Title Page
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Document No.
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Leadership Walk Program
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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PPE- Does all clothing comply with TasWater standards (long sleeve shirts, trousers & hi visibility requirements) and plan in place to minimise weather exposure (sun, heat, rain & snow)
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Site documentation - Prestart/JSEA/DBYD/Permits/Rescue Plans signed, read and understood?
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Traffic Management - Plan formulated, adequate for site and appropriate signage in place?
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General housekeeping - Site neat & tidy with dedicated lay down areas and adequate controls for slips, trips and hazards?
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Electrical - Electrical equipment is tagged and tested and RCD's in place, stray currents identified?
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Working at height/live edge - Fall arrest equipment in place and tested?
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Isolation - Equipment is isolated in accordance with isolation procedure?
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Lifting operations - lifting equipment relevant for the task and personnel competent?
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Excavations - Exclusion zone to be established & permits in place
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Confined Space - Permit completed and gas monitoring in place with competent personnel?
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Hot Work - Permit completed, competent personnel and fire watch in place?
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Biological hazards - Adequate protection in place (hand washing and disinfection)
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Comments:
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Overall rating of the worksite and activities being completed.
- Requires attention
- Average
- Good
- Excellent