Enable Services Ltd Site Safety Interactions (SSI) - Network Operations

• SITE SAFETY INTERACTIONS checklist (SSI) Network Operations

• Enable document number ESQF01303

1) SITE SAFETY INTERACTION (Enter details in all fields below)

• Your name (the Observer)

• Tap for your location (enable GPS on your device)
  Address

• Enter address of this visit

• Service Partner / Company Staff member(s) interacted with

• Staff Members Manager

• Date

  Date

2) OBSERVED ON ENTERING SITE and GENERAL SITE SETUP (fill in each field YES - NO - N/A )

• You noticed staff wearing appropriate PPE on arrival to site

  Yes

  No

  N/A

• You are challenged to sign on when entering worksite

  Yes

  No

  N/A

• Environment / Contractor is acting responsibly

  Yes

  No

  N/A

• Utilities are Marked out or Identified

  Yes

  No

  N/A

• Foot traffic Managenent in place

  Yes

  No

  N/A

• Traffic Management is set up and in place

  Yes

  No

  N/A

• Machinery Barricades in place

  Yes

  No

  N/A

• Working in Restricted space - Correct safe practices followed

  Yes

  No

  N/A

• Other - Specify

3) SITE FORMS. (4 x 2 , Tailgate, or similar)

• Contractor company site sign on form presented (4x2' Tailgate, JSA)

  Yes

  No

  N/A

• Hazards explained effectively. ( take photo of form and add media and comments)

  Yes

  No

  N/A

• Other please specify ( add text)

4) SITE PROCEDURES ( Interaction - ask what would you do if......)

• Gas Strike - Emergency Procedure

• Electrical Strike - Emergency Procedure

• Other - Specify

5) ENVIRONMENT

• Trees, excavation is managed within the trees drip line

  Yes

  No

  N/A

• Trees, Complying with rule of thumb

  Yes

  No

  N/A

• Matting and/or Bunding to protect waterways

  Yes

  No

  N/A

• Surface cutting, best practices followed

  Yes

  No

  N/A

• Other - specify

• Person demonstrates they have a good understanding of H&S and lead by example

• Compliance Observed (the good stuff) - Specify

• Non Compliant behaviour - What actions were taken to modify behaviour? - Specify

6) HEALTH AND SAFETY CULTURE (use slide bar - record your grade out of 10)

• Person knows why it is done a particular (safe) way

• Person demonstrates they are thinking safety

7) OBSERVER - sign in panel below.

• Add signature

  Sign