Title Page

  • Document No.

  • Job Number

  • Client

  • Location / Site

  • Conducted on

  • Prepared by

1.0. General

  • 1.01. Emergency procedures/Escape route/Signs. Is the signage adequate to facilitate easy escape from the building? Are escape routes free of hazards?

  • 1.02. Access to/Egress from site. Are access/egress route clear of rubbish and tripping or slipping hazards? Are pedestrian routes separated from vehicles?

  • 1.03. Housekeeping. Have work areas been kept free of unnecessary rubbish & waste materials? Are materials stored appropriately?

  • 1.04. Fire Extinguishers (work areas/offices). Are extinguishers provided where required & is the date on the label within the last 12 month?

  • 1.05. Noise/Lighting/Accommodation. Are lighting levels adequate in offices, access/egress routes & work areas? Is lightning adequate supported? Are offices clean and tidy?

  • 1.06. COSHH. Are COSHH stored correctly? Adequate containment and ventilation issues

  • 1.07.Permits. All/any permits implemented (entry/hot work/electricity)? Have they been completed and signed off?

  • 1.08. Waste disposal. Are there adequate facilities for waste collection, segregation & disposal?

  • 1.09. Canteen/Toilets/Changing facilities. Check the adequate provision and cleanliness

  • 1.10. Is PPE procedure being complied with on site? Wearing of hard hats, hi-vis, gloves, sleeves, eyewear & hearing protection in accordance with MJL policy/site rules. Who is the PPE controller? Lockable storage available?

  • 1.11. Toolbox Talks regularly held? Schedule of toolbox talks planned? Latest topics?

  • 1.12. Risk Assessments/Method Statements. Have RAMS for work being undertaken been approved and communicated? RAMS displayed at workface?

  • 1.13. Site based person responsible for site H&S. Is there a site based person responsible for site H&S for each subcontractor?

  • 1.14. Co-operation with MJL site management. Compliance with site safety rules, RAMS, use of PPE, work equipment, safe starts, etc

  • 1.15. First Aid Kit. Does the first aid kit have the following: contents checklist, contents in-date, last inspection date and by whom?

2.0. Working at Height

  • 2.01. Mobile Towers. Check the general condition of the towers. Do they have clearly visible Mobile Scaffold Tower Registers & Weekly Inspection Record or a Scaff-Tag in date (7 days)?

  • 2.02. Are ladders/steps/podiums/other access equipment controlled? Are the uniquely identified & recorded on weekly inspection record?

  • 2.03. Safety harness. Has use of safety harness been approved by SHE team and have users been trained in their use?

  • 2.04. Tool Tethering. Are all tools tethered for WAH!

3.0. Work Equipment

  • 3.01. Are all items of plant & power tools identified? Are they recorded on site register?

  • 3.02. PAT testing. Have site portable electrical appliances been tested within the last 3 month (MJL & subcontractor)?

  • 3.03. Abrasive Wheels. Is the correct guard in place? Are guards maintained? Are protective screens and warning notices displayed? Are safety goggles & ear defenders being worn?

  • 3.04. Threading Machines. Are guards & foot pedals in place? Are they well maintained?

  • 3.05. Noise exposure - any areas where people standing 2m apart are having difficulty in being heard? If so, it is likely the First Action Level is being exceeded. Is hearing protection (e. g. ear plugs) being used?

  • 3.06. Is MJL hand-arm vibration policy being applied? Have operatives been made aware of MJL policy? Hammer action equipment no more than accumulative 30 mins a day per person. Rotary or other action equipment no more than accumulative 120 mins a day per person.

  • 3.07. Inspect at least two operatives hand tools i. e. hammers, chisels, spanners, files, screwdrivers. Check whether broken/blunt/missing handles/jaws/safety knifes. Include names of operatives checked.

4.0. Lifting Equipment

  • 4.01. All lifting equipment must be identified by a serial number includes loose lifting tackle.

  • 4.02. Lifting gear(includes responsible person). Accessories hung & stored correctly?

5.0. Welding

  • 5.01. Arc welding screens/signage. Provide as part of risk assessment control measures? Is 100% protection by welding screens maintained?

  • 5.02. Are gas cylinders physically secure? CHECK! Are they stored correctly?

  • 5.03. Mixing chamber and tubes. CHECK! Are they maintained in good condition?

  • 5.04. Storage cage provided? Oxygen & flammable gas separated? Ventilation, signage. Have these been identified in a risk assessment and provided, where applicable, with clear separation of gas & oxygen bottles (min 3M spacing)?

  • 5.05. Hot Work Permits. Have they been issued, complied with & closed out?

  • 5.06. Goggles/overalls/gloves etc. Is the correct PPE being used?

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.