Information
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C.A.R No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Health & Safety Issue
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Environmental Issue
- Public/client compliant
- sediment control
- waste control
- pollution of water ways
- flora & fauna
- dust/air quality
- oil/fuel/chemical spills
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Quality Issue
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Brief description of identified issue or hazard:
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What was the system breach / root cause that has resulted in the identified issue or hazard? (E.g. Breaches to any of the following: SWMS, PRA, Site Rules, PRA, Scope of Works, WHSMP / QMP / EMP, Codes or standards etc.)
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Identified Preventative Action to prevent the identified issue or hazard recurring? (Stop it happening again)
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The location in the workplace where the identified issue or hazard occurred.
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Will there be any additional monitoring required?
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What evidence has been provided to support the close out of the CAR?
- Photographs:
- Training Materials (Toolbox Talk)
- Documentation amended: SWMS, PRA etc.
- Completed Task Observations:
- Other:
- Other:
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Hutchinson Builders Team Member (Issuing & Closing)
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Received by the Employer Representative
