Information

Origin ALC - CRI - Worker could be harmed when undertaking work related Road journeys.

  • Origin Operations Area: ( i.e. Combabula)

  • Detailed Location:

  • Contractor:

  • Conducted on

  • Prepared by

  • Inspection Team

  • Describe Task or Activity being Conducted:

  • Did the job have a site specific ER Plan

  • Were staff appropriately trained E.g. HLO, AFARAO

  • Did the team have positive communications with the supervisor.

  • Toolbox talk - did it communicate the risks and controls.

  • Were emergency response contacts identified and communicated.

Comments

Additional Comments

  • Comments

Signoff

Contractor Representative

  • Role:

  • Signature

Origin Energy Representative

  • Role:

  • Signature:

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