Higgins Contractors Ltd - Safety Conversation Guide

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Add location
  Address

• Conversation with

• Task / Topic

Conversation Prompts - Critical Risk Safety Rules

• Human Factors: <br>• You must not work under the influence of drugs and alcohol.<br>• Always wear the correct PPE.<br>• You must complete a hazard identification process before beginning any work.<br><br>

  Yes

  No

  N/A

• Moving Plant: <br>• You must work to the 5m rule.<br>• You must be licenced and assessed competent before operating any plant, machinery or bitumen equipment.<br>• You must always wear your seatbelt.<br>• You must have and follow a Site Safety Plan.

  Yes

  No

  N/A

• Traffic: <br>• You must not work on any road without the protection of approved traffic controls. <br>

  Yes

  No

  N/A

• Energy Sources: <br>• You must have and follow a Permit to Work before working in high risk areas (excavations, confined space, hot work, lifting, and utilities).<br>• You must isolate and lock out energy sources before working on them.<br>

  Yes

  No

  N/A

• Falling: <br>• You must use fall protection when there is a risk of falling.

  Yes

  No

  N/A

• Trenches and Excavations: <br>• You must always ensure trenches and excavations are safe before entering. <br>

  Yes

  No

  N/A

• 1. The team member is compliant with the Critical Risk Safety Rules

• 2. The team member is engaging in safe work practices

• 3. The team member understands the hazards and risks associated with the work they are doing

• 4. The team member feels safe doing their work

• 5. All hazards have been identified and there is nothing that could be done to make the job safer

• Outline conversation

• Outcome of discussion

• Follow up actions