Title Page
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Audit
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Project:
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Leaders Name:
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Leaders contact number:
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Conducted on
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Site Visited:
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Work Activity:
Employees Visited
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Contractors / Employees Visited:
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Contracting Company:
Site Visit
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1. What task are you doing and what are the critical safety risks (things that could cause injury / damage) while you are doing this task?
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2. What are the control measures you have in place that are keeping you safe while you are doing this task?
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3. Are those control measures keeping you safe and are they in line with your risk assessment / SHEWMS / Ventia Critical Risk Protocols?
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4. What else could you do to reduce the risk?
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5. What feedback or suggested improvements would you like to give to Ventia that will possibly make your workplace safer?
Critical Risk Protocol
Safety
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Asbestos
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Confined Spaces
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Chemical Safety
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Cranes and Lifting gear
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Demolition
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Diving
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Electrical Safety
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Energy control and isolation
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Excavation and ground penetration
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Fire Protection
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Ground Control and inrush
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Hot work
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Live Traffic
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Lone and isolated workers
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Machine guarding
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Mobile elevated work platforms
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Mobile plant and equipment
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Mobile plant load security
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Pressurised systems
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Telecommunication Towers
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Tilt up pre-cast concrete
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Towing and recovery
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Welding
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Working at height
Environmental
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Cultural Heritage
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Flora/Fauna
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Fire Management
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Noise / Air Pollution
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Noxious Weeds / Pests
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Vegetation Clearance / Reinstatement
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Contaminated land
Monthly SHEQ Topic
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Monthly SHEQ Topic Discussed (Pre-Arranged Topic/ Focus of Discussion)
Observations
Positive Feedback
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'Good' behaviours &/or conditions observed:
Areas for Improvement
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'At Risk' behaviours &/or conditions observed:
Agreed Preventative / Corrective Actions
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Actions
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Action:
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Responsible Person:
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Select date
Sign Off
Sign Off
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Leader Name and Signature
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Select date