Title Page
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Site conducted
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Date & Time Started
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Prepared by
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Location
Site Diary
MONDAY
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Date & Time
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Weather conditions
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Labour on site
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Plant & Equipment on site (insert I.D. number)
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Tasks and Duration (including measured works)
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Variations
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Delays/issues on site
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Photographs (MUST be taken to establish progress / issues on site)
TUESDAY
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Date & Time
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Weather conditions
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Labour on site
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Plant & Equipment on site (insert I.D. number)
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Tasks and Duration (including measured works)
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Variations
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Delays/issues on site
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Photographs (MUST be taken to establish progress / issues on site)
WEDNESDAY
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Date & Time
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Weather conditions
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Labour on site
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Plant & Equipment on site (insert I.D. number)
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Tasks and Duration (including measured works)
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Variations
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Delays/issues on site
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Photographs (MUST be taken to establish progress / issues on site)
THURSDAY
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Date & Time
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Weather conditions
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Labour on site
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Plant & Equipment on site (insert I.D. number)
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Tasks and Duration (including measured works)
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Variations
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Delays/issues on site
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Photographs (MUST be taken to establish progress / issues on site)
FRIDAY
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Date & Time
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Weather conditions
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Labour on site
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Plant & Equipment on site (insert I.D. number)
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Tasks and Duration (including measured works)
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Variations
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Delays/issues on site
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Photographs (MUST be taken to establish progress / issues on site)
SATURDAY
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Date & Time
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Weather conditions
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Labour on site
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Plant & Equipment on site (insert I.D. number)
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Tasks and Duration (including measured works)
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Variations
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Delays/issues on site
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Photographs (MUST be taken to establish progress / issues on site)
DELIVERY TICKETS
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Add media
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Notes section
HAND ARM VIBRATION RECORD
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Guidance
- Record
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Item Model / Manufacturer / Serial number / I.D. (4 x photos here)
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Duration of work allowed (Hours and Minutes)
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Vibration Magnitude level Rate (M/S2)
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Actual duration that operative worked with the equipment (Hours and Minutes)
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Signature (Operative)
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SUPERVISOR STATEMENT - These are a true and accurate record of works carried out of individual(s) above. Signature
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Date & Time
PUWER
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All items of Plant / Equipment must be inspected weekly, recorded on this PUWER document, and submitted with Friday packs: Ensure ALL SECTIONS are completed.
Report
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FULL List of equipment on site
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PHOTO OF EQUIPMENT / PLANT INSPECTION BOOK ENTRY
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Item Model / Manufacturer / Serial number / I.D. (4 x photos here)
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DATE OF INSPECTION
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COMMENTS
- Good working order at time of inspection
- Good visual order at time of inspection
- Requires attention
- Faulty out of use
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OFF HIRED
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INSPECTED BY
LOLER
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WEEKLY INSPECTION OF: EXCAVATORS USED FOR LIFTING OPERATIONS, MOBILE ELEVATED WORK PLATFORMS (MEWPs), FORK LIFTS/TELESCOPIC HANDLERS, HOISTS, WINCHES, GIN WHEELS, ROPES, CHAINS, STRAPS / STROPS, DIESEL BOWSER, CONCRETE SKIPS, ETC
REPORT
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FULL List of equipment on site
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Item Model / Manufacturer / Serial number / I.D. (4 x photos here)
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Safe Working Limit (SWL)
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DATE & TIME OF INSPECTION
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COMMENT
- Good working order at time of inspection
- Good visual order at time of inspection
- Requires attention
- Faulty out of use
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INSPECTED BY
PLANT HIRE - IN/OUT SHEET
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PLANT ITEM
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SUPPLIER (PHOTO OF TICKET)
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PHOTO OF ITEM
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CONTRACT NO.
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DATE IN
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ACCEPTED BY (name)
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MANUAL ENCLOSED?
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FULL INSPECTION CARRIED OUT PRIOR TO USE?
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DATE OUT
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COLLECTED BY
EXCAVATION INSPECTION REPORT
GUIDANCE
NOTES
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THE PERSON WHO PREPARES THE REPORT SHOULD, WITHIN 24 HOURS PROVIDE EITHER THE REPORT OR A COPY TO THE PERSON ON WHOSE BEHALF THE INSPECTION WAS CARRIED OUT
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THE REPORT SHOULD BE KEPT ON SITE UNTIL WORK IS COMPLETE. IT SHOULD THE BE RETURNED TO THE OFFICE AS PART OF THE SITE SAFETY PACK
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NAME OF PERSON REQUIRING THE REPORT
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POSITION
REPORT ITEMS
CHECKLIST
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IS THE AREA SECURE, PARTICULARLY WITH REGARD TO CHILDREN
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ALL UTILITIES HAVE BEEN CHECKED AND LOCATED
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ADEQUATE SHORING IS AVAILABLE AND BEING USED
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SUITABLE LADDERS IN GOOD CONDITION ARE BEING USED
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THE STABILITY OF OTHER STRUCTURES ADJACENT TO THE EXCAVATION HAS BEEN CONSIDERED AND SUITABLE PRECAUTIONS HAVE BEEN TAKEN
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THE EXCAVATION IS PROPERLY GUARDED, WITH LIGHTS AT NIGHT IF IN A LOCATION WHERE VEHICLES OR PUBLIC HAVE ACCES
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GUARD RAILS AND TOE BOARDS WHERE APPROPRIATE TO PREVENT FALLS INTO THE EXCAVATION
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MATERIALS ARE NOT DEPOSITED CLOSE TO THE EXCAVATION
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ADEQUATE STOP BLOCKS ARE PROVIDED AND SECURELY TIED BACK
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PUMPS ARE AVAILABLE AND IN WORKING CONDITION IF AVAILABLE
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PERSON ARE NOT ALLOWED TO WORK ALONE IN A EXCAVATION
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ALL WORK AREAS ARE CHECKED DAILY BEFORE WORK COMMENCES AND AFTER
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PHOTO
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LOCATION AND DESCRIPTION OF WORKPLACE INSPECTED
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DATE AND TIME OF INSPECTION
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ANY HEALTH OR SAFETY RISKS AND ACTION TAKEN?
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CAN WORK CONTINUE SAFELY?
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COMMENTS
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PERSON MAKING THE REPORT
PPE WEEKLY CHECK REGISTER (This section applies to all operatives listed in the diary above - any damaged or replacements must be reported to Head office).
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ITEM
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DATE
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FOOT PROTECTION
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HIGH VISIBILITY VEST
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SAFETY HELMET
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GLOVES
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EYE PROTECTION
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EAR DEFENDERS
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R.P.E/DUST PROTECTION
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OTHER
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SUBCONTRACTOR
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SUPERVISOR
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TOOLBOX TALK REGISTER
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Toolbox Talk Subject
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Toolbox Talk (Photo of subject and sign off sheet)
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Delivered by
All attendees names must be added here
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Name