HEALTH AND SAFETY

HEALTH AND SAFETY

RISK ASSESSMENT

OUTCOME

PUWER INSPECTION RECORD

OUTCOME

TM ERECTED BY

PICTURE OF SITE SET UP

STANDARD OF SITE SET UP?

OUTCOME

CONES

OUTCOME

COMMENTS

DO THE CREW HAVE THE FOLLOWING?

2 TREE CUTTING SIGNS?

MANAGER TO SUPPLY SIGNS

2 ROAD NARROWS?

MANAGER TO SUPPY SIGNS

2 ARROWS

MANAGER TO SUPPY SIGNS

SUFFICIENT CONES FOR THE JOB?

MANAGER TO SUPPY MORE CONES

SIGNS

CONSIDER REPLACEMENT

OUTCOME

COMMENTS

SUFFICIENT STAFF ON SITE FOR THE TASK AND SITE?

OUTCOME

ALL STAFF WEARING CORRECT PPE?

MISSING ITEMS

COMMENTS

CONDITION OF PPE

GLOVES?

MANAGER TO REPLACE

HARDHAT?

MANAGER TO REPLACE

VISOR?

MANAGER TO REPLACE

EAR PROTECTION?

MANAGER TO REPLACE

PROTECTIVE BOOTS

MANAGER TO REPLACE

CHAINSAW TROUSERS

MANAGER TO REPLACE

HI-VIZ

MANAGER TO REPLACE

CLIMBING EQUIPMENT

LAMINATED LOLER CHECK SHEET IN BAG?

DO ALL ITEMS MATCH LOLER SHEET

MANAGER TO INVESTIGATE AND IMPOSE THE RELEVANT FINE.

ARE THE FOLLOWING ITEMS IN THE CLIMBING KIT FIT FOR PURPOSE?

CLIMBING ROPE?

OUTCOME

PRUSSIC LOOP?

OUTCOME

SIDE STROP?

OUTCOME

KNOTS TIED CORRECTLY?

OUTCOME

OTHER?

KARABINERS?

OUTCOME

HARNESS?

OUTCOME

SPIKES?

OUTCOME

SPLIT TAIL?

OUTCOME

GRILLION?

OUTCOME

WIRE CORE FLIPLINE?

IS THERE A "SOFT LINK"?

OUTCOME

CONDITION

OUTCOME

IS THERE A RESCUE KIT?

IS IT IN GOOD CONDITION AND FIT FOR PURPOSE?

NAME OF RESCUE CLIMBER:

IS THE RESCUE CLIMBER QUALIFIED?

IS THE OPERATION BEING CARRIED OUT TO INDUSTRY BEST PRACTICE ( secondary anchor point when using chainsaw, two handed use of top handled saw)

ACTION

IS THERE A LADDER ON SITE?

IDENT NUMBER?

MANAGER TO MARK LADDER AND ADD TO REGISTER

CONDITION OF LADDER
PICTURES

COMMENTS

ARE AERIAL OPERATIONS BEING CARRIED OUT?

DOES THE CLIMBER HAVE A PERSONAL FIRST AID KIT?

OUTCOME

IS THERE A QUALIFIED RESCUE CLIMBER?

NAME OF RESCUE CLIMBER

OUTCOME

IS THERE A RESCUE KIT AVAILABLE?

OUTCOME

IS THE OPERATION BEING CARRIED OUT TO BEST INDUSTRY PRACTICE?
(Secondary anchor point when using chainsaw, two handed use of top handle saw)

OUTCOME

MEWP

MEWP

MEWP USED ON SITE?

DOES THE OPERATOR HAVE A STROP FIXED TO BUCKET ANCHOR POINT?

OUTCOME

IS THE OPERATOR WEARING A HARDHAT?

OUTCOME

IS OPERATOR WEARING A HARNESS?

OUTCOME

ARE CORRECT FOOTPADS AVAILABLE?

OUTCOME

IS THERE A TRAINED AND CERTIFIED OPERATOR?

WORK STOPPED UNTIL QUALIFIED OPERATOR AVAILABLE

TREE PLANTING and STUMP GRINDING

TREE PLANTING AND STUMP GRINDING

ARE TREE PLANTING OPERATIONS BEING CARRIED OUT?

IS A CAT AND GENNY AVAILABLE ON SITE.

WORK STOPPED UNTIL A CAT AND GENNY ARE BOUGHT TO SITE

HAS AN UNDERGROUND CABLE AVOIDANCE SURVEY BEEN CARRIED OUT?

WORK STOPPED UNTIL UNDERGROUND CABLES SURVEY COMPLETED

ARE STUMP GRINDING OPERATIONS BEING CARRIED OUT?

IS A CAT AND GENNY AVAILABLE ON SITE.

WORK STOPPED UNTIL A CAT AND GENNY ARE BOUGHT TO SITE

HAS AN UNDERGROUND CABLE AVOIDANCE SURVEY BEEN CARRIED OUT?

WORK STOPPED UNTIL UNDERGROUND CABLES SURVEY COMPLETED

QUALITY

QUALITY OF WORK
WHICH OPERATIONS ARE BEING CARRIED OUT?

OVERALL OPINION OF WORKS?

IS THE CLEARING UP TO AN ACCEPTABLE STANDARD?

OUTCOME

IS THE OPERATION SAFE?

IS THERE ANY DAMAGE TO SURROUNDINGS?

PHOTO

COMMENTS

TREE PLANTING?

ARE THE STAKES UPRIGHT AND SECURE?

OUTCOME

IS THE TREE PLANTED AT CORRECT DEPTH? (Nursery mark)

OUTCOME

IS THE TREE PIT LARGE ENOUGH FOR THE TREE?

OUTCOME

ARE TIES AND PADS ADEQUATE AND SECURE THE TREE.

OUTCOME

IS THE SITE LEFT CLEAN AND TIDY.

OUTCOME

HAS FORMATIVE PRUNE BEEN CARRIED OUT?

OUTCOME

ARE LABELS AND TAPE REMOVED FROM THE TREE?

OUTCOME

PARTIAL REDUCTION

OVERALL OPINION OF PARTIAL CROWN REDUCTION OPERATIONS

CROWN REDUCTION

OVERALL OPINION OF CROWN REDUCTION OPERATIONS

CROWN THINNING

OVERALL OPINION OF CROWN THINNING OPERATIONS

PRUNING

OVERALL OPINION OF PRUNING OPERATIONS

ENVIRONMENT

ENVIRONMENT

IS MACHINERY TURNED OFF WHEN NOT IN USE?

I INSTRUCTED TEAM TO TURN OFF, STATING MY REASONS

DOES THE VEHICLE HAVE A SPILL KIT?

MANAGER TO SUPPLY SPILL KIT ON RETURN TO DEPOT

IS THE SPILL KIT FULLY STOCKED?

MANAGER TO RE-STOCK ON RETURN TO DEPOT.

VEHICLE AND CHIPPER

VEHICLE

DOES THE VEHICLE HAVE A FIRST AID KIT?

OUTCOME

IS THE FIRST AID KIT FULLY STOCKED?

OUTCOME

RE-STOCKED ITEMS?

IS THERE A TEAM PACK?

MANAGER TO SUPPLY A TEAM PACK.

IS THERE A FIRE EXTINGUISER?

MANAGER TO SUPPY NEW EXTINGUISER

IS IT FULLY CHARGED?

MANAGER TO SUPPY NEW EXTINGUISER

IS IT IN DATE?

MANAGER TO SUPPY NEW EXTINGUISER

CAB TIDINESS
GENERAL TIDINESS OF CAB?
OUTCOME

TAX DISC VALID

"O" LICENCE VALID?

DID THE DRIVER COMPLETE VEHICLE DEFECT SHEET THAT MORNING?

CHIPPER

TOW HITCH WEAR INDICATOR?

MANAGER TO ARRANGE REPLACEMENT HITCH ASAP

DOES THE NUMBER PLATE MATCH THE VEHICLE?

APPROVED NUMBER PLATE?

CHIPPER SAFTY FEATURES WORKING?

ISO AWARE

ISO AWARE

ARE CREW AWARE OF G&T SAFETY FORMS?

SIGN OFF

SIGN OFF AND OTHER DATA
ANY OTHER PHOTOS?
DRAWING OF SITE/TREE ETC

COMMENTS

OVERALL IMPRESSION OF AUDIT VISIT?
SIGNATURE OF MICK COOMBER, AUDITOR.
NAME AND SIGNATURE OF TEAM LEADER
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.