Information
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Job number
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Site address
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Conducted on
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Prepared by
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Description of work activity
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Location within work site
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Details of risks from hazard
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Immediate/ temporary actions taken
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Is there a current SWMS?<br>Last review date?<br>If no SWMS, why not
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Controls or actions recommended
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HSR and other effected employees consulted during above process
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Any potential impact on other activities?
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Entered into CAR?
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