Next Form and AusGoldGroup install system

• Conducted on

  Date

• Prepared by

• Location
  Address

• Have you completed the contractor induction , read and understand the swms

  Yes

  No

  N/A

• If you have any workers have they completed the contractor induction , read and understand the swms

  Yes

  No

  N/A

• Do you have a copy of the relevant swms

  Yes

  No

  N/A

• Are there any other hazards not covered by the swms please report it to the site supervisor

  Yes

  No

  N/A

Site Conditions

• Have you read the projects site specific coordination plan taking note of specific hazards

  Yes

  No

  N/A

• Is there safe access to your work area

  Yes

  No

  N/A

• Take a photo of your work area and access along with if any timber framing has been delivered

  Yes

  No

  N/A

• Have you inspected the site for any hazards that may injure you or your workers

  Yes

  No

  N/A

• Amenities in reasonable condition first aid is readily available and stocked sufficiently all emergency contact details current

  Yes

  No

  N/A

• Stairwells including temporary stairs are in place and secure with a step not greater then 190 mil

  Yes

  No

  N/A

• Void platforms are in place and secure..., if noted installers details attached with install date

  Yes

  No

  N/A

Tools and Equipment

• Are ladders and work platforms commercially rated and in good working order

  Yes

  No

  N/A

• Is all electrical equipment in good working order with there guards and dust bags/vacuum attachments fitted correctly

  Yes

  No

  N/A

• Do you and your workers have the right PPE and safety equipment

  Yes

  No

  N/A

Hazardous materials

• Do you have your MSDS register with you

  Yes

  No

  N/A

• The pre start checklist is to be completed onsite to provide assurance and feedback where required please confirm you and any workers you have are onsite during install and QA

  Yes

  No

  N/A

Ground level

• If concrete , is it square and level

  Yes

  No

  N/A

• According to site plan are the timber panelised elements correct with actual concrete slab dimensions

  Yes

  No

  N/A

• Preinstalled timber/steel beams correctly placed according to plan if not please take a photo and notify site supervisor immediately

  Yes

  No

  N/A

• Has Partiwall been installed as per manufacturers installation

  Yes

  No

  N/A

Floor Cassettes/ Safety rail / Void platforms

• Has all intermediate floor cassettes been installed according to site plans

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Has all fixings/bolts and required connections been installed for Intermediate floor cassettes

  Yes

  No

  N/A

• Is all Intermediate floor cassettes square/level

  Yes

  No

  N/A

• Has safety rail been installed

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Has void platforms been installed

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Works undertaken as to date of QCA Has all timber frames panelised walls/floors/roof elements been installed according to site plan

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are walls/floors/roof elements square/level/plumb

  Select Yes No N/A

  • Yes
  • No
  • N/A

• All timber elements installed free of defects if not please take a photo and notify Next Form site supervisor noting which unit and room it correlates too

  Yes

  No

  N/A

• Has all props/braces been securely fixed in place for temporary support

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Any uninstalled timber elements been temporarily secured to avoid damage to yourself or workers or anything onsite

  Yes

  No

  N/A

• All rubbish removed from work area

  Yes

  No

  N/A

• Yes

  No

  N/A