Title Page
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Document No.
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Audit Title
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Conducted on
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Personnel
Induction Date/Review
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Induction Date
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Review Date (Follow up for new insurance etc)
Company/Contractor information
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Workplace
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Company name
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Contractors name
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Contractor address
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Contractors contact number
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Contractors email
Brief description of work
1. General Induction - The workplace is to ensure that the above named contractor/s have been provided with the following information and/or instructions:
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Site occupational health and safety
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Hazard and incident reporting procedures
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Emergency procedures
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Location of first aid facilities and amenities
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Security and access arrangements
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Traffic management plan
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Hazardous substances and dangerous goods stored onsite
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Traffic management plan
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Required conduct/behaviour (eg. No smoking, offensive language, loud music etc)
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Permits to work are required for high risk tasks (I.e. Hot work, confined spaces, working at heights)
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Current asbestos management plan and division 5 asbestos register
2 - Information to be provided by the contractor
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Licence and qualification details
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Safe Work Method Statements (SWMS) or equivalent (e.g. Job Safety Aanalysis) provided for all works performed
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A copy of the contractors current public liability insurance has been provided for records? NOTE 10 million dollars minimum cover required.
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Was the policy sighted?
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Policy details added to the contractor register?
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Copy to saved electronically for reference?
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A copy of the current workers compensation insurance has been provided?
Contractor SWMS (or equivalent) review
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Scope of works being performed
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Work method or analysis identifies the health and safety hazards and risks arising from the work
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List the risk controls to be implemented
Sign off
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I have been inducted in the above information and will comply with the safety instructions listed in my SWMS (or equivalent).
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Add a contractor to sign off
Add contractor
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Contractors signature
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Date
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Workplace manager and/or Management OHS Nominee
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Workplace manager and/or Management OHS Nominee signature
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Date