Title Page
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Date & Time
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Cluster
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Site address
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Types of work being carried out
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Crew ID
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Prepared by
1ServCo Site Diary
Critical report
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Does any breaches of health and safety have to be reported?
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Do any breaches of quality non – compliancy have to be reported?
WorkPoint
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WorkPoint A
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WorkPoint B
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Comments
Safe Systems of Work
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PEOPLE
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PLACE
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PROCEDURE
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EQUIPMENT
Health and safety report
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Have there been any incidents relating to Health and Safety?
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Details
Quality control report
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Problem
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Details
Additional workers/contractors on site
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Name of company
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Works being carried out
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Breaches of Health & Safety
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Details
Weather conditions report
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Type of Weather
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Hazards due to weather
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Action to minimize risk
Vehicle defects
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Vehicle Registration
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Defects
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Booked for repairs?
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Have Nationwide been contacted and when is it booked for repairs?
Trailer defects
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Trailer ID
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Defects
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Booked for repairs?
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Has it been booked for repairs and when?
Inspection/ Calibration
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Equipment
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Date of next inspection
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Additional comments
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Equipment
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Date of next inspection
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Additional comments
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Equipment
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Date of next inspection
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Additional comments
Images of job site
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Please attach images of job site below
Comments
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Site walk around
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1. Have the risk assessments been filled out correctly?
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2. Do the operatives have a complete understanding of their RAMS?
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3. Are the operatives competent to carry out the planned works?
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4. Are the operatives working on a permit?
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5. If working on a permit is the courtesy board on site showing the correct permit reference?
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6. Are the operatives wearing correct PPE?
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7. Are traffic management ensuring that the job site is safe for workers and road users?
Site diary conducted completed by
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Name and Signature
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Position
