Information
-
Conducted on
-
Site Address
-
BBS Supervisor
-
Contractor Trading Name
-
Person Conducting Safety Chat
-
comment
Site Assessment
-
Please provide the client an overview and description of work to be completed, including expected time frames.
-
Potential Hazards associated with the tasks
- Slips or Trips
- Falls
- electrical hazard
- impalement
- laceration
- noise
- dust
- restricted area
- falling objects
- splinters
- hot surfaces
- uneven surface
- fumes
- hidden hazards
- other
-
Describe potential hazard/s
-
control measures in place
- no go zone
- barricade
- drop sheet
- dust extraction
- PPE
- noise suppresion
- ventaltion
- radio communication
- traffic management
- spill containment
- other
-
please describe additional control
-
I have been briefed on the scope of work to be completed along with expected time frames of each phase.
The potential hazards and risks have been discussed along with the control measures that will be in place to manage the identified hazards.
I agree to abide by the direction and not interfere with the provided control measures provided by the BBS representative/contractor for the duration of works. -
Client Name & Signature
-
comments
-
Photo of work zone
