Information
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Document No.
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Job No.
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Client / Site
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Reporting Date
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Prepared by
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Location
PROJECT DETAILS
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Project Type
- Asbestos
- Demolition
- Labour
- Tecdec
- Other
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Other Type
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Scope - description of works
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Duration of project
LABOUR ALLOCATION
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Supervisor
- Kevin Barnaby
- John Burger
- Michael Collins
- Mark Cox
- Michael Debono
- Luke Dodson
- Steven Dyer
- Rohan Ford
- Craig Galloway
- Warren Hicks
- Tim Jones
- Wathana Kan
- Chan S Keat
- Stefan Kolevich
- Rotanak Kong
- Andrew Lankosz
- Robert Lankosz
- Daniel Marino
- Marek Matlach
- Steve McIlwaine
- Many Nop
- Sokhun Nuon
- Jeremey Pennefather
- Paul Porter
- Graham Rose
- Ramsey Sin
- Ben Sullivan
- Terry Smith
- Mark Wood
- Employee/s not in list
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Team Members
- Kevin Barnaby
- John Burger
- Michael Collins
- Mark Cox
- Michael Debono
- Luke Dodson
- Steven Dyer
- Rohan Ford
- Craig Galloway
- Warren Hicks
- Tim Jones
- Wathana Kan
- Chan S Keat
- Stefan Kolevich
- Rotanak Kong
- Andrew Lankosz
- Robert Lankosz
- Daniel Marino
- Marek Matlach
- Steve McIlwaine
- Many Nop
- Sokhun Nuon
- Jeremey Pennefather
- Paul Porter
- Graham Rose
- Ramsey Sin
- Ben Sullivan
- Terry Smith
- Mark Wood
- Employee/s not in list
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Name/s of employee/s not in list
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Were there any team members from other companies?
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Enter names of other team members, their employer company and hours worked if different to the team.
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Enter the ACTUAL START and ACTUAL FINISH times below.
Note: the payroll or charge out hours may vary to actual hours worked. -
Start time
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Finish time
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ORDINARY HOURS DAY: Select all that apply
- Ordinary Day 8NT (1/2 hr lunch)
- 3-1-3
- Some workers had different hours
- Inclement weather
- Issues/stoppages
- Other reason
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Did work stop work due to inclement weather?
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How many inclement weather hours?
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
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How many inclement weather hours worked?
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
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Hours for ISSUE / STOPPAGE?
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
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Reason for stoppage:
- Injury / Incident / NCR
- Plant breakdown
- OHS breach
- Industrial action
- Worksafe
- Other
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Other details
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WORKERS WITH DIFFERENT HOURS
Worker
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Worker's name
- Kevin Barnaby
- John Burger
- Michael Collins
- Mark Cox
- Michael Debono
- Luke Dodson
- Steven Dyer
- Rohan Ford
- Craig Galloway
- Warren Hicks
- Tim Jones
- Wathana Kan
- Chan S Keat
- Stefan Kolevich
- Rotanak Kong
- Andrew Lankosz
- Robert Lankosz
- Daniel Marino
- Marek Matlach
- Steve McIlwaine
- Many Nop
- Sokhun Nuon
- Jeremey Pennefather
- Paul Porter
- Graham Rose
- Ramsey Sin
- Ben Sullivan
- Terry Smith
- Mark Wood
- Employee/s not in list
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Enter the ACTUAL START and FINISH times below.
Note the payroll or charge out hours may vary to actual. -
Start time
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Finish time
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For what OTHER REASON was it not an ordinary day?
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Were there any hours worked in MASKS?
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How many ACTUAL hours in mask?
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
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Did anyone wear a mask for ACTUAL hours different to the rest of the team?
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Select names of workers with different hours in mask
- Kevin Barnaby
- John Burger
- Michael Collins
- Mark Cox
- Michael Debono
- Luke Dodson
- Steven Dyer
- Rohan Ford
- Craig Galloway
- Warren Hicks
- Tim Jones
- Wathana Kan
- Chan S Keat
- Stefan Kolevich
- Rotanak Kong
- Andrew Lankosz
- Robert Lankosz
- Daniel Marino
- Marek Matlach
- Steve McIlwaine
- Many Nop
- Sokhun Nuon
- Jeremey Pennefather
- Paul Porter
- Graham Rose
- Ramsey Sin
- Ben Sullivan
- Terry Smith
- Mark Wood
- Employee/s not in list
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Name of person with different ACTUAL hours in mask.
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How many ACTUAL hours for workers different to team hours in mask
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
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Did any workers take a leave day
Worker on Leave
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Name of worker on leave
- Kevin Barnaby
- John Burger
- Michael Collins
- Mark Cox
- Michael Debono
- Luke Dodson
- Steven Dyer
- Rohan Ford
- Craig Galloway
- Warren Hicks
- Tim Jones
- Wathana Kan
- Chan S Keat
- Stefan Kolevich
- Rotanak Kong
- Andrew Lankosz
- Robert Lankosz
- Daniel Marino
- Marek Matlach
- Steve McIlwaine
- Many Nop
- Sokhun Nuon
- Jeremey Pennefather
- Paul Porter
- Graham Rose
- Ramsey Sin
- Ben Sullivan
- Terry Smith
- Mark Wood
- Employee/s not in list
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Leave type
- Sick/Personal Leave
- Annual Leave
- Leave without pay
- Bereavement Leave
- RDO
- Training
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Leave hours
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
HIRE
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Was there any new hire equipment ON HIRED today?
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ON HIRE
Hire Company
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Company Name
- CAT Rentals
- Coates
- Complete
- Force Access
- Kennards
- Kyneton Cranes
- Other
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Other Hire company
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ON HIRE: select all that apply
- Boom
- Crane
- Excavator
- Forklift
- Generator
- Handrail
- Hoarding
- Hoist
- Kanga Hammer
- Portable toilet
- Scaffold
- Scissor
- Site sheds
- Static line
- Temporary fencing
- Other
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Other plant details:
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Was any hire equipment OFF HIRED today?
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OFF HIRE
Hire Company
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Company Name
- CAT Rentals
- Coates
- Complete
- Force Access
- Kennards
- Kyneton Cranes
- Other
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Other Hire company
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OFF HIRE: (select all that apply)
- Boom
- Crane
- Excavator
- Forklift
- Generator
- Handrail
- Hoarding
- Hoist
- Kanga Hammer
- Portable toilet
- Scaffold
- Scissor
- Site sheds
- Static line
- Temporary fencing
- Other
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Other plant details:
OTHER EQUIPMENT (Neg Air pressure gauge reporting OR Rates Jobs)
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Were Neg Air Units used?
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Photos of neg air pressure gauges
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Check this box if there was NO DROP IN PRESSURE from previous reading
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Record details of pressure change (if applicable)
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Is this a Rates job?
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Other equipment (tap all that apply)
- Neg Air Unit
- HEPA Vac Cleaner
- Other
Neg Air Unit
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Neg Air Asset #
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Hours used
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
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HEPA Vac Unit
HEPA Vac
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Vac Asset #
- VAC 001
- VAC 002
- VAC 003
- VAC 004
- VAC 005
- VAC 006
- VAC 007
- VAC 009
- VAC 010
- VAC 011
- VAC 012
- VAC 013
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Hours Used
- 0 hours
- 0.5 hours
- 1 hour
- 1.5 hours
- 2 hours
- 2.5 hours
- 3 hours
- 3.5 hours
- 4 hours
- 4.5 hours
- 5 hours
- 5.5 hours
- 6 hours
- 6.5 hours
- 7 hours
- 7.5 hours
- 8 hours
- 8.5 hours
- 9 hours
- 9.5 hours
- 10 hours
- 10.5 hours
- 11 hours
- 11.5 hours
- 12 hours
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Other equipment description & hours used.
DISPOSAL
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Were there any bins or trucks DELIVERED to site today?
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Bins or trucks
- Bins
- Trucks
- Trailer
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Bin Disposal Type (select all that apply)
- Asbestos
- General
- Recycle
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Asbestos Bin size
- 4m3
- 6m3
- 8m3
- 10m3
- 12m3
- 15m3
- 23m3
- Other
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Other bin size
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General Bin size
- 4m3
- 6m3
- 8m3
- 10m3
- 12m3
- 15m3
- 23m3
- Other
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Other bin size
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Recycle Bin size
- 4m3
- 6m3
- 8m3
- 10m3
- 12m3
- 15m3
- 23m3
- Other
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Other bin size
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Truck Disposal Type (select all that apply)
- Asbestos
- General
- Recycle
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Asbestos Truck / Dog?
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General Truck / Dog?
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Recycle Truck / Dog?
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Were any trailer loads, bins or trucks REMOVED from site today?
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Trailer loads, Bins or trucks?
- Bins
- Trucks
- Trailer
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Trailer Disposal Type (select all that apply)
- Asbestos
- General
- Recycle
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Bin Disposal Type (select all that apply)
- Asbestos
- General
- Recycle
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Asbestos Bin size
- 4m3
- 6m3
- 8m3
- 10m3
- 12m3
- 15m3
- 23m3
- Other
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Other bin size
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General Bin size
- 4m3
- 6m3
- 8m3
- 10m3
- 12m3
- 15m3
- 23m3
- Other
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Other bin size
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Recycle Bin size
- 4m3
- 6m3
- 8m3
- 10m3
- 12m3
- 15m3
- 23m3
- Other
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Other bin size
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Truck Disposal Type (select all that apply)
- Asbestos
- General
- Recycle
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Asbestos Truck / Dog?
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General Truck / Dog?
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Recycle Truck / Dog?
CONSUMABLES (Rates jobs only)
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Were any consumables used on site that need to be recorded
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Consumables
Consumable
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Select item
- Asbestos bags (ea)
- Asbestos barricade tape (roll)
- Black bags (ea)
- Black plastics (roll)
- Clear plastic (roll)
- Deco filter (ea)
- Disposable coveralls (pair)
- Disposable towel (ea)
- Filter main P2/P3 (ea)
- Filter media (roll)
- Pre-filter (ea)
- Glove bags (ea)
- Gloves Rigger (pair)
- HEPA filter (ea)
- Signage (ea)
- Tape - duct (roll)
- Tape - Aluminium (roll)
- Tape - double sided (roll)
- Tarps/Fabricon
- Timber
- Vac bag Large (ea)
- Vac bag Small (ea)
- Wet wipes (tub)
- Other
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Other item
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Qty
PROGRESS PHOTOS
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Take a photo or 2 of the progress of the job
Sign Off
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Supervisor Sign Off
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CLIENT REPRESENTATIVE SIGN OFF:
In signing here the client representative agrees that verbal or written site instructions have been issued. -
Client Representative Sign Off