JESCO HYDRAULICS

• Job Discription

  Replace Hyraulic hose

  General Maintenance

• Document No.

• Client / Site

  NFA Dunedin

• Conducted on

  Date

• Contactor Business Name

  Jesco Hydraulics

• Location

  Select Office Maintenance Bay Workshop Berth Yard Checkpoint

  • Office
  • Maintenance Bay
  • Workshop
  • Berth
  • Yard
  • Checkpoint

• Contractor Name

Worksite Set-up

• Pedestrian management assessed

  Yes

  No

  N/A

• Traffic Management assessed

  Yes

  No

  N/A

• Appropriate signage, Area Zoned off

  Yes

  No

  N/A

• Authority to work permit completed

  Yes

  No

  N/A

• Please complete NFA Authority to work permit before work commences.

  Yes

  No

  N/A

Assess/review the job and it's surrounds

• Safe work area

  Yes

  No

  N/A

• NFA employees Notified

  Yes

  No

  N/A

• All appropriate PPE on site

  Yes

  No

  N/A

• Weather conditions suitable

  Yes

  No

  N/A

• Light sufficient for all tasks

  Yes

  No

  N/A

Accessing Customer Premises

• Ground surfaces assessed for trips and slips

  Yes

  No

  N/A

• Noise, electrical and chemical hazards assessed

  Yes

  No

  N/A

• NFA Dunedin & Port Otago Inductions completed

  Yes

  No

  N/A

• No work is to be completed without these inductions. Please see Nathan Gardner

  Yes

  No

  N/A

• Exposed asbestos assessed

  Yes

  No

  N/A

• Breathing protection used in concealed/confined spaces

  Yes

  No

  N/A

• Isolation of electrical hazards assessed

  Yes

  No

  N/A

• 3rd party present for concealed/confined space access

  Yes

  No

  N/A

• Working at heights assessed

  Yes

  No

  N/A

Additional site hazards

• Are there any additional site hazards?

  Yes

• If Yes, please complete Hazards and Control

  Machinery

  Log Trucks

  Chemicals

  Working at Heights

Final

• Signed

  Sign

• Date and Time

  Date