CONTRACTORS DAILY SAFE TASK INSTRUCTION<br>(CHECKLIST – BEFORE WORK COMMENCES)<br>
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Site conducted
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Conducted on
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Prepared by
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Location
DAILY SAFE TASK INSTRUCTION
General Information
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- COMPANY : Skywire
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- AREA :
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- DATE & REF :
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clean & tidy
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- Sufficient/correct barricading erected
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- Electrical equipment in good condition
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- Machine guarding adequate
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- All tools/equipment pre-inspected
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- Safe access & egress available and used
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- Interfacing with other activities
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- Gas-cutting equipment & hoses
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- Correct P.P.E (Utilised & available)
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- Safe working platforms for elevated work
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- Safe Lifting & Rigging equipment
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- LOCK-OUT REQUIRED AND IN PLACE?
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- HIGH-RISK AREAS RESTRICTED
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wind/rain / heat/cold
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- Employees Physical & Mental wellbeing?
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Was this an injury on duty
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Do You need medical help
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Do you need medical help
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- HIGH-RISK ACTIVITIES / CONDITION
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LIST POTENTIAL AND EXISTING HAZARDS
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- LIST CONTROLS REQUIRED
Daily Safe Task Instruction
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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.
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I hereby certify that the above items were checked and all workers under my supervision received a safe task instruction:
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Responsible Person Pre-inspection (Construction Supervisor) Print Name Signature:
DSTI ACKNOLEGEMENT
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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.
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Name & Surname ID Number Occupation Company Signature
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