Title Page

  • Conducted on

  • Inspectors Name

  • Site Foreman/Supervisor

  • Location

Untitled Page

  • Is the vehicle parked safely and legally?

  • Condition of exterior including tyres

  • Condition of interior including cab cleanliness

  • Safety Barriers and hazard warning sign displayed where required?

  • Suitable fire extinguisher available on site?

  • Is the extinguisher free from defects and displaying a valid service sticker (serviced within the last 12 months)?

  • Fully stocked first aid kit including eyewash available?

  • Are all items in date?

Scaffolding

  • Scaffolding at least 2 feet from insulated power lines of less than 300 volts?<br>

  • Scaffolding at least 10 feet from insulated power lines of 300 volts or more?

  • Scaffolding at least 10 feet from all uninsulated power lines?

  • Is the scaffolding suitable for the tasks undertaken?

  • Suitable baseplates in place?

  • Platforms fully boarded and wide enough for the work and for access (at least 600mm wide)

  • Is the gap between boards less than 50mm?

  • Are all boards free from damage/ wear & tear and in a suitable position?

  • Toe boards sufficient to prevent falls and any material or objects rolling or being kicked off the edge of the platform?

  • Are all braces and tie ins suitably placed both vertically and horizontally to prevent tipping?

  • Is the gap between the scaffold board and the structure less than 225mm?

  • Are suitable guardrails in place (top guard rail at least 950mm above any edge from which people are liable to fall)

  • Sufficient number of intermediate guard rails or suitable alternatives positioned so that the unprotected gap does not exceed 470 mm?

  • Is the scaffolding and access ladder displaying a valid inspection tag (inspected by a competent person within the last 7 days)?

  • Does the access ladder exceed at least 1 meter past the landing platform?

  • Scaffold access gate in a suitable position and in good working order?

  • Loading bays fitted with fall protection, preferably gates, which can be safely moved in and out of position to place materials on the platform?

  • Are loading bays suitable for the materials stored and displaying a SWL?

  • Is unauthorised access prevented?

Tools & Equipment

  • All tools and equipment in good working order?

  • All tools and equipment suitable for the task and being used safely?

  • All electrical tools & equipment displaying a valid PA test sticker (within the last 6 months)?

  • Condition of access equipment such as ladders and hop-ups?

  • All access equipment including ladders and hop-ups displaying a valid inspection sticker (inspected within the last 3 months)?

  • Tools and equipment stored safely when not in use?

  • Hazardous substances/materials stored and handled safely?

PPE

  • Suitable Hi-Vis worn and in acceptable condition?

  • Suitable Hard Hat worn where required and in acceptable condition?

  • Suitable safety boots worn and in acceptable condition?

  • Suitable RPE being worn when required (e.g. When handling hazardous materials/substances, drilling into brick work etc)? RPE including filter in acceptable condition?

  • Suitable gloves being worn when required (e.g. When handling hazardous materials/substances, anti-cut gloves when using tools such as the Stanley Trimming Knife)?

  • All other PPE such as safety glasses/goggles and ear defenders being worn correctly when required and in a suitable condition?

H&S Documentation

  • RAMS available and relevant to the tasks undertaken?

  • POWRA completed by the site foreman/supervisor?

  • COSHH RA & SDS sheets available?

  • Construction Phase H&S plan available?

  • Asbestos R&D survey available?

  • H&S Training certificates and evidence of competency available?

  • Site register up to date and filled out correctly?

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.