Title Page
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Site conducted
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Conducted on
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Prepared by
Audit
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Weather, Temperature, Wind, Humidity etc
Shifts Worked
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Day Shift
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Night Shift (Previous Night)
Description of Works Performed Today
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Site Inspection Time
Subcontractors Witnessed
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Marine Subcontractor
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Please specify the name of the subcontractor
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Electrical Subcontractor
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Please specify the name of the subcontractor
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Civil Subcontractor
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Please specify the name of the subcontractor
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Additional Subcontractors
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Please specify additional subcontractors
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Consultants On Site
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Please specify additional subcontractors
Description of works
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Landside Works
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Waterside Works
Onsite Safety Observations
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Please answer these questions daily. They will give us valuable insight about day to day changes in OHHS
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Did you attend a toolbox talk today?
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Please specify the topic
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Do you have any safety observations to report?
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Please state your safety observations
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Please state the hazards identified on site
On-site Environmental
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Do you have any environmental conditions to report?
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Positive or Constructive
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Please state your observation
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Please state your observation
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Do you have a Noise & Vibration observations to report?
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Please state your observation
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Any contamination removal works conducted?
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Please describe the contamination removal works being conducted
Traffic Control
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Do you have any traffic control conditions to report?
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Please state your observation
Delays
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Any condition delaying or slowing down works observed during inspection?
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Please state the delay and the reason
COVID-19 Impacts
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Where there any potential COVID-19 impacts today?
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Please describe the COVID-19 impacts
On-site Major Plant and Equipment and Materials
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Any Breakdowns/ Maintenance Downtime/ etc ?
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Please state your observation
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Please attach photos
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On-site Major Plant Equipment
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On-Site Stored Material
Observed On-Site Labour
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MC Engineers
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MC Supervision
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Marine Labours
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Electricians
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Pre-cast Installers
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Civil Labours
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Painters
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Tactile Installers
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Gangway Crew
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Concreting
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Waterproofers
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Traffic Controllers
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Other Labour
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Approximate Cumulative Daily Count
Project Signature
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This section is to be completed by the Surveillance Officer or individual completing this checklist
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Signature: