Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Worksite Arrival/Parking
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Traffic management assessed (Is your vehicle parked in a safe location?)
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Traffic cones deployed?
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Vehicle secured if unattended?
Assess/review the job and it's surroundings
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Weather conditions suitable?
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Light sufficient for all tasks?
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All appropriate PPE Available and in use at all times?
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Special Equipment/Tools Required?
Accessing customer's premises
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Ground surfaces assessed for trips and slips? (Inside and Outside residence)
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Environmental Hazards assessed? (Noise, Chemical, Health, Electrical)
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Working at height assessed?
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Safe access to equipment?
Ladder Usage
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Ladder is in proper condition?
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Ground surface level and clear?
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Sufficient lean possible and used? (4:1 ladder angle)
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Clear fall area assessed?
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Ladder tied off/secure?
Roof Safe for Access
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Roof is stable and sturdy for load bearing?
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Roof material in satisfactory condition?
Aerial T-Pole
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Pole integrity assessed?
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Clear fall area assessed?
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4 Secure Anchor points?
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Guy wires secure and unrestricted?
Additional comments
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Additional comments
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