Map Group (uk) Health & Safety Workplace Inspection

Map Group (uk) Health & Safety Workplace Inspection

COVID- 19
Welcome to the Covid-19 Inspection form for MAP Group (uk)

Please continue through each section to answer all the questions correctly. You will be guided through this form and if at any stage we feel that there is a need to stop your inspection we will let you know
RNDID *
Auditor Name *

First Name Last Name
IMPORTANT! - On the next page your phone/device may ask you to consent to providing your current GPS coordinates/location. It is avisable to accept this as it will pre-populate the next answer for you to save you time

We've tried to find you!, if you said no to the notification then the map will be blank and you will have to type in the postcode manually

Zoom in on the map to make sure the pin is in the right place, if it isnt, simply drag it to where it should be

The location is important to our clients so please ensure its accurate
Location Coordinates
Postcode
Only applicable is the map didnt populate above
DateTime
Inspection Date *

Lets get a few more details of who you are inspecting. Please fill out the required fields below so that we know who we are dealing with
Team Member 1

First Name Last Name
Team Member 2

First Name Last Name
Team Member 3

First Name Last Name
Team Member 4

First Name Last Name
Team Manager *
Workstream *
MDU? *
Is this work classed as MDU (Multi Dwelling Unit)?
Vehicle Registration *
Please use the format in capitals without spaces i.e NU18UOV
Do any personnel on site have or display symptoms of COVID - 19 e.g. High temperature, persistant cough or breathing difficulties? *
If 'yes' stop the inspection immediately & refer to Government protocol.

IF THE ANSWER TO ANY QUESTION FROM 1.1 TO 3.4 IS NO, THEN WORK MUST BE STOPPED UNTIL ALL CONTROLS ARE IN PLACE.

1. Knowledge / Awareness.
1.1 Has the daily Covid-19 risk assessments been completed? *
Can all operatives demonstrate they have access to the site specific risk assessment and are all operatives adhering to the assessment.
1.2 Are all personnel aware of the COVID - 19 pandemic occuring globally? *
1.3 Have all personnel on site been informed of COVID - 19 e.g. symptoms, how the virus is transmitted, control measures? *
1.4 Have all personnel completed the March 2020 TBT on COVID - 19? *
Or other relevant Covid-19 TBT
1.5 Are all personnel aware that they are classed as 'key workers', hence why work activities are still in progress? *
1.6 Do all personnel know what procedure must be followed if they suspect they have COVID - 19 symptoms? *
1.7 Are all personnel on site adhering to the '2 metre' social-distancing government ruling? *
1.8 Are the Operatives aware of and practising the ‘2m Step Out – Step In’ rule when required?
1.9 Are there any exceptions to the 2m rule i.e. manual handling or 2 person activities, and if so, how is this being managed?
1.9 Comments

2. Control Measures.
2.1 Is there an adequate supply of hand sanitizer available on site? *
2.2 If hand sanitiser is not available, are there sufficient alternatives available e.g. alcohol wipes, antibacterial wipes etc? Record details in section 5. *
2.3 Are disposable gloves available on site e.g. latex, vinyl etc? *
2.4 Are all personnel wearing disposable gloves whilst conducting work activities? *
2.5 Is sufficient RPE (Respiratory Protective Equipment) available on site e.g. FFP2/FFP3 masks etc. to be utilised If & when required? *
2.6 Are all personnel following government guidelines on transmission prevention e.g. washing hands thoroughly & often? *

3. Organisation / Arrangements.
3.1 Are all personnel isolating from the public when work activities have concluded e.g not congregating in hotel rooms, public places etc. *
3.2 Are all personnel occupying separate rooms when accommodation is required i.e. one person per room? *
As per managers directions
3.3 Are all personnel on site adhering to the Covid-19 vehicle procedure? *
As documented on the Covid-19 RAMS/Vehicle Dual Occupancy form
3.4 Are all personnel informed on a regular basis of any updates concerning COVID - 19? *
3.5 Are the ‘General Public Information’ barrier boards and ‘Critical Worker’ magnetic van signs being displayed?

MDU
7.1 Is there a minimum of 3 engineers on site to ensure a Covid-19 marshal is present?
7.2 Has the relevant training been briefed prior to any works commencing?
7.3 Have you contacted the customer or building manager prior to arriving on site and asked the specific Covid-19 questions?
7.4 Have all questions been answered and are you happy to proceed with the work?
7.5 Do you have access to adequate welfare facilities and provisions for cleaning and sanitizing before and after use?
7.6 Are there provisions for eating and drinking ensuring 2m social distancing can be maintained?
7.7 Are all engineers aware of what to do if/when a member of the public/resident passes the work area?

4.1 Following the assessment, should any personnel request further medical advice i.e. contacting NHS on 111? If 'YES' record details below. *
5.1 Issues requiring escalation to management / H & S team. Actions performed to rectify failings. *
Please provide as much detail as possible
6.1 I have observed and discussed with the engineer(s) that they can adopt and demonstrate hygiene practice *
6.2 I have observed that the engineer(s) can adhere to and demonstrate compliance with 2m distancing on the task they’re performing *
6.3 The engineer has demonstrated they understand the policy on no sharing of vans or PPE *
As per Covid-19 vehicle procedure

STOP !!!!!

Please refer to the government advice using the links below, please also press the submit button below so that we have a record of this incident.

gov.uk

NHS 111

MAP Group (uk)
Please sign both boxes below (Lead Operative & Inspector)
Photographs are now mandatory, please take 4 as requested below
Operatives adhering to the 2m social distancing rules *
PPE available on site for each individual (Masks, disposable gloves & hand washing facilities such as sanitiser or soap and water) *
COVID-19 Signs displayed on vehicle *
Site set up (inc. gate guards, barriers, COVID-19 customer information board) *
Overall Result *
Lead Operative Signature
Inspector Signature
Please verify that you are human *
Should be Empty: