Mazeltof Inspection

• Site conducted

  Select

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Meeting Details

• Full Name of Supervisor

• Project / Site Name

• Name of Work Team/Group in attendance

• Meeting Topic & Meeting Discussion Points

• Short scope of work for today

• Has the overview of today's weather been discussed?

  Yes

  No

  N/A

• Any environmental factors to be considered today - such as working on the roof and it is windy or excessively hot?

  Yes

  No

  N/A

Previous Business

• Is there any previous business to discuss or follow up?

  Yes

  No

  N/A

• Add items of business from previous meetings

Previous Business

• Description of previous business

• Add an Action to this item if this previous business requires further follow up.

• Other Notes / Comments

New Safety Issues Raised

• Are there any new safety issues to report or discuss?

  Yes

  No

  N/A

• Add new safety issues arising from this meeting

Safety Issue

• Description of safety issue

• Other Notes / Comments

• Add an Action to this item if this item requires further follow up.

• Who raised this issue?

General Business

• Is there any general business to be discussed?

  Yes

  No

  N/A

• Record any other comments or general business arising from this meeting

High Risk Construction Work (HRCW)

• Will you engage in any High Risk Construction work today?

  Yes

  No

• Please list the HRCW the principal contractor is engaged to complete

  Select work that involves a risk of a person falling more than two metres work on a telecommunication tower demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure work that involves, or is likely to involve, the disturbance of asbestos Structural alterations or repairs that require temporary support to prevent collapse work in or near a confined space work in or near a shaft or trench with an excavated depth greater than 1.5 metres work in or near a tunnel use of explosives work on or near pressurised gas distribution mains or piping work on or near chemical, fuel or refrigerant lines work on or near energised electrical installations or services work in an area that may have a contaminated or flammable atmosphere work involving tilt-up or precast concrete work on, in or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians work in areas in which there is movement of powered mobile plant work in areas in which there are artificial extremes of temperature work in or near water or other liquid that involves a risk of drowning work that involves diving work

  • work that involves a risk of a person falling more than two metres
  • work on a telecommunication tower
  • demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure
  • work that involves, or is likely to involve, the disturbance of asbestos
  • Structural alterations or repairs that require temporary support to prevent collapse
  • work in or near a confined space
  • work in or near a shaft or trench with an excavated depth greater than 1.5 metres
  • work in or near a tunnel
  • use of explosives
  • work on or near pressurised gas distribution mains or piping
  • work on or near chemical, fuel or refrigerant lines
  • work on or near energised electrical installations or services
  • work in an area that may have a contaminated or flammable atmosphere
  • work involving tilt-up or precast concrete
  • work on, in or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians
  • work in areas in which there is movement of powered mobile plant
  • work in areas in which there are artificial extremes of temperature
  • work in or near water or other liquid that involves a risk of drowning
  • work that involves diving work

• Has a SWMS been completed and signed for the relevant HRCW work to be completed today?

  Select work that involves a risk of a person falling more than two metres work on a telecommunication tower demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure work that involves, or is likely to involve, the disturbance of asbestos Structural alterations or repairs that require temporary support to prevent collapse work in or near a confined space work in or near a shaft or trench with an excavated depth greater than 1.5 metres work in or near a tunnel use of explosives work on or near pressurised gas distribution mains or piping work on or near chemical, fuel or refrigerant lines work on or near energised electrical installations or services work in an area that may have a contaminated or flammable atmosphere work involving tilt-up or precast concrete work on, in or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians work in areas in which there is movement of powered mobile plant work in areas in which there are artificial extremes of temperature work in or near water or other liquid that involves a risk of drowning work that involves diving work

  • work that involves a risk of a person falling more than two metres
  • work on a telecommunication tower
  • demolition of an element of a structure that is load-bearing or otherwise related to the physical integrity of the structure
  • work that involves, or is likely to involve, the disturbance of asbestos
  • Structural alterations or repairs that require temporary support to prevent collapse
  • work in or near a confined space
  • work in or near a shaft or trench with an excavated depth greater than 1.5 metres
  • work in or near a tunnel
  • use of explosives
  • work on or near pressurised gas distribution mains or piping
  • work on or near chemical, fuel or refrigerant lines
  • work on or near energised electrical installations or services
  • work in an area that may have a contaminated or flammable atmosphere
  • work involving tilt-up or precast concrete
  • work on, in or adjacent to a road, railway, shipping lane or other traffic corridor that is in use by traffic other than pedestrians
  • work in areas in which there is movement of powered mobile plant
  • work in areas in which there are artificial extremes of temperature
  • work in or near water or other liquid that involves a risk of drowning
  • work that involves diving work

• Please upload your SWMS, Licenses and Permit for any of the items checked above

  Media

• Please upload your Public Liability Insurance Certificate of Currency

  Media

Attendance Log

• Each present team member to sign name and signature acknowledging attendance at this meeting

Team Member

• Name & Signature

  Sign