ASI - Safety
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Site
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Sub-Location
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Date / Time
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Activity being observed
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Other Veolia attendees
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Name
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External people involved
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Type
- Contractor
- Client
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Name
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Position
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Discuss what aspects of the task can hurt the staff member.
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Have all Life Saving Rules been applied?
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Is a High Risk Management Standard applicable?
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Type
- Asbestos
- Confined Space
- Electrical safety
- Excavation and trenching
- Gas Safety
- Hazardous materials and chemicals
- High pressure water jetting
- Hot work
- Lifting
- Lock out Tagout
- Traffic management
- Working at heights
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Type of risk assessment used
- JSEA
- None
- Other
- SWMS
- Take 5 / step 7
- Work instruction
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Reasons for no risk assessment
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Is the risk assessment document complete and current for the date of the interaction
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Provide a summary of the safety interaction
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Record feedback received from staff
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Assign corrective actions
