JOB SPECIFICS

  • Owners Name, Address & Contact Details

  • Occupants Name & Contact Details

  • Claim Number:

  • Purchase Order Number:

  • Work Order Number:

  • Insurance Company:

  • Insurers Reference:

  • Assessing Company:

  • Assessors Reference:

  • Assigned Assessor & Contact Number

  • JAE Dwelling Reference:

  • JAE Contents Reference:

  • The person in control of the job is :

  • The person in control of the job is :

  • Approved By

  • Type of claim

EXCESS

  • Dwelling Excess to collect?

  • Technician Who Collected Excess

  • Contents Excess to collect?

  • Technician Who Collected Excess

DETAILS FROM THE OWNERS/OCCUPANTS

  • Do we know what caused the incident?

  • Has anyone tried cleaning/fixing the area prior to us arriving?

  • Are the occupants having health affects? (describe)

  • Are Occupants still living in the damaged property?

  • Access to property (describe who,where,photograph keys, and/or location)

  • Has the client and/or occupant been given a copy of the 'Client Health & Safety Induction' and signed it?

  • Signature of client/occupant confirming that they have received a copy of the 'Client Health & Safety Induction' and agree to the requirements laid out within.

INITIAL INSPECTION

  • ENTRANCEWAY

  • Entranceway Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Entranceway Contents

  • Other Entranceway Notes

  • Photos of Entranceway

  • KITCHEN

  • Kitchen Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Kitchen Contents

  • Other Kitchen Notes

  • Photos of Kitchen

  • LOUNGE

  • Lounge Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Lounge Contents

  • Other Notes

  • Photos of Lounge

  • DINING

  • Dining Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Dining Contents

  • Other Dining Notes

  • Photos of Dining

  • HALLWAY

  • Hallway Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Hallway Contents

  • Other Hallway Notes

  • Photos of Hallway

  • MASTER BEDROOM

  • Master Bedroom Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Master Bedroom Contents

  • Other Master Bedroom Notes

  • Photos of Master Bedroom

  • BEDROOM 2

  • Bedroom 2 Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Bedroom 2 Contents

  • Other Bedroom 2 Notes

  • Photos of Bedroom 2

  • BEDROOM 3

  • Bedroom 3 Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Bedroom 3 Contents

  • Other Bedroom 3 Notes

  • Photos of Bedroom 3

  • BEDROOM 4

  • Bedroom 4 Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Bedroom 4 Contents

  • Other Bedroom 4 Notes

  • Photos of Bedroom 4

  • BEDROOM 5

  • Bedroom 5 Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Bedroom 5 Contents

  • Other Bedroom 5 Notes

  • Photos of Bedroom 5

  • MAIN BATHROOM

  • Main Bathroom Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Main Bathroom Contents

  • Other Main Bathroom Notes

  • Photos of Main Bathroom

  • BATHROOM 2

  • Bathroom 2 Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Bathroom 2 Contents

  • Other Bathroom 2 Notes

  • Photos of Bathroom 2

  • MASTER ENSUITE

  • Master Ensuite Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Master Ensuite Contents

  • Other Master Ensuite Notes

  • Photos of Master Ensuite

  • SEPARATE TOILET

  • Separate Toilet Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Separate Toilet Contents

  • Other Separate Toilet Notes

  • Photos of Separate Toilet

  • SEPARATE TOILET 2

  • Separate Toilet 2 Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Separate Toilet 2 Contents

  • Other Separate Toilet 2 Notes

  • Photos of Separate Toilet 2

  • LAUNDRY

  • Laundry Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Laundry Contents

  • Other Laundry Notes

  • Photos of Laundry

  • OFFICE

  • Office Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Office Contents

  • Other Office Notes

  • Photos of Office

  • GAMES/FAMILY ROOM

  • Games/Family Room Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Games/Family Room Contents

  • Other Games/Family Room Notes

  • Photos of Games/Family Room

  • SUNROOM

  • Sunroom Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Sunroom Contents

  • Other Sunroom Notes

  • Photos of Sunroom

  • STAIRS

  • Stairs Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Stairs Contents

  • Other Stairs Notes

  • Photos of Stairs

  • GARAGE

  • Garage Affected

  • Type of floor covering

  • Floor Condition

  • Type Of Wall Finish

  • Wall Condition

  • Type Of Ceiling Finish

  • Ceiling Condition

  • Interior of Cupboards & Inbuilt Cabinetry

  • Garage Contents

  • Other Garage Notes

  • Photos of Garage

  • EXTERIOR

  • Exterior Affected

  • Type Of Wall Finish

  • Wall Condition

  • Other Notes

  • Photos of Exterior

  • CONTENTS

  • Furniture

  • Electrical Items

  • Kitchen Items

  • Food Items

  • General Contents

  • Fabrics and Clothing

  • Recommended Disposal Items

  • Photos of some Damaged Contents

SSSP - SITE SPECIFIC SAFETY PLAN

1. WORKPLACE CONTROL AND HEALTH AND SAFETY MANAGEMENT

  • The person in control of the workplace is :

  • Our Designated Warden/First Aid person is

  • We will maintain an onside Hazard Register of all existing and new hazards and appropriate controls

  • Appropriate Safety Data Sheets have been are available on site?

2. EMERGENCIES/EVACUATION PLAN

  • Emergency Kit One (First Aid Kit, Confined space emergency kit, Fire Extinguisher) is located

  • Emergency Kit Two (First Aid Kit, Confined space emergency kit, Fire Extinguisher) is located

  • EMERGENCY PLAN AND PROCEDURES FOR HAZARDOUS WORK

  • In the event of a site emergency or evacuation our personnel will...

  • Evacuation Plan for all Emergency Situations: Alarm Evacuation, Unsound Building, Earthquake, Fire, Tsunami, Other

  • Evacuation Plan 3: Other

  • Evacuation Plan 3: Other

3. COMMUNICATION/EMPLOYEE PARTICIPATION

  • The methods we use to communicate safety information to our employees are:

  • Daily Toolbox Talks - including covering site hazards and emergency/evacuation procedures

  • Monthly Health and Safety Meetings - covering use of equipment, hazards encountered

  • Pre-task Planning Meetings - Done first Visit to site post quote approval

  • Other

  • Urgent Safety Updates are e-mailed and/or TXT to all staff and put on the router for the next Health and Safety Meeting

4. ACCIDENT/INCIDENT: REPORTING/INVESTIGATION/RECORDING

  • We have an accident/incident reporting/investigation system in place and keep an Accident/Incident Register

5. TRAINING/INDUCTION

  • All persons under our control on site are given a site specific safety induction

  • All persons under our control on site are appropriately qualified, competent or fully supervised

6. TASK/JOB ANALYSIS

  • INITIAL INSPECTION

  • Step 1: Assess property for external hazards

  • Step 2: Familiarise customer with process and requirements

  • Step 3: Record observations including clients comments

  • Step 4: Erect signs and barricades and/or check existing signs and barricades

  • Potential Hazard:

  • Control Methods:

  • Step 5: Don PPE according to Hazard Requirements

  • GENERAL CLEANING/REMOVALS

  • Step 6: Pre-task planning Meeting and/or daily toolbox talk to discuss current hazards and potential hazards

  • Step 7: Load in equipment/product required

  • Potential Hazard:

  • Control Methods:

  • Step 8: Take swabbs/samples as required

  • Potential Hazard:

  • Control Methods:

  • Step 9: Apply surface treatments

  • Potential Hazard:

  • Control Methods:

  • Step 10: Cataloguing as required

  • Step 11: Remove Damaged goods offsite

  • Potential Hazard:

  • Control Methods

  • Step 12: Remove equipment not being left onsite

  • Potential Hazard:

  • Control Methods

  • Step 13: Remove PPE

  • Potential Hazard:

  • Control Methods

  • Step 14: Ensure any signage being left onside is secure and visible

  • Step 15: Remove signage not being left onsite

  • Step 16: Check site and leave

  • OZONING

  • Step 17: Ensure all occupants and pets are out of the area to be decontaminated

  • Potential Hazard:

  • Control Methods:

  • Step 18: Ensure all occupants and pets are out of the area to be treated

  • Potential Hazard:

  • Control Methods:

  • Step 19: Ensure warning signage has been secured and is visible

  • Step 20: Post Ozone Treatment

  • Potential Hazard:

  • Control Methods:

SIGNATURES

  • Signature of Technician Compiling Task Analysis

  • Time and date Initial Inspection and Task Analysis Complete

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