Title Page
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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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Task / Activity Description
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Persons Involved
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Are all employees walking or using stairs safely, keeping eyes on their path and avoiding tripping hazards, spillages and uneven ground levels?
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Are dedicated pathways available and being used?
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Do all employee appear to be engaged and ‘present’ during the task?
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Are all employees observing the surroundings and direction of travel and pathways?
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Have all movable items been secured before commencing work?
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Are all employees aware of their hands/fingers/body position at all times?
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Is anyone using a cell phone whilst doing a task or while walking?
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Is anyone distracted or looking away whilst walking or doing a task?
