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  • Site conducted

  • Conducted on

  • Prepared by

  • Location

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General Health and Safety Questions

  • Are workers trained and competent for the task and do they understand the risks (includes competencies to meet legal requirements and site authorities / approvals to operate equipment)?

  • Is the workgroup adequately supervised for the task (e.g. have supervisors visited the worksite, enough supervision for the workgroup and task complexity, and how much experience the supervisors have in the role)?

  • Has the workgroup completed a risk assessment, and do they have the correct instructions / procedures for the task?

Specific Risk Questions

  • Are vehicles and mobile equipment fit for purpose? (within maintenance schedule, no Category 'A' faults, and meet pre-start requirements?)

  • Are vehicles and mobile equipment clean and free of damage? (Clean windows, lights, and reflective markings for visibility. Damage that may impact safety).

  • Are vehicles and mobile equipment parked safely? (e.g. not on a crest of a hill or behind mobile equipment. Are in designated parking bays where possible).

  • Are there adequate controls in place to prohibit unauthorized access to autonomous fleet and active mining areas?

  • Is there sufficient segregation and other protections when people are out on foot (maintaining two layers of protection and carrying an A-Stop when in the AOZ)?

  • Are the mine & traffic design requirements understood and implemented in the field?

  • Are workers aware of the emergency response processes should an incident occur (e.g. what emergency response preparations , need to be in place before commencing work, the process and details to contact emergency response, and what immediate emergency action

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.