Title Page
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Project Name
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Site Address
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Principal Contractor Details
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Principal Contractor Name
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Construction Manager Name
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Construction Manager Contact No
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Construction Manager Email
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Construction Manager
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Conducted on
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Assessment Team Leader
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Lead Assessor / Client Agent
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Assessment Team
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Any additional assessment team members?
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Additional Persons Name
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Additional Persons Designation
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Additional Persons Signature
1. Principal Contractor & Contractors
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Copy of construction work permit in place.(Where applicable)
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Work permit number displayed at main entrance of construction site.
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Notification of construction work to DOL. (Where applicable)
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Client H&S specification available & correct
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Letter of good standing with compensation fund/insurer.
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Health and Safety Plan based on client specs.
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EHS File with necessary documentation available on site.
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Subcontractor/s appointed in writing, in good standing with compensation fund, has necessary resources and competencies to perform safely, H&S plan and file checked and approved by principal contractor
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Valid medical certificate of fitness for all employees.
2. Appointments & Competency
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Designated Employer
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SHE Representatives (more than 20 employees
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Chairperson of SHE committee
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Incident investigator
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First aid provider
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Competent person for machinery supervision
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Assistant machinery supervisor
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Principal Contractor
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Subcontractors appointments
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Construction Manager (full-time)
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Assistant Construction Manager
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Construction Safety Officer
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SACPCMP Registration No
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Assigned to site on a full time basis
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Construction Supervisor
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Assistant Construction supervisor
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Competent person to do Risk Assessment
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Competent person to prepare the Fall Protection Plan
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Competency of roof erectors
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Temporary works designer
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Temporary works inspector
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Excavation work supervisor
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Competent person in the use of explosives during excavation
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Demolition work supervisor
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Demolition of asbestos contractor registration
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Competent person in the use of explosives during demolition
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Scaffold supervisor
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Suspended platform supervisor
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Competency of suspended platform erectors, operators, inspectors
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Suspended platform inspector/tester
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Rope access supervisor
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Rope access operators competent and licensed
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Material hoist operator
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Material hoist inspector
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Bulk mixing plant supervisor
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Bulk mixing plant operator
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Explosive actuated fastening device user
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Tower crane supervisor
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Tower crane operators
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Lifting Machinery Operator
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Lifting Machinery/tackle inspector
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Construction vehicles & mobile plant operators (copy of drivers licence must be on file.)
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Temporary electrical installation controller/inspector
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Stacking and storage supervisor
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Fire equipment inspector
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Fire equipment users
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Hazardous Chemical Substances Co- coordinator
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Emergency co-ordinator
3. Risk Assessments
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Client Baseline Risk Assessment on file
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Contractor Risk Assessment on file (hazards & risk s identified, analysed & evaluated; control measure, monitoring & review plan)
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Employees informed, instructed and trained on risk assessment (proof on file)
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Subcontractors informed on risk assessment (proof on file)
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Record of PPE issuing and inspections thereof, as determined by risk assessment.
4. Work at Heights
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Fall protection plan on file
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Medical fitness of employees working at height
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Fall prevention and or fall protection equipment provided and Inspection/maintenance records
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Certificate of system design and operational compliance plan for suspended platforms.
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Inspection and performance tests records of suspended platforms
5. Lifting Equipment
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Inspection and maintenance records of lifting machinery.
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Method statement for use of tower cranes.
6. Construction Vehicles & Mobile Plant
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Inspection records of vehicles/mobile plant
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Road-worthiness certificates for vehicles/plant travelling on public roads
7. Structures & Temporary Works
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Structure design drawings available
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Temporary works drawings pre-approved by temporary works designer
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Structure inspection/examination records on file.
8. Excavation & Demolition
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Records of excavation inspections
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Engineering survey and demolishing method statement of the structure to be demolished
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Structural integrity inspections during demolition
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Method statement for demolition using explosives
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Waste disposal certificates/records of safe disposal.
9. Electrical Installation & Electrical Machinery
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Weekly Inspection records of electrical installations
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Daily pre-use inspection records of electrical machinery
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Certificate of approval for electrical machinery in hazardous locations.
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Inspection and testing of electrical machinery in hazardous locations
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Certificate for electric fence system
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Proof of registration as an approved electrical installations inspection authority
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Proof of annual registration as electrical contractor
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Certificate of Compliance and a test report for electrical installation.
10. Tools & Equipment
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List of tools/equipment to be used.
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Inspection records of tools/equipment
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Portable electrical equipment is in good condition and inspected.
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Portable electrical lights is in good condition and inspected
11. Hazardous Chemical Agents
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Proof of employee training on HCSR and HCS handling requirements
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Procedure in case of emergency involving HCS and proof of communication thereof.
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HCS risk assessment
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Materials Safety Data Sheets available
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2 yearly examination and tests of engineering controls for HCS, by AIA.
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Safe disposal certificates of HCS waste
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Safe storage facilities for HCS in place.
12. Training, Awareness & Induction
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Contractor Induction syllabus and proof of induction
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Relevant OHS training records
13. Other Records
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Scope of work clearly defined
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PPE Issuing records
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Incident records
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Toolbox talks
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First aid box inspection
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Copy of the OHS Act
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OHS policy