriate physical barricades and signage in place for trenches or excavations deeper than 2m?

  Yes

  No

  N/A

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• 6.7 Are the appropriate barricades, shoring, and screens in place?

  Yes

  No

  N/A

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• 6.8 Is the appropriate signage in place?

  Yes

  No

  N/A

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• 6.9 Is spoil being kept a minimum of 1.5 m from edge of trench for trenches over 1.5m deep or are the sides battered

  Yes

  No

  N/A

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• 6.10 Are ladders founded on a firm footing and are they tied off at the top?

  Yes

  No

  N/A

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• 6.11 Are holes filled at end of shift or adequately covered / protected?

  Yes

  No

  N/A

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7.0 EMERGENCY MANAGEMENT

• 7.1 Are there a sufficient number of trained first-aid staff on-site?

  Yes

  No

  N/A

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• 7.2 Are a sufficient number of first aid kits available and are they properly stocked?

  Yes

  No

  N/A

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8.0 MOTOR VEHICLES

• 8.1 Regular inspections and maintenance carried out?

  Yes

  No

  N/A

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• 8.2 All personnel are appropriately licensed?

  Yes

  No

  N/A

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• 8.3 Parking of vehicles observed correctly?

  Yes

  No

  N/A

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9.0 ASBESTOS MANAGEMENT

• 9.1 There is respiratory protection equipment (RPE), gloves and coveralls available and being used for any suspected asbestos related works?

  Yes

  No

  N/A

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• 9.2 Scoring and breaking of pits and removal process is being wetted down at all times to suppress dust?

  Yes

  No

  N/A

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• 9.3 Heavy duty asbestos disposal bags are being used and all asbestos pieces/debris removed from site?

  Yes

  No

  N/A

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• 9.4 No compressed air or high pressure water is being used on suspected asbestos containing materials?

  Yes

  No

  N/A

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• 9.5 Workers conducting asbestos related works have completed approved asbestos awareness training?

  Yes

  No

  N/A

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• 9.6 Asbestos disposal bags are being stored securely to prevent damage to the bags

  Yes

  No

  N/A

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• 9.7 There is appropriate warning signage displayed around worksite and barriers up to prevent unauthorised entry to worksite when asbestos-related work is taking place?

  Yes

  No

  N/A

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• 9.8 When removing pits suspected of containing asbestos, soil around the pit is also removed and bagged with the asbestos waste?

  Yes

  No

  N/A

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• 9.9 Asbestos removal checklist has been completed?

  Yes

  No

  N/A

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10.0 TRAFFIC MANAGEMENT

• 10.1 Traffic management signs, including speed restriction and advanced warning signage is legible and positioned in accordance with plans and Regulations?

  Yes

  No

  N/A

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• 10.2 Are traffic control measures maintained by an accredited traffic controller when necessary?

  Yes

  No

  N/A

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• 10.3 Are spotters / safety observers present to control traffic movement?

  Yes

  No

  N/A

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• 10.4 Traffic management measures comply with plans and traffic management handbook?

  Yes

  No

  N/A

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• 10.5 Traffic management controls offer adequate protection to workers and the public?

  Yes

  No

  N/A

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11.0 GAS DETECTION / CONFINED SPACE

• 11.1 There is an available type 4 gas detector on site?

  Yes

  No

  N/A

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• 11.2 The gas detector is calibrated, charged and working properly?

  Yes

  No

  N/A

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• 11.3 The gas detector is being used in manholes or confined spaces?

  Yes

  No

  N/A

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• 11.4 Workers are trained and competent to enter confined spaces?

  Yes

  No

  N/A

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• 11.5 A permit has been issued for any confined space entry?

  Yes

  No

  N/A

• Please enter action: