Bridgestone New Zealand

• Job Discription

  Repair tyre on NFA Machinery

  Repair tyre on Log Trailer

  Fleet Inspection

• Document No.

• Client / Site

  NFA Dunedin

• Conducted on

  Date

• Contractor Name

• Location

  Yard

  Maintenace Bay

  Berth

Worksite Set-up

• Pedestrian management assessed

  Yes

  No

  N/A

• Traffic Management assessed

  Yes

  No

  N/A

• Appropriate signage and area Zoned off

  Yes

  No

  N/A

Assess/review the job and it's surrounds

• Safe work area

  Yes

  No

  N/A

• NFA employees notified

  Yes

  No

  N/A

• All appropriate PPE on site

  Yes

  No

  N/A

• Weather conditions suitable

  Yes

  No

  N/A

• Light sufficient for all tasks

  Yes

  No

  N/A

Accessing Customer Premises

• Ground surfaces assessed for trips and slips

  Yes

  No

  N/A

• Noise, electrical and chemical hazards assessed

  Yes

  No

  N/A

• NFA Dunedin & Port Otago Inductions completed

  Yes

  No

  N/A

• Inductions must be completed before task can commence. See NFA staff

  Yes

  No

  N/A

• Isolation of electrical hazards assessed

  Yes

  No

  N/A

Additional site hazards

Hazards and Control

• Additional Site Hazards

  Moving Machinery

• Additional Site Controls

  Select Site radio given for communication on site position

  • Site radio given for communication on site position

Final

• Signed

  Sign

• Date and Time

  Date