Title Page

  • Conducted on

  • Project Name

  • Scope of Works

  • Name of Inspector & Job Title

  • Accompanied by & Job Title

Documentation

  • Construction Phase Plan available and reflects current site conditions

  • F10 Displayed

  • Insurance Liability Certificate displayed and in date

  • Health and Safety Law Poster displayed and appropriately completed

  • First aider details displayed and relevant for number of persons on site

  • Site emergency arrangements displayed and appropriate for current site conditions

  • Nearest A&E details displayed

  • Traffic Management plan displayed and reflect current site conditions

Emergency Arrangements

  • First aid box available

  • Soluble eye wash station available

  • Means of raising alarm

Welfare Facilities - Suitable and sufficient?

  • No. of sanitary conveniences available for no. of people on site

  • Sanitary conveniences and washing facilities adequately ventilated and lit

  • Sanitary conveniences clean and appropriately stocked with toilet roll

  • Washing facilities provided for the no. of persons on site and in immediate vicinity of sanitary conveniences and changing rooms

  • Washing facilities have a supply of soap (or other suitable means of cleaning), clean hot and cold, or warm water

  • Availability of towels or other suitable means of drying

  • Washing facilities clean and tidy

  • Washing facilities large enough to wash forearms

  • Adequate supply of drinking water

  • Drinking water conspicuously marked by appropriate sign with sufficient availability of cups or other drinking vessels unless supply is in slow jet form

  • No. of changing rooms available, with enough seating and means of drying clothing

  • Lockers provided where special clothing is not taken home

  • Rest rooms or rest area provided for the no. of people on site

  • Rest rooms equipped with adequate no. of tables and seats for no. of people on site

  • Rest room clean and tidy and maintained to appropriate temperature

Security

  • Site security arrangements

  • Other

Actions required

  • Immediate actions taken and/or to be taken

  • Additional photos

  • Enter name of assessor before signing

  • Enter name of Site Manager before obtaining their signature

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.