Title Page
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Conducted on
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Location
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Scheme
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Team Leader
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Personnel on site
1.0 Site Documentation and Arrangements
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Construction Phase Plan available and up to date
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Risk Assessments and Method Statements in date and appropriate for activities undertaken
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First Aid kit present, well stocked and in date
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Fire Extinguisher present, in date and appropriate
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Operatives aware of fire procedure - raising alarm, assembly point etc.
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Eye Wash present, stocked and in date
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COSHH Assessments available and in date
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Hazardous Substances stored and disposed of correctly
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Adequate welfare arrangements in place?
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Vehicle(s) parked safely near work location, keeping pedestrian and vehicle routes clear
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Tools stored safely in vehicles
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Pre-start check completed for WDH vehicles
2.0 Housekeeping
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Materials safely stacked and stored
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Access and egress routes free of obstruction
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No trailing cables / leads
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No spills - if no, how have they been cleaned up?
3.0 Manual Handling
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Operatives trained to lift safely?
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Safe manual handling techniques observed (assisted lifts for +25kg loads?)
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Mechanical aids available and used appropriately?
4.0 PPE
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Correct PPE / RPE worn / used appropriately for task?
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Operatives aware of PPE / RPE replacement procedure?
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PPE / RPE stored away correctly to prevent contamination?
5.0 Access Platforms
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Access Platforms used?
- Ladders
- Step ladders
- Podiums
- MEWP
- None
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Suitable for task and of industrial quality (class 1)
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Tagged in date and in good condition
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Secured / anchored correctly to prevent slippage and resting on a solid surface
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Platform sited to prevent over-reaching
6.0 Work at Height - Scaffold system used?
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Scaffold system used on site? If so, what type?
- Fixed Scaffolding
- Tower Scaffolding
- None
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Scaffold erected, altered and dismantled by competent person (CISRS)
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Inspected, tagged appropriately and up to date
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Base plates, standards, ledgers, braces and struts in correct position
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Toe boards, guard rails, brick guards and ladder gates in correct position
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Foam protection in place where appropriate
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Ladders in good condition, securely planted to firm ground and tied correctly to both stiles
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Outriggers deployed, wheels locked and platform empty when tower is moved
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Used correctly and operatives PASMA trained (Tower)
7.0 Asbestos
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Asbestos containing materials identified as per surveys
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ACMs identified removed by licensed professional
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Operatives Asbestos Awareness trained
8.0 Noise and Vibration
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Noise protection worn as required (RAMS)
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People not involved in work kept safely away from noisy working areas
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Operatives aware of HAVs Exposure limits for their equipment and tools (how long they can use for over 8hr work period)
9.0 Tools and Equipment
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All equipment PAT tested (quarterly)
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RCD / 110v used when necessary
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Work equipment checked and recorded according to PUWER (weekly)
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Tools and equipment in good order, used by competent person
10.0 Excavations
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Excavations conducted?
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Adequate trench support
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Safe access and egress in place
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Barriers erected with warning signs to deter people and materials from falling in
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Stop blocks in place to prevent vehicles falling in
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Frequent inspections conducted and recorded including gas monitoring
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Excavated arising safely stockpiled
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Excavations not affecting neighbouring buildings and structures (any tell tale signs of new subsidence)
11.0 LOLER
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Lifting operations and lifting equipment?
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Competent persons (Slinger/Signaller, Banksman, Crane/Plant Operator/Supervisor)
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Lift plan available, appropriate and safe system of work adhered to
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Thorough examinations for lifting equipment and accessories as per LOLER
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Segregation of operatives / members of public from lifting area
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Checklist completed for mobile crane, tele handler and excavators
12.0 Other
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Apprentices working safely and appropriately supervised
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No other issues to record
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