Title Page
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Site name
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Location
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Conducted on
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Prepared by
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Main contractor(s)
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Operators on site
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Any other persons on site
Untitled Page
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Operation undertaken
- Chemical spraying
- Planting/beating up
- Handweeding
- Scrub cutting
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Is the site clear of rubbish and redundant materials?
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Has a site map and work instruction been issued?
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Do operators on site hold the relevant certificates for the task?
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Is the correct PPE being worn?
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Is there a COSHH assessment?
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Are the controls being followed during mixing, spraying and transportation?
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Are the Forest and Water Guidelines being followed (check buffer zones, mixing/storage areas and collection of water)?
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Is there evidence of spraying on target areas?
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Are there any gaps or missed areas?
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Identify where to the contractor and ensure the area is treated.
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Is the correct dosage, nozzle and chemical being used?
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Is equipment fit for purpose?
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What is the chemical being used?
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Is the weather suitable for spraying?
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Is planting density correct?
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Are trees being stored on site in a way to prevent damage (drought/frost/flooding/browsing)?
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What condition are trees on site in?
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Have trees been planted in the correct place?
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How well have trees been planted?
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Depth, straightness, location on mound, root treatment, plant handling, spacing, quality of tree
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Have the correct trees been beaten up/replaced/left?
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Is site signage required?
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Is it in place?
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What is the forest road condition?
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Is the defect safety critical?
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Are the Forest and Water guidelines being followed?
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General update from visit
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Has there been any unsafe acts or near misses?
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Name of person reporting the near miss
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Date of reporting
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Job title
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Estate
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Enterprise
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Date of the event
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Location
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Who did it involve?
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Who else was there?
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Describe what happened
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What caused this to happen?
- Third party access
- Environmental
- Equipment
- Human error
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What caused this to happen?
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What can we do to stop this happening again?
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What is the target date for this to happen?
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Signature
