Title Page
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Client Name
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Workplace Name / Address
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Principal Contractor
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Visit Date
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Safety Consultant
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Person(s) Met With During Inspection
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Brief Description of the Workplace and Current Works
Workplace Inspection Checklist
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Health and Safety Documentation (Policy, Insurances, HSL Poster, F10)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Health and Safety Communication (Inductions, Toolbox Talks, Briefings, Signage, Notices)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Construction Phase Health and Safety Plan (CPP)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Risk Assessments and Method Statements (RAMS)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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COSHH (Substance Storage and Handling)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Statutory Inspections (Scaffolding, Plant, Equipment, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Training Cards / Certificates
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Emergency Procedures (Fire Precautions, First Aid Provisions)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Asbestos Management
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Welfare Facilities (Condition, Cleanliness, Availability)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Housekeeping, Material Storage and Waste Management
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Site Security / Warning Measures (Fencing, Signage, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Traffic Management Arrangements (Plan, Segregation, Work Access)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Works at Height
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Lifting Operations (Plan, Equipment, Training)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Temporary Works
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Groundworks / Excavations
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Plant and Equipment (Selection, Guarding, Condition, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Portable Tools and Equipment (Selection, Guarding, Condition, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Demolition
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Electrics / PAT
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Occupational Health (Dust, Noise, HAVS, Manual Handling, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Accidents / Incidents / Near Misses (Reporting Procedures, Recent Occurrences)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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PPE / RPE (Selection, Condition, Use, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
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Other
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Principal Contractor
- Client
Completion
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Any Further Comments / Actions
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Completed By: (Name & Signature)