Title Page

  • Site name

  • Conducted on

  • Prepared by

  • Location

  • FWM Name and Company

Work Undertaken

  • Brashing

  • Hours worked

  • Standard felling up to 380mm

  • Hours worked

  • Large tree felling (over 380mm)

  • Hours worked

  • Single windblow

  • Hours worked

  • Multiple windblow

  • Hours worked

  • Hardwood windblow

  • Hours worked

  • Steep ground felling

  • Hours worked

  • Large crown hardwood felling and breakdown

  • Hours worked

  • Winch assisted felling

  • Hours worked

  • Felling to harvester

  • Hours worked

  • Examples of work undertaken

  • Description of work

  • Has there been any unsafe acts, near misses or accidents?

  • Name of person reporting the near miss

  • Date of reporting

  • Date of the event

  • Location

  • Who did it involve?

  • Who else was there?

  • Describe what happened

  • What caused this to happen?

  • What caused this to happen?

  • What can be done to stop this happening again?

  • What is the target date for this to happen?

  • Signature

  • Report this near miss to the FWM and Contractor

Pre use checks

  • Equipment used

  • Has a chainsaw pre use been carried out?

  • Make and model

  • Is the chain catcher front and rear in place?

  • Is the chain break fully functional?

  • Is the bar, chain and body work in good condition?

  • Is the safety information sticker in place?

  • Are anti vibration dampers fully functioning?

  • Starter cord and return spring fully functional?

  • Throttle- lock, control and stop switch fully functional?

  • Detail of any repairs or maintenance undertaken?

  • Helmet condition

  • Ensure helmet receives detailed inspection every 6 months

  • Ensure helmet receives detailed inspection every 6 months

  • Is the defect safety critical?

  • Remove from use

  • Chainsaw boots condition

  • Is the defect safety critical?

  • Remove from use

  • Chainsaw trousers condition

  • Is the defect safety critical?

  • Remove from use

Sign off

  • Operator sign off

  • Site safety co ordinator sign off

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