UCL Estates

Principal Contractor: Inspected by:

Contractor/Sub-
Reference:
Contractor:

Project
Client:
Manager/Supervisor:

Please provide a comment with your answer. See guidance sheet.

PGI (Construction Site) Form

Comments
Item Y/N
Have suitable and sufficient barriers/hoarding been
1a installed to secure the workplace and segregate
the public?

1 Are materials safely stored within an adequate

1b
protected area?

1c Is there adequate working space available?

2a Is there traffic management at present?

2b If not, should there be?

2
If so, does the traffic management appear to
2c
comply with TM designs?

Does it appear that sufficient carriageway/footway

2d
space is available?

Is there plant present on site – either in storage or

3a
operation
3
Do plant operations appear to be undertaken in a
3b
safe manner and in accordance with best practice?

4a Have you been inducted to site?

4
Is there evidence that all staff, contractors and
4b
visitors have undergone a suitable site induction?

How many personnel are located on site at the

5a
time of inspection?

Are they wearing appropriate PPE for the tasks

5b
they are undertaking?

Is it being maintained and stored correctly?

5c
Availability of spares?
5
Are there welfare facilities on site and do they
5d
appear adequate for the workforce?

5e Presence of fire fighting equipment and first aid kit

5f Is there a valid F10 displayed?

Are there excavations and do they appear to have

6a
sufficient controls in place?
6
Have Permits to work systems been implemented
6b
for any operations requiring them?

Are hazardous materials on site e.g. petrol, lead,

7a
solvents, dust?
7
Are they suitably secured and adequately
7b
ventilated?

8a Are there manual handling activities on site?

8
8b Can they be replaced by mechanical means?

COVID Questions
1. Does a contractor have suitable and sufficient risk assessment for Covid-19 hazard in place?

2. Does a contractor have robust monitoring arrangements to ensure that Covid-19 risk assessment is adhered to?

3. Do contractor's employees, self-employed persons and visitors are adhering to Covid-19 risk control measures as per contractors' risk assessment?

Any other comments

 Using the findings of your inspection, please fill in the table below

Action Who Completion Date

On completion of your site inspections, your report needs to be uploaded to your projects on CDM Datastore. Where actions are raised during inspections,
these need to be recorded and closed out by the inspection author. This can be done by updating the text in your original inspection report which should then
be sent back to the same address so our H&S colleagues are aware the inspection is effectively closed.

Do you feel further inspection is required by a Health and Safety Advisor? Yes / No

Print Name:

Signed:

Date:
Question

1 1a
1b

1c
2a
2b
2c
2

2d
3a

3b

4 4a

4b

5b

5c

5d
5e

5f
6 6a
6b
7a
7
7b

8a
8
8b
Guidance
Consider the following:
· Heras fencing or similar
· Double clipped?
· Condition: Cleanliness and damage
· Reflectors: Are they obstructed?
Materials must be stored within works area and must not obstruct any areas of public footway.
Consider the following:
· Hindrances on site
· Adequate/appropriate parking space
Brief description of the type of TM on site and look at the TM inspection form
Assess the works and provide a professional opinion
If in doubt, ask site supervisor to provide the TM designs
Consider the following:
· Single lane maintenance or shuttle working at min 3.0m
· Two way traffic at min 6.75m
· Footpath at least a 1.0m wide
· Clear diversion routes/signage?
If visibly stored, are they in a suitable location and secured from unauthorised access?
Consider the following:
· Safe routes to segregate pathway of workforce and moving plant.
· Excavators are operating safe distance from workforce.
· Plant appears to have suitable guards installed.
Have you signed in?
Are you familiar with the emergency procedure?
Have you been shown the welfare facilities.
Are you aware of where emergency muster points are and emergency personnel (first aiders/fire wardens)
Ask the supervisor for the induction log
Operatives should wear at minimum hi-vis & steel-toe boots. Hard hats if rules specify or in high risk areas
operating.
Consider the following:
· Clean and dry storage
· Spares in the case of damage/loss or for visitors.
Consider the following:
· Space for the workforce to rest,
· Clean toilet provision
· Drinking water
· Warm water, towels and soap
· General tidy and cleanliness
Are they visible stored in/around the welfare facility?
Consider the following:
· Displayed on the wall in welfare facility
· In date
Deep excavations have shoring installed, manholes covered when left unattended. Open excavations have
with fencing at all times.
Predominantly for excavation works but may be required for hot works or electrical works. Presence of per
Please list the hazardous materials found on site
Consider the following:
· Strong scents of gases. Flammable materials should be stored separately away from possible
a cool environment.
Tasks which require lifting heavy & awkward loads or require carrying objects through difficult distances. E
handling risk/controls record.
Vacuum lifting devices or suitable alternatives should be used for lifting and manoeuvring kerbs, paving sto
heavy and awkward objects.