Title Page
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Contract
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Location
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Operation / Activity
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Operatives Name
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Employers Name
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Conducted on
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Prepared by
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Location
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Have you received a site induction?
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Have you been briefed on a method statement for this job and did you understand it?
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Is the operation being carried out in accordance with an approved, documented method statement?
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Do you understand the risks and hazards associated with this job, and the necessary controls?
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Is there a suitable and sufficient risk assessment in place for the activity?
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Have you received any formal training in relation to this job?
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Have you been told which types of PPE you are to wear for this job?
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Are you doing this job in with the relevant health, safety and environmental procedures?
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As far as you know, is the job being carried out in line with the contract service level agreements and key performance indicators?
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Do you understand the workmanship / service delivery standards required for the job?
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Are there adequate controls in place to protect the environment? For e.g. spillages and waste management etc
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Have you had a 'Tool Box Talk' about this type of work? Was it recent?
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Is there a record of Tool Box Talks delivered with signatures of attendees?
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Have any Safety Alerts or similar communications been discussed with you recently? If so which ones were they?
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Do you know the name of your supervisor on site?
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Tell me about the 'Behaving Safely' plan for this site or contract
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Check carried out by