Title Page
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Prepared By
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Conducted on
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Brief Description of Area Inspected and Ongoing Works
Health and Safety Inspection
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Health and Safety Documentation (Policy, Insurances, HSL Poster)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Are RAMS / SOPS Developed for the Activities and On Display
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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COSHH Arrangements (Substance Documentation, Storage, Waste and Handling)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Health and Safety Communication (Briefings, Inductions, Toolbox Talks, Notices, Signage)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Emergency Arrangements (First Aid Provisions, Fire Precautions)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Operatives PPE / RPE
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Occupational Health (Noise, Dust, Manual Handling, HAV's)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Welfare Arrangements (Condition, Cleanliness, Availability)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Workplace Environment (Lighting, Temperature etc)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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General Housekeeping Standards
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Material Storage Arrangements (Racking, Location, Signage)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Waste Management
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Traffic Management (Plan, Segregation, Access)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Yard and Parking Arrangements (Access, Security, Cleanliness, Storage, etc)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Lifting Operations (Plan, Equipment, Accessories, Training)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Plant and Vehicle (Conditions, Use)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Machinery / Equipment (Selection, Guarding, Conditions, Use)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Pressure Systems (Gas / Air)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Welding Arrangements
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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LEV Systems
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Portable Tools and Equipment (Selection, Guarding, Conditions, Use)
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Electrical Equipment, Tools, PAT Records
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
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Other
- Compliant
- Non-Compliant
- Advice
- Potential for Injury
- Not Seen at Time of Visit
- Not Applicable
Completion
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Completed By: (Name and Signature)
