Information
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Site Address
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Conducted on
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Personnel Present (ours)
- Nick Donald
- Clifton Huger
- Harry Thompson
- Jason Pickering
Site Check
ARRIVAL SITE SAFETY CHECK
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DUTY MANAGER - Designated Onsite Duty Manager is
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FIRST AID - Our onsite designated Warden/First Aid Person is:
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INDUCTION TAGS- Do all technicians have their ID Tags?
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INSTRUCTION - Have all technicians read the job instructions?
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SIGNAGE/HAZARD BOARD - Have all technicians checked hazard board and updated any new hazards ticked off? Photo
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DECON SPECIFIC HAZARDS - Are there any visible and possible hazards that are not stated on the hazard board that are going to directly affect our technicians onsite?
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DECON SPECIFIC HAZARD/S
HAZARD
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Photograph and description of hazard
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How was Hazard Eliminated? Explain and photo
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How was Hazard Isolated? Explain and Photo
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How was Hazard Minimised? Explain and Photo
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ELECTRICITY - Are all leads in good condition and have current tags? RCDS to be used
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PPE - Is everyone on site using correct PPE?
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Are there any other people onsite?
SITE INDUCTIONS
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SITE INDUCTIONS
- Electronic
- Paper
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ELECTRONIC INDUCTIONS
Person
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Signature of site visitor confirming they have read this health and safety check.
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Time site visitor arrived onsite
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Time site visitor left site
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Photograph Induction/Sign In Form
DEPARTING SITE SAFETY CHECK
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Have you recorded on the calendar job note any equipment you have left and/or removed from site?
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Have you recorded any specific instructions for the office (eg arrange pickup of lockbox or air mover) on calendar job note
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Have you photographed any Paper Induction Forms (above)
CONCLUSION
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ADDITIONAL COMMENTS;
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Signature of Technician doing Health & Safety Check
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Select date
