B & P SURVEYS - SURVEYING PRE-START CHECKLIST

• Project Name / Location:

• Job No.

• Work Description:

• JSA No:

• Surveyor:

• Date:

  Date

• JSA / Risk Assessment / SWMS Documentation Reviewed

  Yes

  N/A

• Site risks Assessed with JSA / SWMS and controls are adequate

  Yes

  N/A

• Controls are deemed inadequate, Additional Risk Control Worksheet prepared

  Yes

  N/A

• Boots

• Vest

• Ear Protection

• Hard Hat

• Night Work PPE

• Broad Brim Hat / Sunscreen

• Collared Shirt with Sleeves

• Wet / Cold Weather Gear

• Other

• Other

• Other

• Permit to work (for activity)

  Yes

  N/A

• Confined space (observer / gas test)

  Yes

  N/A

• PPE

  Yes

  N/A

Critical Steps and Hazards:

• Project planning and inspection

  Yes

  N/A

• Driving vehicle

  Yes

  N/A

• Loading / unloading vehicle

  Yes

  N/A

• Loading hazardous substances

  Yes

  N/A

• Establishing and removing traffic control

  Yes

  N/A

Field work, including:

• Manual handling

  Yes

  N/A

• Exposure to environmental factors

  Yes

  N/A

• Weather conditions

  Yes

  N/A

• Exposure to public utilities

  Yes

  N/A

• Remote and isolated worker

  Yes

  N/A

• Entry to restricted areas

  Yes

  N/A

• Confined / restricted spaces

  Yes

  N/A

• Work at height, on formwork, on structures

  Yes

  N/A

• Steep slopes

  Yes

  N/A

• Working near, on or over water

  Yes

  N/A

• Traffic - vehicles and pedestrians

  Yes

  N/A

• Railway land and trains

  Yes

  N/A

• Construction site, plant and equipment

  Yes

  N/A

• Use of dangerous plant and tools

  Yes

  N/A

• Fences and electric fences

  Yes

  N/A

• Slips, trips and falls

  Yes

  N/A

• Using hazardous substances

  Yes

  N/A

• Removal of used hypodermic needles found on the site

  Yes

  N/A

• Penetrating needle stick injury

  Yes

  N/A

• Night work

  Yes

  N/A

• Maintaining equipment

  Yes

  N/A

• 'Remote Office' work

  Yes

  N/A

• Other hazards discussed / employee feedback:

• Attendee Name:

• Signature:

  Sign

• Attendee Name:

• Signature:

  Sign