Daily Report

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

Weather

• Weather Conditions

  Select Hot Windy Raining Dusty

  • Hot
  • Windy
  • Raining
  • Dusty

• Average Temperature (C)

• Time lost due to weather conditions (hrs)

• What work pack was affected?

Work Pack

• Work Pack Number

  Select 1 2 3 4 5 6 (removed from scope) 7 8 9 10 11 12 13 14 15 16 17 Dayworks

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6 (removed from scope)
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • Dayworks

• What task was affected?

Task

• Select the task that was affected

  Select Topsoil Stripping Cut to Fill Cut to Stockpile Importing Fill Pavement Drainage Grouting Craneage Select Backfill

  • Topsoil Stripping
  • Cut to Fill
  • Cut to Stockpile
  • Importing Fill
  • Pavement
  • Drainage
  • Grouting
  • Craneage
  • Select Backfill

• Add Photos of Affected Work

  Media

• What resources were affected?

Resource

• Resource

General Safety

• Toolbox / Prestart Meeting Conducted

  Yes

  No

  N/A

• Any Issues Raised by Crew or Client?

Issue

• Issue

• Has the traffic management plan been checked and is relevant for the works? If no, add changes to Section 03 of this report.

  Yes

  No

  N/A

• Is first aid equipment available?

  Yes

  No

  N/A

• Is fire fighting equipment available?

  Yes

  No

  N/A

• All road surfaces suitable and fit for purpose?

  Yes

  No

  N/A

• Bund walls in place for roads and ramps?

  Yes

  No

  N/A

• Signage in place and appropriate in all work areas?

  Yes

  No

  N/A

• Is housekeeping of the site acceptable?

  Yes

  No

  N/A

Hazards Raised

• Any Hazards raised during the shift?

  Yes

  No

  N/A

• Tap "Add Hazard" and complete for each Hazard found during the shift

Hazard

• Details of Hazard

• Photos of Hazard

  Media

• Risk Rating 1 = Low, 10 = High

• Hazard Raised to Client for further action?

  Yes - External Hazard

  No - External Hazard

  Yes - Internal Hazard

  No - Internal Hazard

• Raised with

• Time?

• Closed out?

  Yes

  No

• Systems Coordinator to follow up with Client at next shift for details on closing Hazard.

• Were you able to close this Hazard without needing to report to the Client?

  Yes

  No

  N/A

• Details on Close Out Action taken.

• Systems Coordinator to enter Hazard details into system and close out

• Systems Coordinator to forward Hazard to Client for information and action.

Incidents During Shift

• Any Incidents during shift?

  Yes

  No

  N/A

• All Incidents must be reported to the Systems Manager at Head Office immediately after the incident occurs. Forward a copy of this report (in it's entirety) to Head Office at completion of the shift and complete the first page of FRM_003 in the site safety file as soon as the incident is reported.

• Tap "Add Incident" to add a new Incident

Incident

• Person Reporting Incident

• Time of Incident

  Date

• Type of Incident

  H&S

  Enviro

  Plant

  Other

• Has the Client been notified of this Incident?

  Yes

  No

• Details of Incident

• Is there a sketch or photos of the Incident that need to be included?

  Select Sketch Photograph

  • Sketch
  • Photograph

• Sketch of Incident

  Drawing

• Photos of Incident

  Media

• Were there any witnesses?

  Yes

  No

• Have each witness write a statement on what they saw, make sure that they date and sign the statement and include it in this report.

• Tap "Add Witness" to add details of each witness

Witness

• Copy of Statement

  Media

• Name and Signature of Witness

  Sign

• Is this Incident required to be reported to a Statutory Authority?

  Yes

  No

• Name of Authority Notified

• Name of Person you talked to

• Time of Notification

  Date

• Instructions Received from Authority

Traffic Management Changes

• Tap "Add Traffic Change" to add each new change to Traffic Management or Control

Traffic Change

• Has the Client been notified of the change to Traffic Management or Control?

  Yes

  No

• Person Notified

• Details of Change

• Is there a photo or sketch of the traffic change?

  Select Sketch Photograph

  • Sketch
  • Photograph

• Sketch of Change

  Drawing

• Photo of Change

  Media

Production

• Complete a new section for each work area.

• Tap "Add Work Area" to add a new section to the report.

Work Area

• Work Pack Number

  Select 1 2 3 4 5 6 (removed from scope) 7 8 9 10 11 12 13 14 15 16 17 Dayworks

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6 (removed from scope)
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • Dayworks

• Activities Conducted

  Select Topsoil Stripping Cut to Fill Cut to Stockpile Importing Fill Pavement Drainage Grouting Craneage Select Backfill

  • Topsoil Stripping
  • Cut to Fill
  • Cut to Stockpile
  • Importing Fill
  • Pavement
  • Drainage
  • Grouting
  • Craneage
  • Select Backfill

• Progress Photos

  Media

• Has all testing been conducted on relevant materials?

  Yes

  No

  N/A

• Production Notes

• Delays to Production?

  Yes

  No

• Tap "Add Delay" and provide details of each delay separately

Delay

• Details of Delay

• Is this a Client caused delay?

  Yes

  No

• Name of Person Notified

• How did you limit the impact of the delay?

• Do you need to add photos or a sketch to better explain the delay?

  Select Sketch Photograph

  • Sketch
  • Photograph

• Sketch of Delay

  Drawing

• Photo of Delay

  Media

Supervisor Sign Off

• General Comments

• Supervisor Name

  Sign