Title Page
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Main Contractor
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Site Address
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Date & Time Started
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Prepared by
Site Diary
MONDAY
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Weather conditions
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Labour on site
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Tasks and Duration (including measured works)
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Variations
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DAILY Photos to be taken to record conditions of site, progress, delays, and any other issues that may arise.
TUESDAY
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Weather conditions
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Labour on site
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Tasks and Duration (including measured works)
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Variations
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DAILY Photos to be taken to record conditions of site, progress, delays, and any other issues that may arise.
WEDNESDAY
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Weather conditions
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Labour on site
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Tasks and Duration (including measured works)
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Variations
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DAILY Photos to be taken to record conditions of site, progress, delays, and any other issues that may arise.
THURSDAY
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Weather conditions
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Labour on site
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Tasks and Duration (including measured works)
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Variations
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DAILY Photos to be taken to record conditions of site, progress, delays, and any other issues that may arise.
FRIDAY
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Weather conditions
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Labour on site
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Tasks and Duration (including measured works)
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Variations
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DAILY Photos to be taken to record conditions of site, progress, delays, and any other issues that may arise.
SATURDAY
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Weather conditions
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Labour on site
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Tasks and Duration (including measured works)
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Variations
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DAILY Photos to be taken to record conditions of site, progress, delays, and any other issues that may arise.
TOOLBOX TALK REGISTER
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Toolbox Talk Subject (Photo of subject and sign off sheet)
All attendees names must be added here
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Name
HAND ARM VIBRATION RECORD
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Makita DTW = 13ms2
Individual Operative Exposure Record
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Item Model / Manufacturer / Serial number / I.D. (4 x photos here)
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Vibration Magnitude level Rate (M/S2) of the equipment (eg, Makita DTW300= 13ms2)
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Duration of work allowed (Hours and Minutes)
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Actual duration that operative worked with the equipment (Hours and Minutes)
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Signature (Operative)
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SUPERVISOR STATEMENT - These are a true and accurate record of exposure levels for the individual(s) above. Signature
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Date & Time
PUWER - (Weekly inspection of tools, hammer drills, reciprocating saws, impact wrench's etc)
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Record Equipment Inspection Here
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PHOTO OF EQUIPMENT / PLANT INSPECTION BOOK ENTRY
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DATE & TIME OF INSPECTION
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COMMENTS
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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INSPECTED BY
LOLER - (Weekly inspection of: forklifts / telescopic handlers, hoists, gin wheels & ropes, chains, straps / strops, stillages)
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Record Lifting Equipment Inspection Here
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PHOTO OF EQUIPMENT / LOLER INSPECTION BOOK ENTRY
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DATE & TIME OF INSPECTION
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COMMENT
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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INSPECTED BY
PPE WEEKLY CHECK REGISTER (This section applies to all operatives listed in the diary above - any damaged items or replacements required must be reported to Head office).
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Operative PPE Inspection
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NAME OF OPERATIVE
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HARNESS
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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LANYARD
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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TOOL TETHERS (if required)
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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SAFETY HELMET
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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EYE PROTECTION
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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EAR DEFENDERS
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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R.P.E / DUST PROTECTION
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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HIGH VISIBILITY VEST
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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GLOVES
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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FOOT PROTECTION
- Good working order at time of inspection
- Requires attention
- Faulty out of use
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SUPERVISOR
