Title Page

  • To be completed by Project Supervisor or Nominated person weekly from the start of construction work on site. Completed forms are to be kept readily available (preferably on site) for the duration of construction works, after which time shall form part of the CDM Health & Safety file.

  • Sensible Monitoring Audit Completed By:

  • Site Manager:

  • Contract Number:

  • Project Title:

  • Conducted on

General

  • Any H&S actions identified shall be entered onto Audit / Inspection Action Log and brought to the urgent attention of the appropriate personnel as soon as possible. Contractor / Project Manager to be notified of actions required / taken.

  • 1) Are Emergency Procedures available on site?<br>Are all operatives aware of them ?

  • Comments:

  • Attach any images relevant to question 1 here.

  • 2) Have all Operatives been inducted to the project and received E & US training?

  • Comments:

  • Attach any images relevant to question 2 here.

  • 3) Are the welfare facilities adequate and is there appropriate first aid provision on site?<br>(Numbers of Appointed person / First Aiders, Locations / Contents of Kit)

  • Comments:

  • Attach any images relevant to question 3 here.

  • 4) Is the correct P.P.E for the task being worn? <br>(Check condition, age, storage, training)

  • Comments:

  • Attach any images relevant to question 4 here.

  • 5) Is the site tidy and free from trip hazards and is there safe access and egress available for all?

  • Comments:

  • Attach any images relevant to question 5 here.

  • 6) Are all operatives competent to perform tasks? <br>(Check CITB, CSCS Cards, Training Records etc.) *Competent to erect, alter and inspect scaffolds or operate mobile elevated platforms.

  • Comments:

  • Attach any images relevant to question 6 here.

  • 7) Are guardrails present where there is a possibility of people falling? <br>(Should be 950mm high)

  • Comments:

  • Attach any images relevant to question 7 here.

  • 8) Is there a method by which people working below are protected from falling objects?

  • Comments:

  • Attach any images relevant to question 8 here.

  • 9) Any work being carried out from ladders?<br>a) Could this be avoided?

  • Comments:

  • Attach any images relevant to question 9 here.

  • 10) If access ladders are in use, are they secured, at a suitable angle, and protruding sufficiently above the landing platform? (Ladder Register)

  • Comments:

  • Attach any images relevant to question 10 here.

  • 11) If harnesses are being work, are the employees trained in their use and inspections?<br>a) Are inspection records available?

  • Comments:

  • Attach any images relevant to question 11 here.

  • 12) Is the lanyard of the shortest practicable length and have arrangements been made to rescue someone should they fall?

  • Comments:

  • Attach any images relevant to question 12 here.

  • 13) Have any fragile materials been identified? <br>a) Are warning signs displayed?

  • Comments:

  • Attach any images relevant to question 13 here.

Scaffolds

  • 14) Has the scaffold been designed , erected, altered and inspected by a competent person? <br>a) Are inspection records available?

  • Comments:

  • Attach any images relevant to question 14 here.

  • 15) Are warning signs displayed alerting employees when scaffold is not to be used?

  • Comments:

  • Attach any images relevant to question 15 here.

  • 16) Is the scaffold adequately braced and toe boards present?

  • Comments:

  • Attach any images relevant to question 16 here.

  • 17) Is the scaffold tied onto a permanent structure?

  • Comments:

  • Attach any images relevant to question 17 here.

  • 18) Is access from the ladder onto the platform achieved safely e.g. no ducking under poles, stepping across gaps etc.

  • Comments:

  • Attach any images relevant to question 18 here.

  • 19) If scaffold towers are in use, are they adequately braced, wheels locked and access achieved by climbing inside of them?

  • Comments:

  • Attach any images relevant to question 19 here.

Powered Access Equipment (MEWPS, Cherry Pickers, Scissor Lifts)

  • 20) Have all items received a thorough examination within the last 6 months? <br>a) Is all certification available?

  • Comments:

  • Attach any images relevant to question 20 here.

  • 21) Are weekly checks carried out and recorded?

  • Comments:

  • Attach any images relevant to question 21 here.

  • 22) Are all operators competent to operate the type of machine site?

  • Comments:

  • Attach any images relevant to question 22 here.

  • 23) Are harnesses worn by all operatives while in the MEWP and not secured to other items?

  • Comments:

  • Attach any images relevant to question 23 here.

  • 24) When in use, is there a safety zone around the MEWP to prevent injury to others and collision with other vehicles?

  • Comments:

  • Attach any images relevant to question 24 here.

Sign Off Audit

  • Print Name:

  • Signature:

  • Project Manager Name:

  • Signature:

  • Designation:

  • Select date

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