Contractor health and safety checklist form template

Project/Work Description:

Contractor Name:

Contractor Company:

Date of Assessment:

Assessor Name:

1. General Health and Safety Compliance

• Contractor has provided a current Health and Safety Policy
• Contractor holds relevant insurance (public liability, professional indemnity, etc.)
• Contractor has risk assessments for the specific tasks to be performed
• Contractor has method statements outlining safe working procedures
• Contractor has identified and mitigated any potential hazards associated with the job
• Contractor has appropriate safety signage for the job site

2. Personal Protective Equipment (PPE)

• Contractor has appropriate PPE (e.g., hard hats, gloves, eye protection, etc.)
• PPE meets the required safety standards
• Contractor has provided training on proper PPE use
• PPE is in good condition and regularly maintained
• PPE is suitable for the specific tasks being performed

3. Equipment and Tools

• Equipment and tools are inspected and certified for use
• Contractor provides appropriate safety guards on equipment
• Equipment and tools are used according to manufacturer instructions
• Electrical tools are PAT (Portable Appliance Testing) tested
• Contractor has procedures in place for equipment failure or malfunction

4. Emergency Procedures

• Contractor has emergency procedures in place (fire, medical, evacuation)
• Contractor knows the location of first aid kits and emergency contacts
• Emergency exit routes and procedures are clearly communicated to all personnel
• Contractor has appointed a first aider for the worksite
• Fire extinguishers and other emergency equipment are in place and accessible

5. Site Safety

• Contractor has conducted a site-specific risk assessment
• Work areas are clean and free of unnecessary hazards (e.g., trip hazards, clutter)
• Suitable barriers or fencing are in place for hazardous areas
• Site is secured and access is controlled to prevent unauthorized entry
• Safe means of access and egress are provided for all personnel

6. Training and Competence

• Contractor staff have relevant qualifications and training for the work to be performed
• All staff have received health and safety inductions specific to the site
• Contractor has provided evidence of ongoing health and safety training
• Contractor has procedures for monitoring worker competency and performance

7. Specific Hazards and Controls

• Contractor has assessed and mitigated risks associated with specific hazards (e.g., working at height, machinery, chemicals, etc.)
• Control measures are in place to handle hazardous substances (e.g., COSHH assessments, MSDS)
• Any high-risk activities have been identified and safe work permits have been issued (e.g., hot work, confined spaces)

8. Environmental Considerations

• Contractor has measures in place to protect the environment (e.g., spill kits, waste management)
• Noise and dust control measures are in place as required
• Contractor ensures safe disposal of hazardous materials and waste

9. Communication and Monitoring

• Regular communication between contractor and client on health and safety matters is established
• Safety meetings (toolbox talks, daily briefings) are held regularly
• Contractor has a system for reporting health and safety issues or near-misses
• Monitoring of contractor health and safety performance is in place

10. Sign-Off and Acknowledgement

• Contractor has signed and agreed to adhere to the health and safety requirements
• Health and safety responsibilities have been clearly defined between the client and contractor
• Any specific health and safety concerns raised by the contractor have been addressed

Contractor Representative Name:

Signature:

Date:

Client Representative Name:

Signature:

Date: