Title Page
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Conducted on
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Prepared by
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Location
ASS
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Office
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Lighting and Walkways
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First Aid
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Fire exits and extinguishers
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Machinery and Equipment
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Lifting Equipment
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LEV's
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Tooling
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Personnel and PPE
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Housekeeping
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Waste management
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Aware of SSOW updates? (Sample sign offs)
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Are Covid-19 protection measures being implemented? (Check Jupiter belt, training, has a Covid inspection form been completed by manager, are any colleagues using face coverings)
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Other Issues
ISS
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Lighting and Walkways
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First aid
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Fire Exits and Extinguishers
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Machinery and equipment
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Lifting equipment
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LEVs
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Tooling
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Personnel and PPE
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Housekeeping
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Waste management
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Aware of SSOW updates? (sample sign offs)
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Are Covid-19 protection measures being implemented? (Check Jupiter belt, training, has a Covid inspection form been completed by manager, are any colleagues using face coverings)
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Other issues
Machine Shop
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Lighting and walkways
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First aid
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Fire exits and extinguishers
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Machinery and equipment
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Lifting equipment
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Tooling
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Personnel and PPE
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Housekeeping
-
Waste management
-
Aware of SSOW updates? (Sample sign offs)
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Are Covid-19 protection measures being implemented? (Check Jupiter belt, training, has a Covid inspection form been completed by manager, are any colleagues using face coverings)
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Other issues?
Task
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Is the person following the SSOW for the task
- Yes
- No
- N/A
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Is the work area in a safe and tidy condition
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Are there suitable control measures in place for the task
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Is all equipment being used in a serviceable condition
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Is the person wearing suitable PPE for the Task and aware of risks of any substances in use
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Any other issues?