C-PIT TSF Rehandling Daily Report

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Take Times

• Hazards

  Safe

  At Risk

  N/A

• WHAT HAPPENED TODAY ?

ATTENDANCE

• Name

• Name

• Name

• Name

Ensure that all new personell on-site are inducted ? Licences and certificates are attached to the inductees file ? All JSA & Risk Hazard been completed and signed.

• JSA SIGNED

  Yes

  No

  N/A

• HAZARDS IDENTIFIED & REPORTED

  Yes

  No

  N/A

• PERSONNEL INDUCTED

  Compliant

  Non-Compliant

  N/A

SITE INSPECTION , TOOLBOX TALKS , OR JSA OBSERVATIONS CONDUCTED TODAY :

• Inspection Notes

• Observations

WORK PROGRESS : DAILY SUMMARY OF ACTIVITIES

• Daily Summary of Activities

• Issues Raised

• Have all issues been raised to Management team at ACPH and Matt Devlin

  Yes

  No

  N/A

• Quality Environment

• Change Management

• Risk Management & Job Safety

  Select Safe At Risk N/A

  • Safe
  • At Risk
  • N/A

• IF THE HAZARD REMAINS , PLEASE INFORM MANAGEMENT OR PUT IN CONTROLS TO REMOVE HAZARD OR ELIMINATE.

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

UPPER ROM PAD CONDITION

• What is the condition of upper Rom pad ?

  Safe

  At Risk

  N/A

• Barricading & Signage

  Safe

  At Risk

  N/A

LOWER CPIT FLOOR

• Northern Decend Ramp

  Good

  Fair

  Poor

  N/A

• Wall Integrity

  Compliant

  Non-Compliant

  N/A

• Stand-off Zones established

  Compliant

  Non-Compliant

  N/A

• Rocks found on road

  Yes

  No

  N/A

• Yes

  No

  N/A

• Images of Rom Pad condition

  Media

• Images of C PIT

  Media

ACPH CPIT ROM PAD maintenance

• Any Maintenance required on the CPIT Rom pad will need to be addressed to MRT Supervision. ACPH not to make any changes to Rom Pad Without Permission from MRT MRL

  Sign