Page 1: Project Info
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Daily Prestart No.
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Client
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Project name
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Project Supervisor / Manager
- ????
- ????
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Conducted on
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Meeting Conducted by
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Mobile No.
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Weather (choose multiple if required)
- Clear Sky
- Cloudy / Overcast
- Drizzle
- Raining
- Windy
- Hazy / Foggy
- Hot
- Cold
- Other
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Ground conditions (choose multiple if required)
- Muddy
- Wet
- Damp
- Dry
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Traffic management
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How many "PERSONNEL" are on site today
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Are all personnel "FIT FOR DUTY"
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Details & action
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Does everyone on site have their "GENERAL CONSTRUCTION INDUCTION WHITE CARD"
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Are personnel on site wearing the correct "PPE"
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Are there any issues, injuries / incidents or near misses that need to be reported (add notes)
Page 2: Site Risk Assessment Details
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Activities being carried out on site today (choose multiple if required)
- Site setup
- Floating equipment
- Roadside drainage
- Clearing
- Earthworks
- Excavations
- Culvert cleaning
- Pavement works
- Sealing / AC
- Road furniture / signage
- Line marking
- Fence / gate repairs
- Concrete works
- Survey
- Geotechnical testing
- Environmental controls
- Site meetings
- Maintenance sweeps
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List of associated "SWMS"
- SWMS-JSA 01 Working on or Adjacent to Roads
- SWMS-JSA 08 Use of Hand Tools
- SWMS-JSA 12 Use of Small Plant
- SWMS-JSA 13 Mobile Powered Plant
- SWMS-JSA 14 Working near Elec Services
- SWMS-JSA 15 Trucks Tipping Loads
- SWMS-JSA 21 Refueling Plant
- SWMS-JSA 23 Earthworks & Subgrade
- SWMS-JSA 24 Clearing & Grubbing
- SWMS-JSA 25 Working Outdoors
- SWMS 001B Asphalt, Sealing & Profiling
- SWMS L01 - Linemarking
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Does everyone clearly understand the works today
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Are personnel "COMPETANT / AUTHORIZED" to carry out the tasks
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Did you identify any "SERVICES HAZARDS"
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Which "SERVICE"
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What "CONTROL" will be put in place
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Did you identify any "OBSTACLE HAZARDS"
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Which "OBSTACLE"
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What "CONTROL" will be put in place
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Do any of the following common "SAFETY HAZARDS" apply
- Traffic control
- Work near road
- Use of plant & equip
- Slips / trips / falls
- Falling from heights
- Excavation
- Manual handling & lifting
- Other
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Do any of the following "ENVIRONMENTAL HAZARDS" apply
- Waterways
- Silt run off
- Scouring
- Noise
- Dust
- Spills
- Rubbish
- Environmental risks
- Other
- Nil
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Details
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Did you discuss the control & management of the above "HAZARDS" with on "SITE PERSONNEL"
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Where is the "IPMP - INTEGRATED PROJECT MANAGEMENT PLAN" located on site
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Is an "EMERGENCY PLAN" in place & understood
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Who is the "FIRST AID OFFICER" on site
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Is there a "FIRST AID KIT" on site
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Is there a "SPILL KIT" on site
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Have "MACHINERY PRE-START INSPECTIONS" been carried out on plant
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Are appropriate "EROSION SEDIMENT CONTROLS" in place
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What additional "CONTROLS" are required
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How many truck loads of water was taken from waterways yesterday
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Are there any on site "ISSUES" that need to be discussed with the Client / Management (add notes)
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Did you carry out a "TOOLBOX TALK" (add notes)
Page 3: Sign Off Details
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I verify I have carried out the following "SITE RISK ASSESSMENT" & discussed with the on site personnel. Any issues raised have been documented
Personnel -
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Personnel sign off
