Title Page
-
Contractor Name
-
Conducted on
-
Prepared by
Insurances
-
Current Public Liability Insurance Policy
-
Please do not proceed with the engagement of this contractor
-
Current Workers Compensation Policy
-
Other?
Licenses / Qualifications
-
Are licenses/qualifications required for the tasks being undertaken?
Risk Assessment
-
Has the Contractor provided a safe system of work (Risk Assessment or SWMS)?
Emergency Planning
-
Does the task require a specific emergency plan? (e.g. working with harnesses)
-
Will the site emergency plan be sufficient?
-
Please do not engage the contractor
Equipment and Machinery
-
Is all equipment / machinery in good working condition?
-
Is there a maintenance register of the machinery being brought to site?
Hazardous Chemicals
-
Will the task involve the use of hazardous chemicals?
-
If Yes, ensure containers are clearly labelled and Safety Data Sheets are available
Electrical Testing
-
Will electrical equipment be brought to site?
-
If yes, provide a copy of the electrical testing record
Training of workers
-
Will other workers be brought to site?
-
Please provide the details of all other workers who will be brought on site.