Title Page
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Project Description
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Contract No GW
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Contractor
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Sub Contractor's on Site
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Date
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Prepared by
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Location
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Contractor's Representative
1.0 OH&S
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1.1 PPE ( Safety vests, Safety boots, Hard hats, Eye & Hearing protection
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1.2 Are Environmental measures in place
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1.3 Is anything on site new or different
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1.4 Should we plan a Safety or EMS audit on work procedure
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1.5 Verify an emergency communication system &First Aid kit available
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1.6 Are excavation properly barricaded / Public safety protected
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1.7 Are all electrical / generators tested and safely located
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1.8 Are Contractor site induction records (Safety & Enviro )
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1.9 Are OHSE Plan CEMP, SWMS, JSEA's Job start available on site
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1.10 Housekeeping / barriers / bunding to appropriate standard
2.0 RESOURCES
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2.1. Number of workers on site X trade and number
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2.2 Plant
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2.3 Deliveries of items to be part of works
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2.4 Weather / Site Conditions
3.0 WORK IN PROGRESS
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3.1 Details
4.0 QUALITY
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4.1 Are Inspection and Test Plans on site & being used
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4.2 Are drawings on site and the latest version
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4.3 Are any specialist processes planned or underway
5.0. OTHER DISCUSSIONS WITH CONTRACTOR REPRESENTATIVE
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Enter topics and details of discussion
Sign ans Send
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Gippsland Water's Representative
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Copy E-Mailed to Contractor for remedial action
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Copy E-Mailed to Gippsland Water's nominated representative for filling in Trim