Information
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Prepared by
General work place
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Are floors in good condition, free from slip trip hazards
- Compliant
- Non-Compliant
- Corrective Action
- N/A
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Are work stations so organised that allows user to operate safely
Fire & Emergency Provisions
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Are fire exits clear of obstructions
PPE
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Are correct PPE worn
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Is safety harness used for working at height
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Are safety gloves being worn and in good condition, hot work,cutting,
Hazardous substances
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Are hazardous substances stored and secured to prevent unauthorised use
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Visible label on container
Permit to Work
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PTW display at site
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JSA attach with PTW
Hot work
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Have standby fire extinguisher
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Using proper PPE (leather glove,face shield,)
Confine Space
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Proper and enough ventilation
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Workers have valid qualification (authorised entrant &standby person)
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Have warning sign
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Site Photos
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Signature