Information

  • HK Project Number

  • Project Name

  • Location
  • Conducted on

  • Prepared by

  • Personnel

1. Previous issues or issues identified from reports or meetings: Has each issue ( listed below ) been rectified? ( answer Yes or No for each ):

  • 1.1

  • 1.2

  • 1.3

2. WHS Systems & Practices

  • 2.1 Have site inductions been completed and recorded ( check selected site workers against signed induction forms)?

  • 2.2 Are records of toolbox meetings HK.FM 14 available & kept on file?<br>

  • 2.3 Is the Emergency contact register HK.FM 27 in place on site and accessible to all workers?

  • 2.4 Is the Site Evacuation plan on site & up to date?

  • 2.5 Is fire Protection equipment available & tagged as tested?

  • 2.6 Are the first aid facilities supplied by Harrold & Kite Pty Ltd & subcontractors.

  • 2.7 Are first aid personnel nominated for this site?

  • 2.8 is a first aid register HK.FM 03 on site and being maintained?

  • 2.9 Are high risk work licenses held? ( check subcontractors )

  • 2.10 Are hot work permits HK.FM 31 being used & maintained?

  • 2.11 Are working at heights permits HK.FM 32 being used & maintained?

  • 2.12 Is Electrical plant & equipment tested & tagged ? ( check subcontractors )

  • 2.13 Is a record HK.FM 67 being kept and maintained of plant & equipment maintenance? - check subcontractors

  • 2.14 Are MSDS for all chemicals current? ( i.e within the last 5 years ) ( check sub contractors )

  • 2.15 Are SOP available for chemical use? ( check subcontractors )

3. Safe Working Practices

  • 3.1 Have risk assessments been carried out for all high risk construction work?

  • 3.2 Are JSA'S / SWMS's available for all medium to high risk tasks and activities?

  • 3.3 Have the JSA'S / SWMS's been approved by Harrold & Kite Pty Ltd using HK.FM-70 and being maintained?

  • 3.4 Are the individual requirements of the JSA'S / SWMS's being followed by workers?

Comments

  • Close Out Signature ..

  • Form No 71 ( version 2 )

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