Information
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JOB NO
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SITE ADDRESS
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SUPERVISOR
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Conducted on
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Prepared by
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Location
SAFE WORK METHOD STATEMENTS
Work Activity
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Do you have a SWMS relevant to this work (If not, Do not start work until you have one. If it does not fully cover the work, amend it so that it does. the SWMS must be on site with you and we must have a copy
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Have all your workers read, understood and signed the SWMS?
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Are there any other hazards not covered in the SWMS? if so, complete the below additional hazards section.
Hazards Identified
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List all the hazards not identified in the SWMS
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Take picture of hazard if possible
SITE CONDITIONS
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Have you read and understood. the Site Management Plan ?
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Have all your workers signed the Induction Register in the Site Management Plan and provided their Safety Construction Induction Card details
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Is access to site suitable for work to be carried out ?
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Has the appropriate fall protection been installed? (No working over 2 metres without fall protection.)
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Have you spoken to the supervisor about the specific hazards?
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Are the toilets fit for use and reasonably clean?
TOOLS AND EQUIPMENT
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Are your ladders commercially rated and in good condition?
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Do you have sufficient planks to complete the task?
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is your electrical equipment in good condition? Tested and Tagged within the last 3 months?
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Are all Guards fitted and in good condition?(Power tools are not to be used without guards)
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Do your workers have and use the appropriate safety equipment (Personal Protective Equipment and UV protection safeguards?
Completion
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Risk assessment has been completed
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Risks reported have been resolved and completed
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Signature