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  • Site conducted

  • Conducted on

  • Prepared by

  • Location

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  • Work area signage in place

  • Signage legible and fit for purpose

  • Positive radio communication between work team in place

  • Crew prestart completed

  • Safe Work Method Statement in place and signed onto by the work party

  • PPE in good condition and compliant to SWMS / work procedure

  • PPE in good condition

  • Drinking water available

  • First aid kits stocked and onsite

  • First aider available

  • Load restraints in place and adequate for tasks being undertaken

  • Workers not working too close or under loads

  • Machinery / plant working within the confines of the proposed easement

  • No trip hazards or loose material in work area or on access ramps

  • Positive comms between personnel, LV's, HV's

  • How would you rate the overall quality of the clear and grade work

  • Plant prestart and inspections completed

  • Machinery safety devices functioning warning beeper flashing lights etc

  • No evidence of damage or hydraulic leaks

  • Spill kits onsite and stocked

  • Work area clean tidy and no rubbish

  • Fire extinguisher/s accessible

  • Extinguisher tested and tagged

  • Simops being managed with other work crews / contractors

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.