Welcome Break Health and Safety Advisors Report Checklist

• Date and Time of Visit

  Date

• Personnel Seen

• Contract Name

• Copies To

• Prepared by

• Location
  Address

• INSTRUCTIONS
  
  1. Answer "✔" - No Significant Problem, "A" - Immediate Action Required, "B" - Corrective Action Required, "C" - Information/Advice or "N/A" on the questions provided below.
  2. Add Photos in "Image" and Comments in "Note" on the items needed.
  3. Add a Corrective Measure by tapping on "Action", then provide a description, assign to a member, set priority, and due date.
  4. Complete the audit by providing a digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Inspection

• 1. Construction Phase Plan

  ✔

  A

  B

  C

  N/A

• 2. RAMS

  ✔

  A

  B

  C

  N/A

• 3. Induction Training

  ✔

  A

  B

  C

  N/A

• 4. Signing In

  ✔

  A

  B

  C

  N/A

• 5. Protection to the Public

  ✔

  A

  B

  C

  N/A

• 6. Welfare Facilities

  ✔

  A

  B

  C

  N/A

• 7. Site setup / access / pedestrian routes

  ✔

  A

  B

  C

  N/A

• 8. First Aid

  ✔

  A

  B

  C

  N/A

• 9. COSHH / Health Hazards

  ✔

  A

  B

  C

  N/A

• 10. Permit to Work

  ✔

  A

  B

  C

  N/A

• 11. Working Places

  ✔

  A

  B

  C

  N/A

• 12. Means of Access to Working Places

  ✔

  A

  B

  C

  N/A

• 13. Working at Height / Fragile surfaces

  ✔

  A

  B

  C

  N/A

• 14. Scaffolding

  ✔

  A

  B

  C

  N/A

• 15. Falling Objects

  ✔

  A

  B

  C

  N/A

• 16. Stability of Structures

  ✔

  A

  B

  C

  N/A

• 17. Demolition

  ✔

  A

  B

  C

  N/A

• 18. Excavations/Earthworks

  ✔

  A

  B

  C

  N/A

• 19. Underground/Overhead Services

  ✔

  A

  B

  C

  N/A

• 20. IPAF/ PASMA/CSCS/ Asbestos Awareness

  ✔

  A

  B

  C

  N/A

• 21. Inspections & Reports

  ✔

  A

  B

  C

  N/A

• 22. LOLER

  ✔

  A

  B

  C

  N/A

• 23. PUWER

  ✔

  A

  B

  C

  N/A

• 24. Display of Signs & Notices

  ✔

  A

  B

  C

  N/A

• 25. Fire Precautions

  ✔

  A

  B

  C

  N/A

• 26. Emergency Routes/Exits

  ✔

  A

  B

  C

  N/A

• 27. Emergency / Evacuation Procedures

  ✔

  A

  B

  C

  N/A

• 28. Lighting

  ✔

  A

  B

  C

  N/A

• 29. Housekeeping/Storage of Materials

  ✔

  A

  B

  C

  N/A

• 30. PPE

  ✔

  A

  B

  C

  N/A

• 31. Nuisance — Noise, Dust

  ✔

  A

  B

  C

  N/A

• 32. Enforcement Visits e.g. HSE, Internal Visit

  ✔

  A

  B

  C

  N/A

• 33. Planning — Matters of Forthcoming Work

  ✔

  A

  B

  C

  N/A

Completion

• Site Manager's Name and Signature

  Sign

• H&S Advisor's Name and Signature

  Sign