Title Page
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Conducted on
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Prepared by
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Location
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Contractor
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Contract
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Contract Number
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Superintendent
- Steven Harvey
- Anne Visser
- Jennifer Fuaux
- Andrew Kelly
- John Luftensteiner
- Dheeraj Kandel
- Steve Larkin
- Conwae Knight
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Client / Site
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Document No.
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Are Permits Required
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Working at heights issued
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Confined space entry issued
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Hot work issued
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Sub-Contractors
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Contractor has ensured their sub-contractors OHS systems are appropriate and in place
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Site Area
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Site is adequately secured with fencing, barriers etc
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Suitable site access/egress provided
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Worksite is clean and tidy
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Equipment/materials stored securely in a manner to minimise hazards
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Traffic Management
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Roadwork signs/devices installed according to traffic Management Plan
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Signs appropriate and correct for current work conditions
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Signs are free from damage and defect
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Clearances between workers and adjacent traffic are maintained
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Needs of other road users provided for (pedestrians, cyclists, etc)
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Personal Protective Equipment (PPE)
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Appropriate PPE is worn and in good order: Hi-visibility clothing
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Head, foot, ear and/or eye protection (when required)
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Sun protection (including hats)
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Trenching and Excavations
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Correctly battered, benched and stored
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Ladder provided for safe access/egress
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Work near Overhead Power lines or Underground Services
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NO GO ZONES complied for overhead lines and underground utilities
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Suitable excavation is used when overhead/ground hazards identified
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