CONTRACTORS DAILY SAFE TASK INSTRUCTION<br>(CHECKLIST – BEFORE WORK COMMENCES)<br>

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

DAILY SAFE TASK INSTRUCTION

General Information

  • - COMPANY : Skywire

  • - AREA :

  • - DATE & REF :

  • clean & tidy

  • - Sufficient/correct barricading erected

  • - Electrical equipment in good condition

  • - Machine guarding adequate

  • - All tools/equipment pre-inspected

  • - Safe access & egress available and used

  • - Interfacing with other activities

  • - Gas-cutting equipment & hoses

  • - Correct P.P.E (Utilised & available)

  • - Safe working platforms for elevated work

  • - Safe Lifting & Rigging equipment

  • - LOCK-OUT REQUIRED AND IN PLACE?

  • - HIGH-RISK AREAS RESTRICTED

  • wind/rain / heat/cold

  • - Employees Physical & Mental wellbeing?

  • Was this an injury on duty

  • Do You need medical help

  • Do you need medical help

  • - HIGH-RISK ACTIVITIES / CONDITION

  • LIST POTENTIAL AND EXISTING HAZARDS

  • - LIST CONTROLS REQUIRED

Daily Safe Task Instruction

  • If tasks change, this list and the Risk Assessment must be revised before proceeding with new/changed task. A signed attendance register must be attached to this list.

  • I hereby certify that the above items were checked and all workers under my supervision received a safe task instruction:

  • Responsible Person Pre-inspection (Construction Supervisor) Print Name Signature:

DSTI ACKNOLEGEMENT

  • I, The undersigned, hereby acknowledge that the relevant hazards as identified on the DSTI, was communicated to me and I understand and acknowledge the safety instructions and control measures relevant to my activities. I furthermore undertake to ensure compliance with the safety regulations and instructions noted. I hereby commit myself to create and maintain a safe work environment.

  • Name & Surname ID Number Occupation Company Signature

  • 1

  • Add signature

  • 2

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  • 3

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  • 4

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  • 5

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  • 6

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