Naturelinks: HSE Daily Inspection Sheet

• Site

  Select

• Date & time

  Date

• Business Unit

  Melbourne

  Mornington

• Site Supervisor Name

  Select

• First Aider/s on site

  Select

• Please enter name

• Site Supervisor Name

  Select

• First aider/s on site

  Select

• Enter employee name

• Emergency Acess Location (Nearest cross roads including suburb)

• Emergency Muster Area

  Ute

  Site Entrance

  Other

• Please specify

• Nearest Public Hospital with Casualty. If unsure you can check http://www.health.vic.gov.au/maps/

  Select

• Please specify hospital

• Client Name

  Select

• Please specify

• Project Name

• Site

• Does client need to be notified you are on site?

  Yes

  No

• Please select method of communication

  Emailed BEFORE

  Text upon arrival

  Phone call

  Email AFTER works conducted

  Sign into site

• Are you working alone?

  Yes

  No

• Have you read the Working Alone HSEP?

  Yes

  No

• Please read the Working Alone HSEP (https://time.naturelinks.com.au/Training/Procedures) and contact your project manager to ensure you are meeting the requirements. If you are unsure please contact the HSEQ Manager. Have you have a conversation with your project manager and are now sure of the requirements when working alone?

  Yes

  No
• Site Address
  Address

• Is the client Melbourne Water?

  Yes

  No

• Have you reviewed the work order for this site? You must review this or the Naturelinks site specific induction to look for site safety information. If you cannot access the work order please contact the Project Manager.

  Yes

  No

Safety, Quality & Environment Checklist

• Is the site accessible by vehicle in current conditions?

  Yes

  No

• Call Project Manager to discuss options

• Slopes - are there slopes present

  Yes

  No

• Is there a danger of a vertical fall over 2m on this site?

  Yes

  No

• Is there a danger of slipping in an uncontrolled fashion down a slope, causing injury?

  Yes

  No

• Proceed with caution, do not fill knapsacks over 5 litres. If individual members are not comfortable, find alternate duties for them.

• Fall protection must be used - either prevent access by webbing or other means or use ropes - SWMS must be developed!

• A Site Specific Induction is required for each of our sites, has each Crew Member been inducted into this site?

  Yes

  No

• Carry out Site Specific Induction and ensure that staff have the Plant ID skills to carry out works without risk of damage. Use Plant ID training via https://time.naturelinks.com.au to test if necessary.

• Yes

  No

• Have vehicle, team leader checklists & pre-start checks been carried out?

  Yes

  No

• please carry out pre-start checks prior to commencing works * remember to file or email to workshop manager if required.

• Run the Staff2Train report via https://time.naturelinks.com.au Do personnel hold the relevant tickets, HSEP training and PPE for tasks?

  Yes

  No

• Do not commence work until competent person(s) are available and staff trained. You will need to record training via time.naturelinks.com.au Training section.

• Is there Client specific documentation that needs to be completed? i.e. Client Specific Inductions, Cultural Heritage Inductions

  Yes

  No

• Contact Project Manager if needed. Please complete inductions prior to commencing works.

• Are there any rare / threatened species on site?

  Yes

  No

• Refer to reserve information sheet and discuss with all crew members. Conduct Species on Site Assessment via Timeclock.

• Is there potential for staff to spread pathogens & weed propagules?

  Yes

  No

• Please specify type of pathogen/propagules e.g. Phytophthora or Noxious Seed (Refer to Hygiene HSEP)

  Select Phytophthora Noxious Weed Seed Myrtle Rust Blue-green Algae Other

  • Phytophthora
  • Noxious Weed Seed
  • Myrtle Rust
  • Blue-green Algae
  • Other

• If yes - check and clean entire vehicle, boots and clothing for seeds / propagules.

• Is hire equipment to be used? | *If yes, ensure Safe Working Procedure supplied by hirer is followed.

  Yes

  No

• Ensure Safe Working Procedure supplied by hirer is followed.

• Is pedestrian and public access management required?

  Yes

  No

• Do not proceed without appropriate barriers and signage.

• Are there overhead “No Go Zones” of services nearby?

  Yes

  No

• Refer to Project Manager - ticketed spotter must be used and SWMS developed to limit approach.

• Is there a traffic management risk? (i.e. working within 2m of roadside - if unsure check with your Project Manager.

  Yes

  No

• Refer to Traffic Management Plan for signage and spotters if required.

• Is there emergency / SOS mobile phone coverage?

  Yes

  No

• 2-way radio may be required or identify nearest coverage point.

• Have environmental factors (e.g. off target damage, look alike species, risk to fauna, weather, snakes and insects) been assessed as relevant to the delivery of the task? | *Relevant factors must be assessed in the Site Specific Hazard Identification and Controls.

  Select Weather Snakes and insects Look-alike species Risk to fauna Off-target damage risk Waterway

  • Weather
  • Snakes and insects
  • Look-alike species
  • Risk to fauna
  • Off-target damage risk
  • Waterway

• Have stretches and strengthening exercises been done? If not please refer to Manual Handling HSEP

  Yes

  No

• Identify the nearest toilet or area to use for toilet within site.

• Is a Safe Working Method Statement (SWMS) required? These are required for high risk activity, such as using heavy plant or ropework and WILL NEED TO BE COMPLETED BEFORE PROCEEDING

  Yes

  No

• Ring your Project Manager for approval of SWMS. Please add photo or screenshot of SWMS

  Media

Health Safety & Environment Procedure (HSEP) Identification

• Core tasks for the day in sequence

  Select Driving a motor vehicle Loading and unloading vehicle Brushcutting Chipping Gas Burning Hand-weeding Mulching Planting Rubbish Collection Spraying - Backpack Spraying - Quikspray unit Woody Weeding Weed Burning Prescribed Burning / Pile Burning Other

  • Driving a motor vehicle
  • Loading and unloading vehicle
  • Brushcutting
  • Chipping
  • Gas Burning
  • Hand-weeding
  • Mulching
  • Planting
  • Rubbish Collection
  • Spraying - Backpack
  • Spraying - Quikspray unit
  • Woody Weeding
  • Weed Burning
  • Prescribed Burning / Pile Burning
  • Other

• Please specify

• Applicable HSEP’S

  Select

Site Specific Hazard Identification and Controls

• The following is to be signed by the work crew to confirm that the job and risk controls have been agreed to, and everyone has had the opportunity to contribute to the contents of the Site Specific Hazard Identification and Controls:
  
  Note: Do not sign if you’re unclear about the risk controls listed in this document (including any risk controls listed in a HSEP or other documents referenced). Ask for clarification.
  
  New risks or hazards identified to be recorded below, a risk assessment completed and appropriate controls identified and recorded.
  
  List all Tasks in the sequence carried out and site hazards

Task/Step

• Task

  Select ALL Brushcutting Chainsawing Chipping Driving a motor vehicle Gas Burning Hand-weeding Herbicide application - with dabber bottle only Litter Collection Loading and unloading vehicle Mulching Observational (i.e. non-invasive) monitoring Planting Potting and propagation Prescribed burning Pruning Seed collection - Permit Required Spraying - Backpack Spraying - Quikspray Staking and guarding Watering Woody Weeding Weed matting

  • ALL
  • Brushcutting
  • Chainsawing
  • Chipping
  • Driving a motor vehicle
  • Gas Burning
  • Hand-weeding
  • Herbicide application - with dabber bottle only
  • Litter Collection
  • Loading and unloading vehicle
  • Mulching
  • Observational (i.e. non-invasive) monitoring
  • Planting
  • Potting and propagation
  • Prescribed burning
  • Pruning
  • Seed collection - Permit Required
  • Spraying - Backpack
  • Spraying - Quikspray
  • Staking and guarding
  • Watering
  • Woody Weeding
  • Weed matting

• Hazard

  Select Aggressive resident Animal faecies Bites / stings Chemicals Dust + Particles Eye level branches Loose rocks Loud Noise Manual Handling Needles / broken glass Pedestrians and Public Pets off lead Slope Steep embankment Stags / dead trees Trip Hazards (uneven ground, hidden objects) Weather conditions Water body / waterway Other

  • Aggressive resident
  • Animal faecies
  • Bites / stings
  • Chemicals
  • Dust + Particles
  • Eye level branches
  • Loose rocks
  • Loud Noise
  • Manual Handling
  • Needles / broken glass
  • Pedestrians and Public
  • Pets off lead
  • Slope
  • Steep embankment
  • Stags / dead trees
  • Trip Hazards (uneven ground, hidden objects)
  • Weather conditions
  • Water body / waterway
  • Other

• Please specify

• Risk

  Select Injury Infection / disease Chemical exposure Confrontation Damage to site Habitat loss Off-target Damage Slips/trips/falls/entanglement Weather related illness/stressors Works may impact on cultural heritage Other

  • Injury
  • Infection / disease
  • Chemical exposure
  • Confrontation
  • Damage to site
  • Habitat loss
  • Off-target Damage
  • Slips/trips/falls/entanglement
  • Weather related illness/stressors
  • Works may impact on cultural heritage
  • Other

• Please specify

• Describe the control measure (Order of preference is: Eliminate> Substitute> Engineering Control> Administrative Control>PPE).

  Select

• Risk Ranking

  Low

  Medium

  High

• Person Responsible

  Crew Leader

  All

Crew Sign Off

• Supervisor's Name & Signature

  Sign
Worker

• Signature

  Sign