Title Page
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Prepared by:
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Client/Contractor:
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Site Name:
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Date:
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Emergency Contact Details in file
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Valid LOG in File
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Client Spec in File and Communicated to all employees
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Approved SHE Plan in File
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Policies in file, signed by CEO and communicated to employee's - proof there of
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Specific Fall Protection Plan in file
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Mandatory and Contractors appointment in file
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Organogram Complete
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16.2 Appointment signed
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8.1 Construction manager appointment signed and in file
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8.7 Construction Supervisor Appointment Signed and in File
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8.5 Construction Safety Officer appointment in file and signed with POC
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Risk Assessor appointment in file and signs with POC
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Fall Protection Planner Appointment in file and signed with POC
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Incident Investigator Appointment in file and signed with POC
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Emergency planner and coordinator appointment in file and signed with POC
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Fire Equipment Inspector Appointment in file and signed with POC
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First Aider Appointment in file signed with POC
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Covid-19 Compliance Officer Appointment in File
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Hand tool Inspector Appointment in file and signed
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SHE rep Appointment in file and signed
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Ladder Inspector Appointment in File and Signed
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Potable Electrical Tools Inspector Appointment in File and Signed
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Scaffold Erector Appointment in file and signed
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Scaffold Supervisor Appointment in file and signed
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Housekeeping Supervisor Appointment in file and signed
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Stacking and Storage Appointment in file and signed
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Construction vehicle appointment in file with POC - bakkie, TLB, Excavator
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Relevant Risk Assessments in file and signed and communicated
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Safe working procedure in file and communicated
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Investigation procedure in file and communicated
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incident investigation report in file and communicated
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Annexure 1 in file
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WCL 1 form in file
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WCL 2 form in file
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WCL 4 form in file
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WCL 6 form in file
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Fire Fighting training manual in file and communicated
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Updated list of employees with ID's in file
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All employee medicals with Annexure 3 template in file
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list of employees who attended induction in file
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emergency procedure in file and communicated
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PPE procedure in file and communicated
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Environmental Procedure in file and communicated
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first aid procedure in file and communicated
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First aid equipment on site and up to regulation and checked once a month with records kept
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all applicable regulations/acts - OHS act, Construction Regulation, general admin regulation, general safety regulation, section 13, section 14, section 8, Disaster Management Act - in file and communicated.
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Site rules displayed
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public liability in file
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MSDS for all chemicals and communicated
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first aid dressing record
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portable electrical tools register in file and done
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scaffold inspection register in file and done
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housekeeping register in file and done
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vehicle pre-ignition register in file and done
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visitors register in file and done
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roll call in file and done
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DSTI's in file and done
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Toolbox talks in file and done weekly
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monthly hand tools register in file and done
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monthly first aid box register in file and done
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fire extinguisher register in file and done
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monthly ladder register in file and done
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monthly SHE rep register in file and done
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general site induction for all employees in file and done
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employee wellbeing process in file and communicated
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notification of construction submitted and proof there of in file
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daily COVID-19 screening done
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ladders properly used on site
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No open/damaged extensions on site
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safety signs up at main entrance and inside site
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site clean and rubbish taken out
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all employees/visitors inducted and made aware all of all COVID-19 procedures and guidelines
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storage areas demarcated and signs placed up
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Covid-19 screening done on employees and visitors every day
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first -aid box and location displayed with first aider contact number
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sanitizing station implemented
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General warning signs available on site
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Storage areas provided, demarcated and kept clean and tidy
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Scrap material removed from site daily
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fire extinguishing available and suitable
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TLB in good working order
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Excavation Sloped/Boxed in
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Excavation barricaded off
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Warning signs near excavation
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Ladders at least 6M apart inside Excavation
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Excavation Supervisor Appointed with POC
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Suspended Platform Supervisor Appointed with POC
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Notification of Construction work submitted to DOL
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Comprehensive and updated list of contractors on site and complete
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All construction vehicles in good working equipped with drip trays
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All flammable liquids stored in a locked container/cage with warning signs with a list of flammable liquids
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Fire extinguishers supplied through out the site for easy access and checked once a month by a competent person
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One SHE rep appointed for first 20 employees and one for every 50 employees there after
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Emergency evacuation plan available and implemented
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PPE procedure and register available
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Adequate ventilation in container/office
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Adequate lighting on site/office/container
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Sanitizing stations available
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changing rooms available and in good condition with cleaning records
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areas demarcated for employees to eat
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drinking water readily available
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Exposure to noise controlled as far as possible
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Assessment of potential noise levels noted and communicated to employees and records kept there of
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hearing protective equipment supplied to employees exposed to loud noise