Information
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Document No.
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Conducted on
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Site Name
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Date and time
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Location
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Checklist Items
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Contact site to pre-arrange a site induction for first time visit.
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Contact the respective site and agree a specific date and time for the visit.
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Will a Job Safety Analysis (JSA) be required?
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Confirm at least one other person will be on site whilst visiting.
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Contact site to request a person accompanies you whilst outside main Admin building.
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Confirm correct Personal Protective Equipment (PPE) for site.
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Perform a Personal Safety Assessment.
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Do I understand what the task involves.
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Have I got the correct tools and equipment to complete the task.
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Can I complete the task without the help from others.
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Have I identified what could go wrong.
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How can I make it safe
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Note: Ensure action is taken to address any items that are found to be unsafe.
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Asciano Minimum PPE
High Visibility Clothing
Safety Glasses
Long Sleeve Shirt
Rubber Sole Boots
Additional PPE Dependant on Site
Steel capped, lace-up, ankle high boots
Ear plugs
Gloves
Helmets
Wide brim hats -
Identified Hazards
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Enter details of hazards
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Take photo if required
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Signature