Information
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Site Number/Name
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Conducted on
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Prepared by
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Contractor Name
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Location
Works Details
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Activity Being Carried Out
- Fencing
- Ripping
- Mounding
- Weed control
- Pest animal control
- Planting
- Direct Seeding
- Initial Visit
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Site number and name (SalesForce)
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Site area (ha)
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Site Owner Manager Contact Details
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Nearest Emergency Medical Centre
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Medical Centre Contact Details
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Work Instruction Issued
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Contractor OHS site contact
Procedural Details
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Site Emergency Contact Details
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Environmental hazards noted and their prevention/mitigation (i.e. the presence of Phytophthora, noxious weeds, etc):
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Productivity losses & their mitigation/prevention (boggy areas, puncture hazards creekline crossings, etc):
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Contractor OHS policy in place and implemented?
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Contractor acknowledges Greenfleet Safe Work Procedures
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Contractor acknowledges fuel invoices requirement
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All required equipment present, appropriate to the conditions and fully functional (meets safety standards, correctly calibrated, etc):
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Appropriate PPE being used by contractor?
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Stop works until PPE is provided.
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Contractor received GF OHS procedures?
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Contractor confirms all operator tickets are current
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Emergency procedure confirmed
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Communications system confirmed
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Drinking water present
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Hand washing facilities present
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Sanitation present
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Appropriate shelter provided in the event of extreme weather/conditions e.g. vehicle, shade, etc
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1st aid present
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Hazard reporting procedure confirmed
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Issue resolution process confirmed
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Incident reporting, injury register, compo claim process confirmed
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Landholder advised Greenfleet is on site
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Sign here
