Title Page
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Contractor Business Name
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Contractor Site Supervisor Name
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Site conducted
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Conducted on
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Prepared by
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Location
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Works being undertaken
Part 1. Contractor Work Site WHS Documentation
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WHS documentation required for the job is on site and readily available.
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Does the contractor have a Site Specific Risk Assessment ?
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Does the contractor have a Site Specific Safe Work Method Statement ?
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Have all workers been Inducted onto site ?
Part 2. Contractor Work Crew Licences
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Do all workers have a General Construction Induction Card (White Card) ?
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Do all plant operators have the appropriate licenses / high risk work licenses ?
Part 3. Contractor Plant and Equipment
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Does the contractor have mobile plant on site ?
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Have Pre-Start Checklists been completed for plant items on site ?
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Is the equipment on site suitable for the job ?
Part 4. Site Works
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Does site have appropriate signage and barricading ?
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Contractor's traffic control is set up in accordance with the Traffic Guidance Scheme.
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Is the Traffic Guidance Scheme readily available for viewing ?
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Where traffic control is not required - have safety and advance warning signs have been put in place ?
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Are work processes proceeding in accordance with Site Specific Risk Assessment and Site Specific SWMS ?
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Is PPE being won in accordance with any site rules, plant requirements, risk assessment and SWMS ?
Part 5. Contractor Insurances & Safety Systems
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Is the contractor listed on Conserve ?
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Does the contractor have current a Workers Compensation Policy ?
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Does the contractor have Public Liability Insurance ($20 million and above)