Information
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Document No.
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Inspection Title
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Client / Site
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Areas Visited
- F Appleton
- Victoria Dock Slip Way
- Holden Dock
- 6 Yarraville
- 1 Maribyrnong
- 33 South Wharf
- Coode Island
- Yarraville
- Williamstown
- Port Melbourne
- Other
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Areas Visited:
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Conducted on
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Prepared by
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Personnel
Observations
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Observation
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Are there any hazards?
- Signage
- Faulty Equipment
- Lighting
- Fire Equipment
- Falls, trips and slips of a person
- Hitting objects with a part of the body
- Being hit by a moving object
- Sound and pressure
- Body stressing
- Heat, electricity and other environmental factors
- Chemicals and other substances
- Biological factors
- Mental stress
- Other and unspecified mechanisms of incident
- Environment
- Note Only
- other
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Falls, trips and slips of a person hazard types.....
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Hitting objects with a part of the body hazard types.....
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Being hit by moving objects hazard types....
- Being hit by a falling object
- Being bitten by an animal
- Being hit by an animal
- Being hit by a person accidentally
- Being trapped by moving machinery or equipment
- Being trapped between stationary and moving objects
- Exposire Exposure to mechanical vibration
- Being hit by moving objects
- Being assaulted by a person or persons
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Sound and pressure hazard types....
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Body stressing hazard types....
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Heat, electricity and other environmental factors hazard types....
- Contact with hot objects
- Contact with cold objects
- Exposure to environmental heat
- Exposure to environmental cold
- Exposure to non-ionising radiation
- Exposure to ionising radiation
- Contact with electricity
- Drowning/immersion
- Exposure to other environmental factors
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Chemicals and other substances hazard types....
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Biological factors hazard types....
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Mental stress hazard types....
- Exposure to a traumatic event
- Exposure to workplace or occupational violence
- Work pressure
- Suicide or attempted suicide
- Other mental stress factors
- Work related harassment and /or workplace bullying
- Other harassment
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Other and unspecified mechanisms of incident hazard types....
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Description of other hazard:
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Photo(s) of observation
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Short description of photo (if accompanying)
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Action required:
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Action assigned to:
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Any further observations?
Observation
-
Are there any hazards?
- Signage
- Faulty Equipment
- Lighting
- Fire Equipment
- Falls, trips and slips of a person
- Hitting objects with a part of the body
- Being hit by a moving object
- Sound and pressure
- Body stressing
- Heat, electricity and other environmental factors
- Chemicals and other substances
- Biological factors
- Mental stress
- Other and unspecified mechanisms of incident
- Environment
- Note Only
- other
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Description of other hazard:
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Photo(s) of observation
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Short description of photo (if accompanying)
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Action required:
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Action assigned to:
