Title Page
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Conducted on
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Prepared by
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Location
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Have you checked the property/surrounds risk information
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Is it safe to exit my vehicle
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Is the site secure and safe to enter
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Am I wearing the correct PPE
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Document No.
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Accurate details of the project location, boundaries, nature and extent of work
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The contractors H&S Representative’s contact details and availability on site
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The site control plan, facilities and an emergency evacuation management plan
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The person in control of the site <br>(site supervisors) contact details and Contractors Responsible Officer <br>
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A Hazard Management Plan and Register detailing all potentially significant hazards on site supported by key Job/Task Analysis and/or Safe Working Procedures
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A Dangerous Goods Register and relevant Material Safety Data Sheets (MSDS)
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An Emergency Plan and procedures for managing significant hazards or events
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Identified Notifiable works for the contract and procedures to inform WorkSafe as required under the Act
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Confirmation that the subcontractor’s SSSP has been approved by the Contractor and incorporated
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Details of the locations of First Aid kits and First Aid Personnel site attendance and contacts
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Incident management plan and processes are defined
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The management plan for plant
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A Traffic Management Plan detailing safe flow of vehicles and pedestrians in and around the site, if applicable.
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Arrangements for regular engagement and communication with workers such as Toolbox Talks, training, H&S Meetings and information updates
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A sample of templates such as a site induction register and daily prestart meeting checklist and training and certification register
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Minimum standards of PPE: default on site as well as hazard-related
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A process for maintaining the currency and effectiveness of the SSSP for duration of contract is explained
Health and Safety Observation
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Warning signs and hazard board displayed.
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Site access control and induction in place.
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Current SSSP available on site and evidence of use.
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Workplace is tidy and orderly, free of trip hazards.
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No excessive dust, noise, heat and surface water.
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Waste is segregated and managed appropriately.
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Exposed reinforcing bars are capped.
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Traffic management is provided.
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PPE is used in accordance with the hazard board
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Specialist PPE is used where required
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Acceptable manual handling for the tasks observed
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Fall hazards identified and suitably barriers in place.
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No Elevated Work observed within 4 metres of power lines.
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Ladders in use meet Work Instruction guidelines.
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Scaffold in use meets Work Instruction guidelines.
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Power supplies have RCD protection
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Leads have valid test tags, are in good condition, dry.
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Management of asbestos complies with acceptable practice.
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Management of lead-based complies with acceptable practice.
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Management of other hazardous substances is in line with acceptable practice.
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Record any other significant observations, including conversations with site personnel.
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Does site management comply with HNZ’s requirements, SSSP?
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If ‘No’, identify corrective action required, and carry forward summary to Site Visit Report form.
