Information
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Client / Site
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Project:
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Conducted on
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Prepared by
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Personnel
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Document Reference: IMS-FM-SAF-029-R0. Revision Date: 18.3.2013
ZERO HARM. ZERO INCIDENTS. ZERO ACCIDENTS
SECTION 1:- WORKSITE CONDITIONS
Consider the following:-
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Are all workers fit for duty - i.e. not under the influence of alcohol / drugs or suffering from illness or similar that could affect their ability to perform their duty safely and correctly?
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Do all workers have the required training / trade qualifications / licences to complete the work?
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Do the workers have their Construction General Induction card on them and available for inspection?
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Are you required to complete an induction / site familiarisation / sign in procedure?
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Are all workers familiar with with the sites "Health and Safety" rules and security arrangements?
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Are there emergency facilities and an evacuation procedure / route for the site, and do you have access to appropriate emergency equipment (such as first aid kits, fire extinguishers, spill kits etc.)?
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If the work involves a high risk task (such as Work at Heights, Hot Work) is a work permit required and do you have the correct procedures and equipment to do the work safely?
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Is all required electrical / mechanical equipment in a safe condition (guards in place, electrical cords in good condition and in tag and test date)?
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Are the workers inducted into the SWMS?
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Have the workers a safe means of access / egress to the work area that is free from trip / fall hazards, and is there appropriate lighting in the work area?
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Have there been steps taken to eliminate or isolate hazards associated with the work and is all equipment / plant secured from possible uncontrolled movement?
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Are all the workers comfortable with the methods / procedures to be undertaken and have they been given the opportunity to ask questions / raise concerns relating to the work?
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If "NO" is marked to any item in section 1, what controls or corrective actions are being implemented?
SECTION 2:- PPE
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Is there applicable PPE available to the workers?
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Is applicable PPE being worn? These include:
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Hi-Viz clothing
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Hard hat c/w sun brim
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Safety boots / shoes
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Safety glasses (tinted or clear)
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Hearing protection (if applicable)
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Gloves
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Respirator (if applicable)
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Fall protection equipment / devices
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If "NO" is marked to any item in section 2, what controls or corrective actions are being implemented?
PRE-START MEETING ATTENDANCE RECORD
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I confirm attendance at the LACK GROUP Pre-start meeting and have been consulted regarding the information within.
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Lack Group Supervisor:
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Select date
