Title Page
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Conducted on
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Prepared by
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Location
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Engineer/FCO/Driver
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Team Mate/others on site
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When arriving on site. Look to identify the hazards on site. Is all PPE being worn and what could possibly cause injury.
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Please only send this template via PDF. Send photographs directly from your iPhone/iPad via text message or email to Paul Clarke.
Injury Reduction
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Safety glasses worn as you arrived on site? (if you wish to add notes please select the paper clip to the right)
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All relevant PPE including shoes/boots laced correctly? (if you wish to add notes please select the paper clip to the right)
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Have any hazards been recorded via IMS/GDFO/H Codes? (please check on GDFO) Notes >
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How will others attending the site know what the hazards are? Notes>
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Are there other risks that have not been identified? Notes>
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What does Cadent wish to achieve in relation to injuries?
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What hazard gives the highest risk of injury on site?
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What has been done to control or remove it?
Vehicles
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Is the vehicle parked safely? Notes >
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Are the wheels turned in to the kerb? Notes>
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Is handbrake on, and/or left in gear? Notes>
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Are there any hazards within the front of the vehicle? (e.g. items that could cause injury in the event of an accident)
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Does the individual know they MUST complete the 360 degree walk, unless a risk assessment identifies this would be unsafe.
Cables - Emergency and Repair
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Where are the internal risk areas for drilling? (EB055)
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Do you maintain electrical continuity, and escalate if this can’t be done?
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Are the Bosch Locator,Volt Stick and C-Scope in date and easily accessible? Notes >
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Is the Take Care form fully completed and have all on site signed on to it? REPAIR ONLY
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Has cable exposure been avoided? REPAIR ONLY
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When all mandatory fields are complete please send PDF via email.
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All hazards and near miss information MUST be sent to the Incident desk. Please also record ESDs.
