Title Page
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Site conducted
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Conducted on
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location
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Work order number
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Scope of work
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Apprentice on site
Job Planning and Safe Systems of Work
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Prestart / JSA completed and signed by all work members?
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Relevant signed SWMS available for the task?
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SDS forms accessed on the portal?
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Are work permits required for the task?
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Are all workers Origin inducted?
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Trade licenses and industry Induction card sighted?
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Alcohol Breath Test Completed
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iPad in good condition?
Site induction and Site Office
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Is the site secure and restricted access at the gate?
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Does the site have a Safety Officer?
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Sign in book and site induction if required?
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Is additional PPE required and provided for the Auditor?
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Has the site requested copies of licenses and safety documentation?
Vehicle
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Vehicle Registration
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Vehicle clean and free from damage?
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Vehicle in service?
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Gas Bottles secure?
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items secured on vehicle for transit?
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Fire extinguishers sighted and in date?
Site Safety
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Is the correct PPE being used for the task?
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Is it possible the workers could fall from height?
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Are any fall protection or prevention devices being used or installed to protect workers from Falling from height?
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Has the worker taken steps to minimize the handling of awkward or heavy materials and equipment?
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If working around exposed live sources of electricity, confirm 3 meter exclusion zone has been implemented?
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Electrical equipment test and tagged?
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Power boards fitted with RCD?
Work Area and Tools
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Are all tools in good condition and have guards fitted where applicable?
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Is the work area clean and tidy, trip hazards minimized?
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Is the area well ventilated?
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Is this a confined space?
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Have all work activities stopped?
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Is the worker working in a hot environment / plant room?
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If required does the worker have an operational CO personal monitor on site?
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Have attempts being made to improve conditions such as fans, regular rest breaks and ample supply of water?
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Are insects, rodents or any other pests present on site?
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Is the worker working in isolation?
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Is there a system of site monitoring or regular contact with the office?
Emergency Preparedness
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Can the worker demonstrate a process for responding to an emergency on site?
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Can the worker demonstrate an understanding of the emergency response ( what there role is in the event of an emergency)?
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is a first aid kit available?
Sign Off
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Auditor
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Gas Fitter/ Plumber