Site Health & Safety Checklist

Job Number*

Can be found on the Protean Jobs screen.

Site Manager*

First Last

Date of Works*

Installer Name*

First Last

Checks Carried Out

Please complete all required fields below.

Have you signed into site?*

Yes
No

Any Comments/Action Required for "Have you signed into site?"

Are Risk and Method Statements required?*

Yes
No

I confirm that I have read and agree to the Risk & Method Statements*

Please sign above to indicate you have agreed to the Risk & Method Statements.

Any Comments/Action Required for "Are Risk and Method Statements required?"

Is there a site induction required and have you undertaken the induction, including emergency procedures?*

Yes
No

Any Comments/Action Required for "Is there a site induction required and have you undertaken the induction, including emergency procedures?"

Are you required to wear PPE?*

Yes
No

Any Comments/Action Required for "Are you required to wear PPE?"

Do you require a permit to work?*

Yes
No

Any Comments/Action Required for "Do you require a permit to work?"

Do you have the correct materials required for the works?*

Yes
No

Any Comments/Action Required for "Do you have the correct materials required for the works?"

If you are using access equipment are you trained to do so- PASMA / IPAF?*

Yes
No

Any Comments/Action Required for "If you are using access equipment are you trained to do so- PASMA / IPAF?"

Is the access and egress to site clearly defined?*

Yes
No

Any Comments/Action Required for "Is the access and egress to site clearly defined?"

Are there any on-site risks stopping you doing your work task?*

Yes
No

Any Comments/Action Required for "Are there any on-site risks stopping you doing your work task?"

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Site Health & Safety Checklist

Checks Carried Out

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