Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location of Work

  • Cost Code

  • Weather Conditions

  • Plant Used

  • Plant
  • Description

  • Plant ID

  • Total Hours

  • Loads

  • Haul Road Conditions

  • Corrective Action Taken

  • Length of Haul Road

  • Condition of Ramps and Bunds

  • Corrective Action Taken

  • Photo(s) of Bund Walls / Ramps

  • Interaction Issues

Site Photos

  • Site Photos

  • Site Photo
  • Media

  • Description

  • Modifications to Traffic Management

  • Modification
  • Sketch Showing Modification

  • Date / Time of Change

  • Approved by Thiess Representative

  • Other Comments

  • Supervisor Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.