Information

  • Add media

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel with Coss/ foreman name/s

  • Internal Job Number

On Site Procedures

  • Are risk assessments and Work Package plan available for and in accordance with the work being carried out?

  • Have all operatives been briefed and booked on site before commencing work?

  • Do employees no what to do if an accident, incident/ close call occurs?

Working On Or Near The Line

  • Has a COSS / Foreman been appointed who is it?

  • Are all operatives certification valid and in date?

  • Is the RT9909 form correct for the works being carried out?

  • Are all staff carrying valid sentinel cards?

Environmental

  • Is the site classified as one of environmental importance? ( If the answer is yes please state the importance)

  • Is a funnel and drip tray being used to prevent spillages or anti spill caps being used?

  • Are measures being carried out on site as to minimise any potential risk to the environment in general and specifically to the site?

  • Are machines and vehicles running to minimise damage to the environment?

Access and Egress

  • Is an authorised access point being used?

  • Is the access and egress being used the most suitable if there was an emergency?

  • Have access points been re-secured upon entry or exit?

  • Are necessary signs in place and in accordance with the work package plan/ method statement?

  • Has there been any visitors on site? (check visitors log)

Welfare

  • Are welfare facilities adequate?

  • Is first aid equipment available on site?

  • Is the first aid kit fully stocked? Check against list in first aid box.

  • Is a fire extinguisher available on site which is in date and operational?

  • Is the vehicle(s) in good order? Tidy? With rubbish removed?

Personal Protective Equipment

  • Are all operatives wearing appropriate PPE for the tasks they are carrying out?

  • Do the team know who to approach for initial and replacement PPE?

  • When PPE is not being used is it stored to prevent damage and deterioration?

Residents and Public

  • Has noise, fumes and dust levels been considered as to possibly cause nuisance to public or residents?

  • Have residents been notified of the works?

  • Have there been any concerns raised by public /residents or neighbouring businesses?

Materials and Hazardous Substances

  • Have all waste materials been stored in a safe and secure manner?

  • Have all new materials been stored in a safe and secure manor?

  • Is there a COSHH assessment available on site for all hazardous substances?

  • Are all liquids and chemicals stored suitably and labelled in the correct containers?

  • Are spill kits available?

Hot Works

  • Is a hot works permit in operation?

  • Is the Person undertaking Hot works competent to do so?

  • Are fire extinguisher(s) on hand during hot works are in progress?

  • What time will hot works cease? How long after ceasing hot works will be available to ensure the area is inspected safely for ignition of fires?

  • Has all combustible materials been removed prior to hot works operations?

  • Is there a nominated person keeping fire watch?

Plant Tools and Equipment

  • Are all plant/ equipment operatives trained?

  • Is all plant and equipment on site in good working order? Are maintenance stickers in date?

  • Are all machines fitted with appropriate working guards?

  • Is plant and equipment being immobilised when not in use?

Excavations

  • Are service drawings available on site and the team leader reviewed the content?

  • Is a permit to dig in operation?

  • Has a cable avoidance tool been utilised and any services clearly marked and recorded in site paperwork?

  • Is the cable avoidance tool in good working order and within calibration?

  • Is the cable avoidance tool operator trained and competent?

Any Other Observations?

  • ....

  • Any Major Non-Conformance's found?

  • Signed by manager

  • Signed by COSS /Teamleader

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.