Waterways Ireland

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

A=Requires Immediate attention (Stop Work), B=Address before end of shift, C=Address within an agreed timeframe, OK=No Action, N/A =Not applicable

• Yes

  No

  N/A

• Preliminary Plan, Construction Stage HS Plan & Safety Statement available on file?

  A

  B

  C

  OK

  N/A

• AF1 & AF2 or N10 in place

  A

  B

  C

  OK

  N/A

• Workers briefed on the nature of the works through SOP, RAMS, Risk Assessment or SSWP?

  A

  B

  C

  OK

  N/A

• Documentation submitted by Subcontractors (RAMS, Insurance)?

  A

  B

  C

  OK

  N/A

• Appointments in place for Client, PSDP, PSCS or similar in Northern Ireland?

  A

  B

  C

  OK

  N/A

Training Check

• Site Induction carried out as required?

  A

  B

  C

  OK

  N/A

• Tool box talks carried out as required?

  A

  B

  C

  OK

  N/A

• Training records available for team? (Safe Pass/CSR, CSCS)

  A

  B

  C

  OK

  N/A

Plant/Machinery/Equipment check

• Certification in place for plant, machinery and equipment?

  A

  B

  C

  OK

  N/A

• Weekly Statutory Checks (GA2, AF3, WH1 forms or UK equivalent) carried out?

  A

  B

  C

  OK

  N/A

• Plant, Machinery & Equipment inspected and in safe condition?

  A

  B

  C

  OK

  N/A

Traffic and Public Interface check

• Site secure, no unauthorised entry?

  A

  B

  C

  OK

  N/A

• Traffic Management Plan in place?

  A

  B

  C

  OK

  N/A

• Chapter 8 signage in place by SLG Supervisor or UK equivalent?

  A

  B

  C

  OK

  N/A

• Daily checks on traffic management controls?

  A

  B

  C

  OK

  N/A

• Safe pedestrian access through the site?

  A

  B

  C

  OK

  N/A

• Safe pedestrian access for public?

  A

  B

  C

  OK

  N/A

Welfare facilities & Housekeeping check

• Canteen, toilet and hand wash facilities available for staff?

  A

  B

  C

  OK

  N/A

• Good housekeeping standards/Tidy site?

  A

  B

  C

  OK

  N/A

Access & Work at Height

• Safe access into excavations, openings, canal locks?

  A

  B

  C

  OK

  N/A

• Edge protection system in place?

  A

  B

  C

  OK

  N/A

Excavations or ground openings check

• Excavations safe and inspected daily?

  A

  B

  C

  OK

  N/A

Temporary Works

• Temporary structures in good condition (scaffold, dams)?

  A

  B

  C

  OK

  N/A

Electricity and Services

• Overhead power lines protected as per service supplier COP?

  A

  B

  C

  OK

  N/A

• Underground services identified and located safely as per COP?

  A

  B

  C

  OK

  N/A

• Electrical power tools in safe condition? (PAT Testing certification)

  A

  B

  C

  OK

  N/A

First Aid, Fire & Emergency

• Emergency Procedure in place? (A&E, Doctor)

  A

  B

  C

  OK

  N/A

• First Aider on site or available in close proximity?

  A

  B

  C

  OK

  N/A

• Emergency equipment: first aid kit, life ring, rescue boat, flares, life jackets?

  A

  B

  C

  OK

  N/A

• Fire Hazards are risk assessed and controls in place

  A

  B

  C

  OK

  N/A

• Fire escape plan in place and drills carried out?

  A

  B

  C

  OK

  N/A

• Fire extinguishers present and serviced?

  A

  B

  C

  OK

  N/A

Hazardous substances

• Hazardous substances and chemicals used in compliance with Safety Data Sheet?

  A

  B

  C

  OK

  N/A

• Hazardous substances and chemicals stored correctly?

  A

  B

  C

  OK

  N/A

Environmental/Noise/Vibration or Health

• Environmental controls in place (bunded tanks, spill kits etc)

  A

  B

  C

  OK

  N/A

• Noise, dust, vibration issues under control?

  A

  B

  C

  OK

  N/A

Lifting Operations

• Lifting operations both mechanical & manual under control?

  A

  B

  C

  OK

  N/A

Personal Protective Equipment (PPE)

• Is PPE sufficient for task, check risk assessment?

  A

  B

  C

  OK

  N/A

Sign off

• Inspection carried out by:

• Auditor Signature:

  Sign

• Inspection delivered to:

• Auditee Signature:

  Sign