Inspection

List types of service (multiple can be selected)

Please describe the type of service

Bin/Container Size (multiple can be selected)
How many bins are on site
Photos of existing bins and location
How many bins are on site

Padlocks Required

Photos of existing bins and location
How many bins are on site

Padlocks required

Photos of existing bins and location
How many bins are on site

Padlocks required

Photos of existing bins and location
How many bins are on site

Padlocks Required

Bin Style
Photos of existing bins and location
How many bins are on site

Padlocks required

Bin Style

Bin Lid

Castors
Photos of existing bin and location
How many bins are onsite

Padlocks required

Bin Style

Bin Lid

Castors
Photos of existing bin and location
How many bins are onsite

Padlocks required

Bin Style

Bin Lid

Castors
Photos of existing bin and location

Description of the type of bin/s onsite (eg 23m Compactor, 30m Open Top RORO, 3m Skip, 30L Medical Sharps etc)

How many bins are onsite

Padlocks required

Bin Style

Bin Lid

Castors
Photos of existing bin and location

Is the driver exposed to any of the following hazards?

Exert manual force to manoeuvre bins, lids,or other items

Risk Level

Please provide comments, Hazard details, To be added to Run Sheet

Exposed to hazardous substances

Risk Level

Please provide comments, Hazard details, To be added to Run Sheet

Exposed to dusty or noisy environment

Risk Level

Please provide comments, Hazard details, To be added to Run Sheet

Unsafe or difficult access to bin for worker (upstairs, uneven ground)

Risk Level

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photos showing difficult access

Inadequate ground surface condition or gradient

Risk Level

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photos showing ground surface

Environmental impact from bin contents or location (near drains)

Risk Level

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photos showing proximity to drains

Are emergency equipment and facilities obstructed by bin location (including man holes, underground services and fire protection services)

Risk Type

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photos showing obstruction due to bin placement

Inadequate visibility and warning of pedestrians and other vehicle/traffic (consider proximity to walkways, building exits, other vehicles entering/exiting)

Risk Type

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photos showing proximity to pedestrian / vehicle traffic

Unsafe & inappropriate access and egress to site for vehicle (reversing, turning, obstructions)

Risk Type

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photo showing access / egress for vehicle

Insufficient space to service bin/obstructions (vehicle width, maneuverability, obstructed by parked cars, trees)

Risk Type

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photo showing available space

Overhead obstruction in lifting zone eg wires, verandas, awnings. (must be a 3m minimum clearance between top of vehicle/equipment & power/comm lines)

Risk Type

Please provide comments, Hazard details, To be added to Run Sheet

Please provide photo showing overhead obstructions

Are there any other hazards (please describe)

Risk Type

Please provide comments, Hazard details, To be added to Run Sheet

Please provide any photos

Site Risk Summary and Information

What is the overall Risk Score for the site

Is the driver required to be inducted onto the customers sire

What additional PPE is required (eg: Hard Hat, Long Pants etc)

Please describe other requirements

Has the customer been advised of the waste types allowed in the bins?

Are there any other requirements - Additional notes for drivers run sheet (eg access hours, time restrictions, deliveries, locks)

Proposed Bin Location

Screen shot overhead view (Google Maps) and add bin location using annote function

Customer Acknowledgement & Agreement

I agree to the positioning of the bin(s) as indicted . I understand that due to safety concerns , SUEZ may not service the bin(s) if not in the agreed service location and I may be charged for SUEZ's attendance at the site in accordance with the agreement in place between the parties. I acknowledge that I must consult with SUEZ if I wish to change the agreed service location of the bin(s)

Name of customer representative

Signature of customer representative
Date of agreement

Site Manager / Supervisor review (all Critical or High scores)

ADDITIONAL CORRECTIVE ACTIONS REQUIRED? JSEA/Risk Assessment. All 4.5m bins with castors must have an additional Risk Assessment/JSEA. Where reversing more than 20m onto a busy road/ near a bend. Site Manager must review this form for a potential alternative location or additional controls

Form forwarded to customer service for keying

SUEZ Manager Review

Site Manager Name
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.