Worksite Inspection Form (Nov 2012 version) - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Inspection Time

  Date

Operation Details

• Office

• Is site UKWAS certified?

  Yes

  No

  N/A

• Initiating Manager

• Inspecting Manager

• Operation

• Manager BASIS/POWER Qualified?

  Yes

  No

  N/A

• SW Managerial Capacity

  Land Owner

  Contractor

  Sub-Contractor

• Work Status

  Select Pre-commencement Progress Snagging Completion Maintenance Customer Care

  • Pre-commencement
  • Progress
  • Snagging
  • Completion
  • Maintenance
  • Customer Care

Contractor Details

• Contractor Present; If yes complete rest of section if no move on to next section

  Yes

  No

  N/A

• Contractor Name

• Contractor present?

  Yes

  No

  N/A

• Contractor approved and certified for work being carried out?

  Yes

  No

  N/A

• Site Safety Coordinator Name

• Site Safety Coordinator Present?

  Yes

  No

  N/A

• Contract Checklist, etc Available

  Yes

  No

  N/A

Work Site Management (answer yes if ok)

• Threshold Signs

  Yes

  No

  N/A

• Safety Signs

  Yes

  No

  N/A

• Goal Posts/Ground Level Barriers

  Yes

  No

  N/A

• Hazard Management Measures

  Yes

  No

  N/A

• Risk Zones Identified ( e.g. Red Zone)

  Yes

  No

  N/A

• Access Road and Turning Adequate

  Yes

  No

  N/A

• Work Method per Method Statement

  Yes

  No

  N/A

• Timber Stacking Safe

  Yes

  No

  N/A

• Work at Height

  Yes

  No

  N/A

• Lifting and Lowering

  Yes

  No

  N/A

• Permit to Dig issued. Is it Valid

  Yes

  No

  N/A

• Felling Licence and Site Boundaries

  Yes

  No

  N/A

Reporting Requirements - ( answer yes if ok)

• Accident, Near Miss or Safety Incident

  Yes

  No

  N/A

• Environmental Incidents

  Yes

  No

  N/A

Emergency Planning/Welfare - (Answer yes if ok)

• Communications on Site

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• First Aider(s)

  Yes

  No

  N/A

• Welfare

  Yes

  No

  N/A

• Emergency Plan

  Yes

  No

  N/A

• Lone Working Controls

  Yes

  No

  N/A

Personnel - (Answer yes if ok)

• Changes

  Yes

  No

  N/A

• Inducted

  Yes

  No

  N/A

• Competent/Qualified

  Yes

  No

  N/A

• PPE

  Yes

  No

  N/A

• Appropriate Attitude

  Yes

  No

  N/A

• Good Work Practices

  Yes

  No

  N/A

• Drugs/Alcohol

  Yes

  No

  N/A

• Risk Aware

  Yes

  No

  N/A

Equipment - (Answer yes if ok)

• Fit for Purpose/Good Condition

  Yes

  No

  N/A

• Oil Leaks or contamination

  Yes

  No

  N/A

• Appropriate to task

  Yes

  No

  N/A

• Service Areas Clean

  Yes

  No

  N/A

• PUWER/LOLER

  Yes

  No

  N/A

Environmental - ( Answer yes if ok)

• Spill Kit

  Yes

  No

  N/A

• Fuel/Oil/Pesticide Storage

  Yes

  No

  N/A

• Biodegradable Oil

  Yes

  No

  N/A

• Deadwood Management

  Yes

  No

  N/A

• Protected Species & Licences

  Yes

  No

  N/A

• Protected Habitats & Licences

  Yes

  No

  N/A

• Ground Damage

  Yes

  No

  N/A

• Water Quality

  Yes

  No

  N/A

• Waste/Litter Management

  Yes

  No

  N/A

Grass Management

• Is this feature present on site

  Yes

  No

  N/A

• Amenity Grass Cut

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Rough Grass Cut

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Wildflower

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weed Control

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Litter Collection

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Shrub Bed Management

• Is this feature present on site

  Yes

  No

  N/A

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Stocking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Litter Collection

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Pruning

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Play Area Management

• Is this feature present on site

  Yes

  No

  N/A

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

• Vandalism

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Graffiti

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Hedge Management

• Is this feature present on site

  Yes

  No

  N/A

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Pruning

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Stocking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Standards

• Is this feature present on site

  Yes

  No

  N/A

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Tie Adjustment

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Should Stakes and Ties be removed?

  Yes

  No

• If Stakes and Ties should be removed enter location of trees on site

• If any of the above questions are answered as poor or unacceptable provide detail here.

Fence Management

• Is this feature present on site

  Yes

  No

  N/A

• Weed control

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Damaged

  Yes

  No

• If any of the above questions are answered as poor or unacceptable provide detail here also note any damage.

Young Woodland Management

• Is this feature present on site

  Yes

  No

  N/A

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Pruning

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Stocking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• General Health

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

Mature Woodland Management

• Is this feature present on site

  Yes

  No

  N/A

• Safety

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Litter Picking

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• Weeding

  Good

  Acceptable

  Poor

  Unacceptable

  Not Applicable

• If any of the above questions are answered as poor or unacceptable provide detail here.

General Observations or Corrective Actions

• NB Check previous WIFs for outstanding issues. Can these be closed out?

• Number of new Corrective Action(s) Raised

Additional Instructions

Customer Care - Report

• Provide details of Customer Care Number and Details of Findings

• Photos to be attached if applicable

  Media

I have read and understood the above and agree to carry out any necessary corrective actions or agree to the additional instructions identified. I understand the above forms part of any contract with Scottish Woodlands LTD.

Inspection Completion

• Signature of Contractor/Safety Co-ordinator

  Sign

• Position of Above Signatory

  Contractor/Safety Co-ordinator

• Further Correspondence with Contractor

  Yes

  No

  N/A

• Signature of person inspecting

  Sign

• Company Position

  Manager

  Senior Manager

• Signed Senior Manager

  Sign