Title Page
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Conducted on
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Prepared by
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Location
Before Entering Site:
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Is the site fenced off?
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Is there signage reminding workers of the COVID-19 physical distancing and hygiene protocol at the site entrance?
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Are you observing workers practicing the physical distancing protocol (currently 2m in controlled environments.)
Induction and Record Keeping
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Is there a plan onsite detailing steps to mitigate risk by COVID-19 .
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Is there evidence of a COVID-19 specific induction process for the site?
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Is there evidence of a daily register of workers and visitors entering & leaving the site? (incl. contact details)
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Is there evidence of a register of workers and visitors providing a health declaration?
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Does the Contractor confirm that they have communicated the Site Transportation Protocol to all workers who return daily to the site?
Onsite
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Is there evidence of sanitation facilities available onsite (incl. hand washing stations, provision of additional hand sanitizer, provision of disinfectant wiping products etc) in accordance with the Cleaning Guide?
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Has consideration been made where practical to split the site into zones to keep different trade team separateā?
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Has any additional PPE been identified as required as a result of COVID-19?
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If yes, is the PPE readily available to workers?
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Does the Contractor confirm that the site is being cleaned at the end of each work day in accordance with the Cleaning Guide.
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Are you generally satisfied on the mitigation actions the Contractor has completed on this site? (Yes/No)