Worksite Inspection Form

OPERATION DETAILS

• Office Name

• Property Name

• Compartment Number or Site Name

• Location
  Address

• Conducted on

  Date

• Contract Checklist Number.

• Operation (brief description)

• Inspecting Manager' Name

• For this operation does the Inspecting Manager require a BASIS or POWER certificate?

• Initiating Manager's Name

• Is this a certified property?

• What is Scottish Woodlands managerial capacity?

  Select Landowner Forest Works Manager Contractor Sub Contractor

  • Landowner
  • Forest Works Manager
  • Contractor
  • Sub Contractor

• What is the work status?

  In Progress

  Completion

  Maintenance.

  Suspended

• In Progress - Work is proceeding as normal.
  Completion - The job is finished and this is a final check before signing off the job.
  Maintenance - There is no work ongoing as the contractor has stopped work to maintain machinery.
  Suspended - Work has been stopped due to weather, serious non-compliance by contractor or other reason.

CONTRACTOR

• Contractor Name

• Is the Contractor present on site?

• Are they an approved Contractor on Capacity?

  Select Yes No

  • Yes
  • No

• Site Safety Coordinator's Name

• Is the Site Safety Coordinator present on site?

• CONTRACT DOCUMENTATION<br>Is the Contract Checklist, Risk Assessment, Method Statements etc Available on site

  Yes

  No

  N/A

PERSONNEL

• Do all operatives on site meet the following criteria?

• Approved and on Capacity?

  Yes

  No

  N/A

• Suitably qualified?

  Yes

  No

  N/A

• Inducted to site?

  Yes

  No

  N/A

• Have available and are wearing the appropriate PPE?

  Yes

  No

  N/A

• Demonstrate a good professional attitude to their work?

  Yes

  No

  N/A

• Adopt good working practices?

  Yes

  No

  N/A

• Appear free from the influence of drugs and alcohol?

  Yes

  No

  N/A

• Are risk aware?

  Yes

  No

  N/A

WELFARE

• Is there suitable communication on site?

  Yes

  No

  N/A

• Is there an appropriate First Aid kit on site?

  Yes

  No

  N/A

• Are there suitable washing and toilet facilities on site?

  Yes

  No

  N/A

• Is the Emergency Plan appropriate and up to date?

  Yes

  No

  N/A

• Are the Lone Working arrangements appropriate?

  Yes

  No

  N/A

ENVIRONMENT

• Is there adequate oil or chemical spill kits on site?

  Yes

  No

  N/A

• Are all oils, lubricants, fuels and pesticides stored in appropriate locked containers?

  Yes

  No

  N/A

• Is adequate provision of deadwood being made during harvesting operations?

  Yes

  No

  N/A

• Protected Species - Are these surveyed and have adequate provisions been made for their protection?

  Yes

  No

  N/A

• Protected Habitats - Are these adequately marked off and protected from silt etc?

  Yes

  No

  N/A

• Ground Damage - Is this within acceptable limits?

  Yes

  No

  N/A

• Are watercourses running clear and are they free from pollution?

  Yes

  No

  N/A

• Waste/litter Management - Is the site clear of waste and litter?

  Yes

  No

  N/A

EQUIPMENT

• Are all pieces of machinery and equipment in good condition?

  Yes

  No

  N/A

• Fuel and oil systems in good order?

  Yes

  No

  N/A

• Is the machinery or equipment appropriate to the task in hand? Is it up to the job?

  Yes

  No

  N/A

• Are service areas clean and left in a safe condition?

  Yes

  No

  N/A

• Does all machinery have PUWER and LOLER records?

  Yes

  No

  N/A

SITE MANAGEMENT

• Are Threshold Signs in place?

  Yes

  No

  N/A

• Is there appropriate on site safety signs?

  Yes

  No

  N/A

• Goal posts and ground level barriers - Are all power lines and other utilities properly identified and protected?

  Yes

  No

  N/A

• Hazard management measures - Are appropriate measures in place to control other site hazards?

  Yes

  No

  N/A

• Are any risk zones identified and marked? (Eg power line Red Zone)

  Yes

  No

  N/A

• Is the access road safe and in good condition and is there suitable and safe turning space?

  Yes

  No

  N/A

• Is the contractor adopting safe working practices and are these in line with agreed Method Statements?

  Yes

  No

  N/A

• Are timber stacks safe and within agreed working heights?

  Yes

  No

  N/A

• Work at height - Is this being carried out safely. (Harnesses etc)

  Yes

  No

  N/A

• Are any lifting and lowering operations being carried out safely and according to any agreed Lifting Plan?

  Yes

  No

  N/A

• Permit to Dig - Is there an approved permit to dig for any excavations and does it relate to the ongoing operation?

  Yes

  No

  N/A

• Are any other operations on the contract checklist not mentioned above being done safely?

REPORTING REQUIREMENTS

• Have there been any accidents, near misses or safety incidents that the contractor is obliged to report?

  No Incidents

  Reportable Incident

• Have there been any environmental incidents?

  No Incidents

  Reportable Incident

Observations and Corrective Actions

• Enter site observations here.

• Add drawing if required.

  Drawing

• Add photo if required.

  Media

• Add Corrective Action

Corrective Action

• Details of Corrective Action.

• Severity of Corrective Action

  Minor

  Mediun

  Major

• CAPACITY CAR Number

• Proposed Close out date.

  Date

• OUTCOME OF INSPECTION

  Continue ops

  Must Improve

  STOP ALL WORK

ADDITIONAL INSTRUCTION

• Enter details of any additional instructions to the contractor here.

• Add drawing if required.

  Drawing

• Signed Inspecting Manager

  Sign

• Date

  Date

• Signed Senior Manager

  Sign

• Date

  Date

• Declaration by Contractor
  I have read and understood the above and agree to carry out any necessary remedial or corrective actions and/or agree to the additional work identified. I understand that the above forms part of any contract with Scottish Woodlands Ltd.

• Signed Contractor

  Sign

• Date

  Date