Title Page
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Project Name:
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Location
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Onsite Principal Contractor(s)
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Conducted on
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Prepared by
Site Security
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Has site fencing been established; does it appear to be maintained?
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Is there Construction Signage, which should include PC Contact information?
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Is there 'No Trespassing' Signage?
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Site Office, Amenities including directional signage, where required?
Emergency Preparedness
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Is the Emergency Assembly point clearly visible?
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Is the First Aid Location clearly signposted (including contact information)?
Plant
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Are Contractor operational zones segregated?
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Are mobile plant working in the danger zone of overhead powerlines
On Site Hazards
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Is edge protection established for any open excavations?
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Are there shear faces to any excavations that could engulf a person?
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Are there any areas where risk of fall is unprotected?
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Are there any unprotected water bodies on active sites?
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Is there any SERIOUS and IMMINENT Risks?
Immediate Actions
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Time for Corrections to be actioned
- Immediate
- Within 24 Hours
- Within 48 Hours
- Within a Week
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Close down work area until identified items are rectified?
Issued for Corrective Actions:
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Corrective Action Issued?
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Issued By
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Position
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Issued to
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Company
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Received