Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Date:
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Location / Depot:
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Job Type/No:
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What did we do well yesterday? Did anyone notice anything unsafe? Near miss?
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Latest safety alerts. Could that happen to us?
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Latest 'RoadTek Weekly Safety Incidents' email discussed
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(If yes attach copy to prestart)
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Toolbox talk today?
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(If yes attach copy to prestart)
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Welfare facilities changes required?
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Welfare facilities - consultation with workers?
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(If YES, attach updated Welfare Facilities Form)
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Expected weather conditions today:
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What's happening today (where are any subcontractors)?
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Specific activities and assigned responsibilities: (for Stop-Think-Go Pocketbook assessment)
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What high-risk construction activities are we undertaking today? Need Safe Work Method Statement?
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Working near mobile plant
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Working near roads
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Working at height
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Working near rail
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Working near overhead powerlines
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Working in a trench
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Working in a confined space
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Working near water
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Working near pressurized gas main
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Demolition work
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Working at night
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Are there any returned workers who have not been inducted into the latest version of Project SWMS?
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Exclusion zone
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Traffic- Speed zones
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Plant and equipment
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Power lines
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Pedestrian
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Other:
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What are the hazards at this site?
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How will we make sure we are safe? What control measures will we use?
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Are there any environmental or quality issues?
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Other issues? Hazard associates with design scope change? Daily plant movement and expected changes? Safety requirements for the unloading of delivery trucks?
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Important numbers: (to be reinforced) WHS Connect (7:00am- 5:00pm)- 1800 867 947
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Road worker safety hotline (24/7)- 1800 501 509
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By signing below, I acknowledge that I am fit for work
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