Information
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Conducted on
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Project Name and/or Job Number
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Site Address
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Inspected by
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Nautical Supervisor
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Nautical Contractor
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Location
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Document No.
GENERAL
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SWMS on site and adequate for purpose?
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SWMS has been signed by all workers?
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Are there any young or inexperienced workers and has the Form been filled in?
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Pre-start toolbox forms up to date?
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Induction toolbox completed by all workers?
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Have Plant Risk Assessments been done for all EWPs?
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Guard Rail Handover Certificate/s completed?
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Safety Mesh Handover Certificate/s completed?
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ITP's up to date / completed?
PPE - (on, up to date and in good condition)
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Hard Hats
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Steel Cap Boots/shoes
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Suitable Gloves
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Safety Glasses
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Hearing Protection
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Face Masks (if grinding etc)
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Sunscreen
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First Aid Kit
ELECTRICAL
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Electrical register up to date?
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All electrical items tagged and in date?
FALL PROTECTION EQUIPMENT
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Harness Register up to date?
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All workers have Working At Heights tickets?
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All equipment tagged and in good condition?
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Suitable anchor plates / static lines in use?
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Suitable fall protection / fall restraint system for desired use? (pendulum effect etc)
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Rescue Kit on site and accessible?
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Workers trained in use of Rescue Kit?
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If rescue with crane required, has it been tested and recorded?
LADDERS / TRESTLES / MOBILE SCAFFOLDS
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Industrial extension ladders for access or light duties only (<7.5m)?
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3 points of contact at all times on ladders?
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Trestles, double planks, clamps, handrail set up correctly (<5m)?
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Mobile scaffold set up as per specifications (<4m)?
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If over 4m, person erecting has a scaffold ticket?
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Suitable for the task (height, width, load rating)?
ROOF ACCESS / EDGE PROTECTION
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Industrial ladder, secured at top, 1m past roof (<7.5m)?
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Suitable scaffold stairs?
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Complete scaffold system - correct deck height & handrail?
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Guard Rail complete - with access point/s?
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Suitable visual barrier / exclusion zones in place and maintained?
EWP
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Only licensed operators using EWP?
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Log books filled out daily?
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EWP pre-starts up to date?
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Correct PPE worn for EWP?
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Exclusion Zones needed and maintained?
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EWP is adequate for the job?
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EWP is being used correctly and within load limits?
POWER LINES
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3m exclusion zone being enforced near all Low Voltage Power Lines, including plant, ladders, scaffold, handrail?
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Has an Energex Safety Advice been obtained if the 3m exclusion zone needs to be breached?
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Has an electrician been notified/used to kill the power if 1m exclusion zone needs to be breached?
ASBESTOS
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Have all notifications been completed (Form 65, consultation with neighbours)?
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Has a Clearance Inspection been organised / completed?
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All workers have the correct tickets (removal, supervisor, license #)?
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Control Plan on site and filled out correctly?
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Asbestos Register completed or up dated?
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Controls in place?
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Exclusion zones - Barrier / fence?
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Signage on all entry and exit points?
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Plastic, bags, tags, rags, tape etc?
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Decontamination wash down area / shower?
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Industrial Hepa Vacuum with spare bags?
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Adequate PPE?
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P2 Respirators with spare cartidges?
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Safety glasses?
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No work clothes on beneath overalls (just board shorts or similar?)
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Disposable overalls?
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Rubber boots?
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Rubber gloves?
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No power tools - unless they are dedicated to asbestos work and stored correctly?
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All areas wiped, or vacuumed down?
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All areas sealed with Bondcrete?
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All tools, boots, gloves, vacuum wiped down?
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All rags, overalls, vacuum bags, asbestos - bagged, tagged and disposed of with licensed operator?
HOUSEKEEPING
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All materials on the roof are secured with metal strapping?
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All materials on the ground are stacked neatly and secured?
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Are all exclusion zones on the ground erected and maintained (EWPs, Falling objects, around materials)?
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All rubbish cleaned up daily and placed in bins?
NOTES
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Enter any extra information here
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Additional photos
SIGNATURES
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Safety Inspector
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Nautical Supervisor
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Nautical Contractor Representative
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Site Manager / Representative