• What are the channels of communication on the site? Who needs to know?

  • UHF Channel (if applicable)

  • Traffic Control

  • Trucks

  • Plant

  • Team Members

  • Supervisor

  • Comments (mandatory)


  • What resources are being used today? Are there sufficient resources to complete the task(s) safely?

  • Trucks

  • Plant


  • Appropriate personnel to complete the tasks safely?

  • Fitness for work? (Fatigue, drugs/alcohol, injuries)

  • Correct PPE

  • Small Plant

  • Comments (mandatory)

Services - overhead and underground

  • Identified

  • Details

  • Dial Before You Dig

  • Spotters

  • Comments (mandatory)

Traffic Management

  • Managed within the Team

  • In-House Traffic Control

  • External

  • Traffic Control Company

  • Traffic Management Plan details

  • Plant and truck movements including exclusion zones

  • Comments (mandatory)


  • Are any Contractors on site?

  • Have all Contractors been inducted to site?

  • Have all Contractors provided evidence of applicable licences and Safety Inductions?

  • Have all Contractors reviewed and signed all applicable inductions and/or JSEAs?

  • Comments (mandatory)

General Safety

  • This section is designed to promote discussion on Safety factors that may impact on the day. Please select all from the list that apply and provide comments.

  • Discussion Items

  • Comments

  • Have there been any recent Safety Events (across Council) that impact this worksite?

  • What have we learnt from the recent event and how can we prevent it from happening on our worksite?


  • Positivity - a positive thought to kick start the day

  • And remember - What are the Top 4 priorities in your life ......

All who attended to sign

  • Signature

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