Information
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HK Project Number
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Project Name
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Location
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Conducted on
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Prepared by
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Personnel
1. Previous issues or issues identified from reports or meetings: Has each issue ( listed below ) been rectified? ( answer Yes or No for each ):
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1.1
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1.2
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1.3
2. WHS Systems & Practices
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2.1 Have site inductions been completed and recorded ( check selected site workers against signed induction forms)?
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2.2 Are records of toolbox meetings HK.FM 14 available & kept on file?<br>
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2.3 Is the Emergency contact register HK.FM 27 in place on site and accessible to all workers?
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2.4 Is the Site Evacuation plan on site & up to date?
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2.5 Is fire Protection equipment available & tagged as tested?
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2.6 Are the first aid facilities supplied by Harrold & Kite Pty Ltd & subcontractors.
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2.7 Are first aid personnel nominated for this site?
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2.8 is a first aid register HK.FM 03 on site and being maintained?
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2.9 Are high risk work licenses held? ( check subcontractors )
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2.10 Are hot work permits HK.FM 31 being used & maintained?
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2.11 Are working at heights permits HK.FM 32 being used & maintained?
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2.12 Is Electrical plant & equipment tested & tagged ? ( check subcontractors )
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2.13 Is a record HK.FM 67 being kept and maintained of plant & equipment maintenance? - check subcontractors
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2.14 Are MSDS for all chemicals current? ( i.e within the last 5 years ) ( check sub contractors )
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2.15 Are SOP available for chemical use? ( check subcontractors )
3. Safe Working Practices
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3.1 Have risk assessments been carried out for all high risk construction work?
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3.2 Are JSA'S / SWMS's available for all medium to high risk tasks and activities?
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3.3 Have the JSA'S / SWMS's been approved by Harrold & Kite Pty Ltd using HK.FM-70 and being maintained?
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3.4 Are the individual requirements of the JSA'S / SWMS's being followed by workers?
Comments
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Close Out Signature ..
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Form No 71 ( version 2 )