Onsite Health & Safety Inspection (R&W) Notify ONSITE HEALTH & SAFETY INSPECTION (R&W)First NameLast NameDateAddressAddress Line 1Address Line 2CityPost CodeDescription of WorksPlanned duration of worksNumber of operatives1. Building/Site AccessAre building security measures employed? Yes No N/ACommentsIs signing in required to gain access? Yes No N/ACommentsIs there evidence of signing in? Yes No N/ACommentsIs there an induction? Delivered? Yes No N/ACommentsHas a pre user inspection been completed? Yes No N/AComments2. Work at HeightAny work at height? Yes No N/AAdditional InformationIs this a 2 man crew or more?If ladders, inspection in date? Tagged? No missing parts? Yes No N/AAdditional informationIf flat roof/balcony: safe access? Risk of falling? Harness required/tested? Anchor points in date?3. Reach and washExclusions/Signage erected? Yes No N/ACommentsCorrect tools for the task? Yes No N/ARisk of collision through: oncoming traffic/simultaneous works? Yes No N/ACommentsIs hose management exercised? Is there a clear route? Yes No N/ACommentsAre pressurised systems used? Are they appropriately controlled? Yes No N/ACommentsIs there any risks of legionella in the mobile water system? Yes No N/ACommentsAre vehicles maintained along with the water systems? Yes No N/ACommentsAre all windows closed to prevent water ingress? Yes No N/ACommentsAre there any objects on window sills/ledges that may fall? Yes No N/ACommentsIs there any need to work at height? Yes No N/ACommentsAre there any external concerns/simultaneous works? Yes No N/AComments4. RiskHave risk assessments been provided? Yes No N/ACommentsHave the operatives read and signed the RA? Yes No N/ACommentsIs there a dynamic Risk Assessment Yes No N/ACommentsAre safe systems of work being used to control hazardous energy? Yes No N/ACommentsIs the crew familiar with safe systems of work? Yes No N/ACommentsHas the hierarchy of control been considered? Yes No N/AComments6. Method Statements (M.S)Is the relevant M.S available? Yes No N/ACommentsHas the M.S been communicated to the crew? Yes No N/ACommentsHas the crew read & signed the M.S? Yes No N/AComments7. First AidAre first aiders on the premises? Yes No N/AIs there a first aid available? Yes No N/AAre staff aware of the site Emergency Response Plan Yes No N/AAny additional information7. COSHHAre substances hazardous to health being used? Yes No N/AAny additional informationAre personnel aware of the COSHH Assessment? Yes No N/AAny additional informationAre COSHH assessments present? Yes No N/AAny additional informationAre contents of COSHH Assessments part of task briefing? Yes No N/AAny additional informationAre spill kits and bunds available (where required)? Yes No N/AAny additional information8. Emergency ProceduresAre staff aware of the site/building Emergency Response Plan Yes No N/AAny additional informationIs a working from height plan rescue plan in place Yes No N/AAny additional information9. Personal Protective Equipment (P.P.E)Is full PPE being used and in the correct manner of the job? Yes No N/AAny additional informationIs there regular inspection on the PPE? Yes No N/AAny additional informationIs there a tagged system for the PPE? Yes No N/AAny additional informationIs the PPE being used correctly & fit for purpose? Yes No N/AAny additional informationCan the crew demonstrate signs of wear and tear on their PPE? Yes No N/AAny additional informationPPE traceability certs available Yes No N/AAny additional informationIs PPE correctly stored after use? Yes No N/AAny additional information10. Welfare FacilitiesAre welfare facilities provided? Yes No N/AAny additional information11. Environmental FactorsAre sufficient measures in place to control dust? Yes No N/AAny additional informationIs there adequate lighting? Yes No N/AAny additional informationIs work being performed in adverse weather? Yes No N/AAny additional informationIs there any nesting wildlife in close proximity? Yes No N/AAny additional informationAny final commentsRef. NoRef. NoRef. NoRef. NoSafety Inspection ItemSafety Inspection ItemSafety Inspection ItemSafety Inspection ItemPerson ResponsiblePerson ResponsiblePerson ResponsiblePerson ResponsibleSubmit Form
