Information
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Document No.
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Job Name
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Client
- Other
- Abernethy Contractors
- Asplundh
- Asset Managers Ltd
- Asset Monitoring Ltd
- Auckland Racing
- Auckland Sandblasting Ltd
- Auckland Waikato Cranes
- Aurecon
- Bishman Electrical Contractors
- Canadian Pacific Ltd
- Cassidy Construction
- Civic Events
- Civil Con
- Coastline
- Concrete-it ltd
- ConTech
- Counties Sandblasting
- CSR NZ Ltd
- DP Construction
- Drill Force
- Electrix Ltd
- Euro Plumbing
- Filltech
- Filtration Technology Ltd
- Fletchers - Christchurch
- Fulton Hogan Ltd
- Geotechnics
- Gubb Builders
- HEB Construction Ltd
- Hill Design Engineering Ltd
- HydroTech Drainage
- ITC
- Leightons
- Lend Lease
- MACHINERY MOVERS
- Mainline Construction Ltd
- McConnell Dowell Constructors Ltd CHC
- McMillan and Lockwood BOP Ltd
- MWH Global
- NGA Newmarket
- NZ STRONG
- Opus
- Parallaxx Limited
- Peter Campbell Matakana
- Peter Hill
- Peter Lehman
- Pipeline & Civil
- Prestige Events Ltd
- R M Paris.Co
- Scarbro Construction
- Selen Kurmar
- Sherry - Private
- Skin Tight Ltd
- Steel Roofing Ltd
- Temporary Traffic Control Ltd
- The Fletcher Construction Company Ltd
- Tree Fellas
- Troy Wheeler Civil Ltd
- Watercare
- Your Local Plumber
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Enter Client Name Here
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Time of Job Start for being completed
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Prepared by
- Labour Hire
- Other
- Albert Heke
- Alister Martin
- Angaino Monty Timoti Tauti
- Apa Vila
- Arama Rubena
- Arthur Tapiki
- Asa Fitspatrick
- Ashley Young
- Banaba Kavana
- Billy Araipu
- Bobby-Joe Kelly
- Brian Mita
- Chris Perenara
- Dallah Kolone
- Daniel Bishop
- David Williams
- Dean Rua
- Dratio Strickland
- Dwayne Tapiki
- Edward Teura
- Eroni Baleilevuka
- George Mann
- George Tate
- Glen Ruma
- Jamie Lee Jerry
- Jessie Tekeu
- Jim Polima
- John Cook
- John Kelly
- John Keu
- John Maru
- John Williams
- Josh Heke
- Joshua Amohanga
- Joshua Harding
- Junior Katu
- Kaitapu Timoti
- Kelvin Tangiiti
- Kelvin Wichman - To'o
- Lance Seiuli
- Loma Tengere
- Malachi Batchellor
- Matai Vila
- Muri Williams
- Nelson Ravia
- Nicholas Repoama
- Nooroa Strickland
- Palepano Tukia
- Pete Sala
- Phillip Cooper
- Piri Kake
- Quincy Williams
- Refiti Manase
- Rhys Reuben
- Shaq Ono
- Shawn Tomlin
- Soul Suliasi Toa
- Te Rangihau Toi
- Teinakore Ngatoko
- Teruarau Tangiiti
- Villimoni Vunimasi
- Willy Green
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Enter Name Here
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Location of Job
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1. LOOK - Do the Job START
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2. TELL - My mate if he is being UNSAFE
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3. TALK - About the Hazard Controls and Behaviours
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Job Name
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Onsite Client Representative
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Job Number:
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TMP Number:
Risk Rating Chart
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1. What can harm me?
2. What can harm others?
3. What can harm the environment? -
Common Hazards
- Traffic/Vehicles
- Pedestrians (footpath closed)
- Pedestrians (footpath detour)
- Excess Speed
- Visibility
- Cyclists (cycle lane diversion/allowance)
- Cyclists (with live traffic)
- Large Vehicles
- Weather
- Mobility Scooters
- Poor Road Surface
- Lots of contractor movements
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Good toolbox (site entry procedures), designated site access, other work vehicles well away.
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Side friction, speed restriction, additional advanced warning (new seal?)
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Good road surface, additional pedestrian lane width, use of driveways
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Additional lane width, turning circles, tapers at good length
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Additional signage, condition of signage, additional cones, extra sandbags, cable tie signage to poles, additional safety zones
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Additional lane width, visibility,shoulders available
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Narrow lanes, speed restriction, side friction kerb line of cones, additional safety zones
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1.2m wide, cone barrier arms/safety fencing to contain, no trip hazards on route
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Placed where good visibility is achievable, out of worksite, TC on site, inside speed restriction
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Positive Traffic Management, good delineation, side friction, RGs
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Good signage visibility, centreline of cones, side friction, extra safety zone area
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Mitigation:
Site Specific Hazard
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Hazard Description
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Likelihood of Harm
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Potential Consequences
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Risk Rating Before Controls
Hazard Controls (How can we reduce personal and environmental harm here?)
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Behaviour/Action to eliminate, isolate or minimise:
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Person or Team Responsible
- Labour Hire
- Other
- Albert Heke
- Alister Martin
- Angaino Monty Timoti Tauti
- Apa Vila
- Arama Rubena
- Arthur Tapiki
- Asa Fitspatrick
- Ashley Young
- Banaba Kavana
- Billy Araipu
- Bobby-Joe Kelly
- Brian Mita
- Chris Perenara
- Dallah Kolone
- Daniel Bishop
- David Williams
- Dean Rua
- Dratio Strickland
- Dwayne Tapiki
- Edward Teura
- Eroni Baleilevuka
- George Mann
- George Tate
- Glen Ruma
- Jamie Lee Jerry
- Jessie Tekeu
- Jim Polima
- John Cook
- John Kelly
- John Keu
- John Maru
- John Williams
- Josh Heke
- Joshua Amohanga
- Joshua Harding
- Junior Katu
- Kaitapu Timoti
- Kelvin Tangiiti
- Kelvin Wichman - To'o
- Lance Seiuli
- Loma Tengere
- Malachi Batchellor
- Matai Vila
- Muri Williams
- Nelson Ravia
- Nicholas Repoama
- Nooroa Strickland
- Palepano Tukia
- Pete Sala
- Phillip Cooper
- Piri Kake
- Quincy Williams
- Refiti Manase
- Rhys Reuben
- Shaq Ono
- Shawn Tomlin
- Soul Suliasi Toa
- Te Rangihau Toi
- Teinakore Ngatoko
- Teruarau Tangiiti
- Villimoni Vunimasi
- Willy Green
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Completed By: (initials)
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Date
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Signed by All Workers or Visitors to site:
Worker or Visitor
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Signed
