Title Page
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For standard activities this must be: reviewed daily or when tasks or activities change.
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Conducted on:
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Prepared by:
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Site Location:
Site Information
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More complex higher risk sites and unique tasks, may require additional risk management - check with the foreman/supervisor or responsible manager.
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Job number:
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TMP number:
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Client:
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Person in charge:
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STMS:
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Have all subcontractors been inducted to site?
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Induct them before they start work - https://fultonhoganknowhow.co.nz/subbie-induction-nz/ (subcontractor induction video)
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All subcontracted and hired plant is inducted and stickered?
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Do not use and check with the person in charge - https://fultonhoganknowhow.co.nz/wp-content/uploads/2021/03/GoTosubcontractedandhiredinplantFFL.pdf (Subcontracted and hired in plant info)
Medical, fires, spills and emergency
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Emergency contact:
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First aid kit location:
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Fire equipment location:
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Spill kit location:
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Assembly point:
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Hospital / clinic location:
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First aider(s):
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Other information:
Permit Type - Expiry dates
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Permit type:
- Digging and excavation
- Working at height
- Confined space entry
- Tree felling
- Rail (external permit via KiwiRail)
- Hot work (and hazardous atmospheres)
- Bitumen hot and cold work
- Asbestos (3 different permits)
- Close Proximity (gas and electrical)
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Expiry date:
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Production targets, quality and environment requirements
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Other - Please state:
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Expiry date:
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Production targets, quality and environment requirements
Resolving Issues
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What issues did we have yesterday?
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How will we fix them today?
Plan for the day
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Online Information
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https://fultonhoganknowhow.co.nz/ (KnowHow videos and other info - min requirements)
Site sketch, plan map or image
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Risk prompts: moving plant, falls/height, traffic, trenching and excavation, lifting, confined space, manual handling, safe hands, fatigue, asbestos, noise/dust, temporary works, lockout tagout, environmental, discharge to air/land/water, quality.
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Add info
Tasks, Risks and Controls
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Tasks...What am I doing?
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Risks...What could go wrong?
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HSW / Q&I / E&S:
- Health, Safety & Wellbeing
- Quality & Integrated Mgmt Systems
- Environment & Sustainability
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Controls...How do I do it safely?
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FH Risk Matrix
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Final Risk Rating:
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PAUSE and check with foreman/supervisor and responsible manager
Minimum site and task based PPE
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PPE required (tick all that apply)
- High-vis
- Safety glasses
- Lace up safety boots
- Covid-19 Mask/face covering
- Covid-19 vaccination required for this site
- Safety gloves
- Overalls
- Hard hat
- Masks- for dust or fume
- Hearing protection
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RT Radio Channel
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Other PPE required
Risks reviewed
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Risks reviewed:
- Mon
- Tues
- Wed
- Thurs
- Fri
- Sat
- Sun
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Risk register: https://fultonhoganknowhow.co.nz/wp-content/uploads/2022/04/Risk-Register-NZ.pdf
Review the following questions and sign on before starting work
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Full name:
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Date:
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Company:
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Who did you travel with?
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Phone:
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Fit and well for the work day ahead?
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PAUSE and check with Foreman/Supervisor or Responsible Manager
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Understand the controls? HSW, Q&I, E&S
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PAUSE and check with Foreman/Supervisor or Responsible Manager
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Inducted onto this work site?
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PAUSE and check with Foreman/Supervisor or Responsible Manager
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Trained and competent in your tasks?
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PAUSE and check with Foreman/Supervisor or Responsible Manager
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Wearing the correct PPE?
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PAUSE and check with Foreman/Supervisor or Responsible Manager
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Sign on