Title Page
Prompt: Before commencing the SHES visit, please review the findings and actions from the last visit and note any that are not closed out
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Project Name
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Scheduled Month
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Contractor
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Visit Type
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Visit Category
- Construction - Electricity Transmission
- Construction - Gas Transmission
- Electricity Transmission Asset Management
- ENCC
- Gas Distribution
- Gas Transmission Asset Management
- GNCCg
- Grain LNGS
- Metering
- Offices and Stores
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Zone/Area
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Site Address
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Site Contact
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Booked By
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Brief Description of Work
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Visit Completion Date
Key Risk Areas
Process Safety
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Process safety been discussed? Y/N
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What process safety systems did you praise?
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What process safety behaviour changes were agreed with the individuals?
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What process safety systems were found to be inappropriate/substandard?
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Process Safety Comments
Occupational Safety
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What unsafe/inappropriate behaviours were identified?
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What SHES behaviours did you praise?
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What behaviour changes were agreed with the individuals?
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Occupational Safety Comments
Health & Wellbeing
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What Health & Wellbeing areas did you observe?
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Health & Wellbeing Comments
Environmental Management
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What are the main environmental risks for the project?
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What environmental management areas did you observe on the project?
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Environmental Management Comments
Sustainability
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What sustainability measures did you observe on the project?
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Sustainability Comments
Please select which sustainability communication materials are on display and any tools used
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Hot Topics
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Z-Cards
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Tool Box Talks
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Sustainability Posters
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Training Presentations
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Case Studies
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Good Practice Guide
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Materials Exchange Tool
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Podcasts
Improvement Actions
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What improvement actions are outstanding?
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What other improvement actions were taken on site?
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What issues/SHES process safety improvements were discussed?
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Additional Notes/ Comments
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What Safety Score do you give the site visit?
- 3
- 2
- 1
- -1
- -2
- -3
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What Environmental Score do you give the site visit?
- 3
- 2
- 1
- -1
- -2
- -3
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Please add any photos if applicable
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Signature