AGFAB DAILY DIARY (Revised 4-8-2014)

• Work Permit Number

• Job Number

• Client

  Select Barwon Water Melbourne Water City West Water Western Water South East Water Goulburn Murray Water GMWWater Central Highlands Water

  • Barwon Water
  • Melbourne Water
  • City West Water
  • Western Water
  • South East Water
  • Goulburn Murray Water
  • GMWWater
  • Central Highlands Water
• Site Location
  Address

• Date

  Date

• Agfab Engineering Services diary must be completed each day by the /Project Manager/Site Supervisor/Team Leader

Project Details

• Date

  Date

• Supervisor/Team leader/Project Manager

  Select Greg Grima John Toner David Howard Peter Foxcroft Shane Dando Ian McCormick Joseph Frattin Graham Davis

  • Greg Grima
  • John Toner
  • David Howard
  • Peter Foxcroft
  • Shane Dando
  • Ian McCormick
  • Joseph Frattin
  • Graham Davis

Site Conditions

• General Ambient conditions

  Select Overcast Rain Wind Poor light Environmental conditions unsafe to proceed with works Fine High temperatures

  • Overcast
  • Rain
  • Wind
  • Poor light
  • Environmental conditions unsafe to proceed with works
  • Fine
  • High temperatures

• Wind velocity - consideration should be given to high wind conditions and planned activities with postponement of works to ensure safe work conditions are maintained.

  Select Low Medium High Extreme

  • Low
  • Medium
  • High
  • Extreme

• Rain - consideration should be given to heavy rain conditions and planned activities with postponement of works to ensure safe work conditions are maintained.

  Select No rain Light showers Continious rain Heavy rain

  • No rain
  • Light showers
  • Continious rain
  • Heavy rain

• Has the program been affected ?

  Yes

  No

• Please note how !

Personnel On Site

• General Site Activities

  Select Electrical installations Mechanical Installations Cranage Instrumentation Installations Fabrication Earthworks Road Construction Fencing Works landscaping Works

  • Electrical installations
  • Mechanical Installations
  • Cranage
  • Instrumentation Installations
  • Fabrication
  • Earthworks
  • Road Construction
  • Fencing Works
  • landscaping Works

• Note specific activities if relevant !

• AGFAB Personnel

• Hours worked

• Visitors on site

• Names and purpose:

• Hired Plant ?

  Select Pumps Temp fence Access Equipment Barriers Excavators Tippers Backhoe Bobcat Crane EWP Scissor Lift Generator

  • Pumps
  • Temp fence
  • Access Equipment
  • Barriers
  • Excavators
  • Tippers
  • Backhoe
  • Bobcat
  • Crane
  • EWP
  • Scissor Lift
  • Generator

• Hired Plant Other ?

Sub contractors on site

• COMPANY NAME:

• Activity ?

• Number of personnel

• Number of hours worked

• COMPANY NAME ?

• Activity ?

• Number of personnel

• Number of hours worked

• COMPANY NAME ?

• Activity ?

• Number of personnel

• Number of hours worked

• Deliveries to site:

• Other information:

Reports & Information

• Was a pre start conducted ?

  Yes

  No, not required

• Hazards or issues identified ?

  Yes

  No, not required

• If Yes, list controls implemented

• We're ITP's Completed ?

  Yes

  No, not required

• Note details

• Any requests for information ?

  Yes

  No, not required

• Note detail:

• Other:

Extension of Time

• Any EOT requested ?

  Yes

  No, not required

• Note details

Variation

• Any variation requested ?

  Yes

  No, not required

• Note details:

• Client representative:

  Sign

Safety & Environment

• Where any community complaints made?

  Yes

  No

• Provide detail:

• Any injuries, incidents or near misses ? Provide details:

  Yes

  No

• Provide detail:

• Any Safety or Environmental instructions issued to workers?

  Yes

  No, not required

• Provide detail:

Site Photos

• Add any relevant photos:

  Media

• Add a drawing if required:

  Drawing

• Completed by:

  Sign