Title Page
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Conducted on
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Prepared by
Job Address:
Photo of the front of the site
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Company Name
Name of individual:
Type of trade:
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Does the contractor have a valid Work Safe NSW construction white card present?
Please provide photo of their white card:
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Are all of the contractors tools tags that are onsite?
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Are they wearing all PPE required?
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Are they wearing non slip steel toe cap shoes?
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Is the site clean and tidy?
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Are all ladders and platforms in good condition?
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Are all guards and dust extractors fitted properly to their tools?
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Does the contractor have all of their work method statements onsite?
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Has the contractor completed a site specific risk assessment?
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Does the contractor appear to be working safely?