Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Untitled Page

SECTION 1: NEWCREST SITE AND REPRESENTATIVE DETAILS

  • Newcrest Site

  • Department

  • The following Newcrest Representative has been appointed to develop and implement appropriate Supervision and Management of the works described in Section 3:

  • Newcrest Representative

  • Role

SECTION 2: CONTRACTOR DETAILS

  • Contractor Name

  • Contractor Representative

  • Contractor Employees

SECTION 3: SCOPE OF WORKS

  • Any changes to works location, Contractor details, scope or date of the works shall require a new Daily Contractor Work Plan to be completed and approved by the Responsible Newcrest Manager prior to those works being performed.

  • 1. Task

  • 1. Location

  • 1. Date

  • 2. Task

  • 2. Location

  • 2. Date

  • 3. Task

  • 3. Location

  • 3. Date

  • 4. Task

  • 4. Location

  • 4. Date

  • 5. Task

  • 5. Location

  • 5. Date

  • 6. Task

  • 6. Location

  • 6. Date

  • 7. Task

  • 7. Location

  • 7. Date

  • 8. Task

  • 8. Location

  • 8. Date

  • 9. Task

  • 9. Location

  • 9. Date

  • 10. Task

  • 10. Location

  • 10. Date

SECTION 4: TASK PRE-REQUISITES

  • The Newcrest Representative shall ensure each of the following task pre-requisites have been completed prior to works commencing:

  • All Contractor personnel identified in Section 2 have completed Site and area-specific inductions.

  • JHA/SWPs have been developed and approved for the works identified in Section 3.

  • Site Permits where required for the tasks have been<br>completed and approved (mark ‘N/A’ where not applicable).

  • All equipment and plant for the task is fit for purpose

  • Contractor personnel hold the necessary competencies for<br>the required works (permits/certificates/licences etc.) as identified through the JHA/SWP.

  • Appropriate Newcrest supervision and workplace inspection for the task is in place and identified through the JHA/SWP

  • All Contractor personnel are subject to the site Fitness for Work Procedure.

SECTION 5: NEWCREST REPRESENTATIVE/RESPONSIBLE NEWCREST MANAGER

  • I have reviewed all task pre-requisites in Section 4 for the scope of works as described in Section 3

  • A new Daily Contractor Work Plan shall be completed and approved prior to works commencing where any changes to the works location, Contractor details, scope or date of the works occurs.

  • Newcrest Representative

  • Newcrest Responsible Manager

  • Date

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