WYGCPHSPC 2016.

• Site /project Location
  Address

• Principal Contractor

• Conducted on

  Date

• Prepared by

• Principle Contractor representative on site.

• Other personnel

Site set up, Statutory Notices, Security and Facilities.

• Site entrance H&S notices

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Site security, was access controlled?

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Are all facilities well sign posted and safely accessible?

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Are the WC facilities suitable for the amount of contractors on site?

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Is there a suitable first aid station on site?

  Yes

  No

  At Risk

• Add media

  Media

Statutory documentation.

• Is there a current F10 Displayed on site?

  Yes

  No

  At Risk

• Copy of notice

  Media

• Comments

• Employers liability insurance

  Yes

  No

  At Risk

• Add media

  Media

• Comments (expiry date min.)

• Is the Construction phase health and safety plan on site?

  Yes

  No

  At Risk

• Add media

  Media

• Comments (revision)

• Health and safety policy statement

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Health and safety at work act. 1974

  Yes

  No

  At Risk

• Add media

  Media

• Comments

Site specific information.

• Site rules

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Site programme.

  Yes

  No

  At Risk

• Add media

  Media

• Comments (expected completion date and revision)

• Emergency plan

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Traffic management plan

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Waste management plan

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Accident record book

  Yes

  No

  At Risk

• Add media

  Media

• Design Risk Register

  Yes

  No

  At Risk

• Add media

  Media

Statutory registers.

• A sample inspection of each of the following should be assessed

• Register of inductions (all site personnel)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Site personnel competency register (cscs etc.)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• LOLER. (Lifting Operations & Lifting Equipment Regulations)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• PUWER. (Provision & Use of Work Equipment Regulations)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Register of inspections (excavations)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Register of inspections (scaffolding)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Accident and near miss Register

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Toolbox talk Register

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• COSHH Register (Control of Substances Hazardous to Health)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Risk assessment register or register of contractors and associated RAMS

  Select Yes No At Risk

  • Yes
  • No
  • At Risk

• Add media

  Media

• Register of approvels (RAMS) . Are the design risks covered?

  Yes

  No

  At Risk

• Add media

  Media

• Permit to Work register.

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Site safety inspections (site managers)

  Yes

  No

  At Risk

• Add media

  Media

• Comments

• Any external site safety inspections (HSE or other)?

  Yes

  No

  At Risk

• Add media

  Media

• Comments

General comments / management issues

• Was the site adequately secured to prevent unauthorised access?

  Yes

  No

  N/A

• We're you properly inducted on arrival / were you escorted around the site

  Yes

  No

  N/A

• Generally was the site perceived to be in good order? (Please note any breaches of regulations observed during the visit)

  Yes

  No

  N/A

• Was the construction phase plan updated (removal of all referances to the cdm 2007)

  Yes

  No

  N/A

• Does the employer engage with their employees?

  Yes

  No

  N/A

• As far as Is practical is everything being done to eliminate/reduce risk on site? Please note any recommendations

  Yes

  No

  N/A

• Add media

  Media

• Time of completion.

  Date

• Site manager comments

• Site manager's signature

  Sign

• CDM advisor to the client, signature

  Sign

• Note: this form summarises the principle designers (or h&s advisor's) assessment (on behalf of the client) of whether the construction phase plan for the project and related health and safety procedures are being implimented. It does not represent a site inspection or an audit of the principle contractor.