On-site Safety on Arrival Inspection Form
The following form is to conduct inspections out on site. If the activity being conducted is not safe, you have a responsibility to stop works, until you deem it safe to continue.
Auditor Name
*
First Name
Last Name
Postcode
*
Please insert carefully
Team Leader
*
Please Select
Corey Gill
Michael Mason
Jordan Walker
Tim Walker
James Hyslop
Gavin Bing
Team Members
*
Name
Worker 1 (Gang Lead)
Worker 2
Worker 3
Worker 4
Direct Labor or Sub-Contractor?
*
Please Select
Direct Labor
Sub-Contractor
Please select from the dropdown
Vehicle Registration
*
Please insert carefully
Workstream
*
TR&R/Cabling
Overhead Works
Underground Works
Civils Actvities
Questions
*
Please choose from dropdown
1. On arrival, do initial observations of the work area and activities being undertaken, indicate safe working practices?
Yes
No
N/A
2. Has the Point of Work (POW) Risk Assessment been completed?
Yes
No
N/A
3. Is the relevant documentation (Vehicle pack, job pack etc) on site?
Yes
No
N/A
4. Is there evidence of spray markings and CAT/GENNY usage?
Yes
No
N/A
5. Is the site tidy and all equipment within work area?
Yes
No
N/A
6. Is all signage, lighting and guarding (SLG) in place?
Yes
No
N/A
7. Are relevant permit and notice boards on display?
Yes
No
N/A
8. Are Gas Detection Units being used correctly and within calibration date?
Yes
No
N/A
9. Is there relevant accreditation/training on site?
Yes
No
N/A
10. Is there the correct PPE on site? In good condition and used when necessary?
Yes
No
N/A
11. Are there suitable welfare facilities available?
Yes
No
N/A
12. Do all engineers and supervisors on site know the Mia Direct accident/incident reporting procedure?
Yes
No
N/A
13. Is there a Fire extinguisher available on site?
Yes
No
N/A
14. Is there a First aid kit available on site?
Yes
No
N/A
15. Is all equipment on site fit for purpose, inspected and within test/calibration date?
Yes
No
N/A
16. Are all plant and tools being used correctly on site?
Yes
No
N/A
17. Are all environmental aspects controlled on site?
Yes
No
N/A
18. Are all manual handling tasks being completed correctly and relevant lifters on site and in good condition?
Yes
No
N/A
19. Are Working at Height (WAH) activities being completed safely?
Yes
No
N/A
20. Is Confined Space working being completed safely and using the correct equipment?
Yes
No
N/A
21. Are all vehicles on site, including MEWP's, in good condition and being used for the correct task & loaded correctly?
Yes
No
N/A
22. Are all pandemic (COVID-19) precautions being observed and adhered to?
Yes
No
N/A
23. Was a stop notice issued?
Yes
No
N/A
Additional
*
Comments
Any site observations of outstanding nature? (If applicable)
List any failings and rectifications (if applicable)
Additional Comments
Site Evidence
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Signature
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Date
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Day
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Month
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Hour Minutes
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