Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Time Started
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Time Finished
Inspection Team members
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Attitude
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Angry
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Preoccupied
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Quick Tempered
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Focused/Quality work
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Looking after a mate
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Co-operative
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Taking the initiative
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Day dreaming
- Yes
- No
- N/A
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Other:
PPE Condition and Compliance
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Glasses
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Ear Protection
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Boots
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Overalls (Jacket and Trousers)
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Versaflo RPE
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Dust Mask
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Face shield
Working at Height
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Scaffolding
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Edge Protection
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Scaftag and signage
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Ladder tied to platform
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Area around scaffold taped or barriered off
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Mobile Elevating Work Platform (MEWP)
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Harness worn by those in the platform cage
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Area taped or barriered off
Electricity
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Access to electrical cabinets and sub stations clear
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Trailing Electrical leads are clear of walkways
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Electrical leads in good condition (no bare wires or damaged insulation)
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Sufficient plugs with switches for equipment being used
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Are RCD,s (Residual Current Devices) in use
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Portable Appliance Test (PAT) in date
Position Of People
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Manual Handling
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Fighting Stance (Strong Safe Position)
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Green Zone (Weight between their feet)
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Lift with their Big Muscles (Push the ground down. using their legs)
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Moving their feet to turn (No Twisting)
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Repetitive movements
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Stepping up or down
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Risk of striking against
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Are they Pulling a load or equipment
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Are they Pushing a load or equipment
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Restricted Space or pinch points
Equipment and Plant
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Guards Fitted and working
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Gas Cylinders. Stored (Inside) upright and chained in a cylinder trolley or frame. (Outside) in a locked cylinder cage.
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Storage. Materials and Equipment have a safe place to be stored.
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Pre-start checks for Cranes, FLT, Bobcat and manipulators have been carried out
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Cranes, FLT, Bobcat and Manipulators are being operated safely
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FLT has a working warning beacon and reversing alarm
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Powered Hand tools in a good state of repair with no signs of damage
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Hand tools have no damage or excessive wear
Environment and Housekeeping
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Safe Access and Egress
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Housekeeping
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Hoses and cables
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Erosion, wear and tear or damage to the building or the grounds
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Flora and Fauna (Weeds, Rodents and Birds)
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Noise
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Dust
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Sediment
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Spillages
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Bunding and chemical storage
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Odours and fumes
Work Practices
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JSA (Job Safety Analysis)
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CoSHH (Control of Substances Hazardous to Health)
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Material Safety Data Sheet available
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Cupboard to place CoSHH materials into
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Permits (Hot Work, Working at Height or Electrical)
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Isolations/Correct use of Locks (Lock Out Tag Out)
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Barricades
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Signage/Labels (Missing damaged or worn)
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Confined Space Working
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Is there an Observer
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Are Tag Lines in use