Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Meeting details

  • Todays weather is....

  • Todays traffic management plan is.....

  • The emergency location point is.....

  • Where is the Emergency Locator Beacon (EPURB) onsite

Employee details

  • Are all workers feeling fit and able to perform their usual duties today ? Is anyone feeling fatigued who would like to change their role for the day ? (ask the whole crew, workers may approach you after the team has disbanded)

  • Name of injured/ stressed or fatigued worker?

  • What is the nature of their injury ,illness or fatigue (could be physical, emotional or external )

  • Are they able to carry on with their normal workload

  • What other duties can they perform today

Hazard and Risk Identification

  • Are there any new hazards?

  • Have they been entered into the risk register?

  • Can the hazard be eliminated or minimised through the use of controls?

  • Can the hazard be eliminated or minimised through the use of controls to reduce the risk (describe)?

  • Has the risk potential changed (think change of weather, terrain, type of work for the day etc)? Remember some of the highest risk areas are BO and manual falling!

Work Plan

  • Hauler Operator ( good comm's with BO's and Machine Op's)

  • Load Out Loader Operator

  • Shovel Loader Operator

  • Backline T-Bar Operator

  • Processor Operator ( managing chainshot)

  • QC/Poleman (stay in safe zone untill all clear is given to enter work areas)

  • What is today's work plan:

  • HBO Name

  • SOD/SRD ( MTH)

  • ROD (Min 20m)

  • Red Zone (1.5 Tree Lengths Min)

  • 2x Tree Lengths

  • Fully charged RT

  • Hydration Pack

  • Range Finder

  • First Aid Kit

  • Fire Extinguisher

  • Are you Felling Trees Today

  • What is Todays Felling Plan:

  • Name of Faller(s)

  • Checking in to ?

  • Mean Tree Height

  • Fully Charged RT

  • Hydration Pack

  • Boots

  • Range Finder

  • First Aid Kit

  • (On the last day of work) Did the work plan run safely and to plan?

  • What went wrong and how can we stop it happening again

  • Were there any Accidents, Incidents or Near Misses that need recording

  • Please record in Accident, Incident, Near Miss Form.

  • (On the last day of work) Did every worker work safely and to the conditions?

  • What happened, does an Accident, Incident, Near Miss form need to be filled out. Does management need to be notified

  • (On the last day of work) Were there any health and safety issues raised?

  • What are they?

  • How are going to resolve them?

  • (On the last day of work) Was there any first aid equipment or fire gear used?

  • What was used?

  • (On the last day of work) Did changes have to be made throughout the day to make the working environment safer?

  • What changes needed to be made?

Attendance details (Crew manager/foreman on the day)

  • Crew manager (or foreman on the day)

  • Attendance details (Other works and any other contractors/PCBU at the tailgate meeting)
  • Worker (name and sign)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.