Title Page

  • Document No.

  • Leadership Walk Program

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add signature

  • 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)

  • Site documentation - Prestart/JSEA/DBYD/Permits/Rescue Plans signed, read and understood?

  • Traffic Management - Plan formulated, adequate for site and appropriate signage in place?

  • General housekeeping - Site neat & tidy with dedicated lay down areas and adequate controls for slips, trips and hazards?

  • Electrical - Electrical equipment is tagged and tested and RCD's in place, stray currents identified?

  • Working at height/live edge - Fall arrest equipment in place and tested?

  • Isolation - Equipment is isolated in accordance with isolation procedure?

  • Lifting operations - lifting equipment relevant for the task and personnel competent?

  • Excavations - Exclusion zone to be established & permits in place

  • Confined Space - Permit completed and gas monitoring in place with competent personnel?

  • Hot Work - Permit completed, competent personnel and fire watch in place?

  • Biological hazards - Adequate protection in place (hand washing and disinfection)

  • Comments:

  • Add media

  • Add drawing

  • Overall rating of the worksite and activities being completed.

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