Title Page
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Conducted on
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Project Name
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Scope of Works
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Name of Inspector & Job Title
- Les Smith - Principal Designer
- Ben Storey - Principal Designer
- Ian Brading - Health, Safety & Business Manager
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Accompanied by & Job Title
Documentation
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Construction Phase Plan available and reflects current site conditions
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F10 Displayed
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Insurance Liability Certificate displayed and in date
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Health and Safety Law Poster displayed and appropriately completed
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First aider details displayed and relevant for number of persons on site
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Site emergency arrangements displayed and appropriate for current site conditions
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Nearest A&E details displayed
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Traffic Management plan displayed and reflect current site conditions
Emergency Arrangements
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First aid box available
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Soluble eye wash station available
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Means of raising alarm
Welfare Facilities - Suitable and sufficient?
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No. of sanitary conveniences available for no. of people on site
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Sanitary conveniences and washing facilities adequately ventilated and lit
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Sanitary conveniences clean and appropriately stocked with toilet roll
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Washing facilities provided for the no. of persons on site and in immediate vicinity of sanitary conveniences and changing rooms
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Washing facilities have a supply of soap (or other suitable means of cleaning), clean hot and cold, or warm water
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Availability of towels or other suitable means of drying
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Washing facilities clean and tidy
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Washing facilities large enough to wash forearms
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Adequate supply of drinking water
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Drinking water conspicuously marked by appropriate sign with sufficient availability of cups or other drinking vessels unless supply is in slow jet form
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No. of changing rooms available, with enough seating and means of drying clothing
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Lockers provided where special clothing is not taken home
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Rest rooms or rest area provided for the no. of people on site
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Rest rooms equipped with adequate no. of tables and seats for no. of people on site
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Rest room clean and tidy and maintained to appropriate temperature
Security
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Site security arrangements
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Other
Actions required
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Immediate actions taken and/or to be taken
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Additional photos
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Enter name of assessor before signing
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Enter name of Site Manager before obtaining their signature