Title Page
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Date & time
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Person conducting inspection
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Site
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Client Name
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Please specify
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Site Name
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Site Address
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Is there emergency / SOS mobile phone coverage?
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2-way radio / Sattellite may be required or identify nearest coverage point.
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Have you notified the client that you are on site?
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Please select method of communication
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Emergency Services Access Location (Nearest cross roads including suburb)
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Emergency Muster Area
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Please specify
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Nearest Public Hospital with Casualty. If unsure you can check http://www.health.vic.gov.au/maps/
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Please specify hospital
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Have you notified the local Police that you are carrying out shooting and the times you will be on site?
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What was the name of the officer you notified.
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Safety Checklist
Safety, Quality & Environment Checklist
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Do you have a copy of the Safe Working Method Statement (SWMS) for this task. This is required forand WILL NEED TO BE HAVE BEEN COMPLETED BEFORE PROCEEDING - Please take a photo of the SWMS SIGNED PAGE WITH ALL STAFF NAMES ON SITE
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Do you have a copy of the Shoot plan?. Please take photo
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Have everyone in the crew been made aware of site risks and had the shoot plan explained including no-shoot zones
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All crew must be inducted into site and have today's task explained. Have you now taken a moment to do this?
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Do all staff on site who will have access to firearms have a current firearms license. ?
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Do all staff using supressors have a sliencer permits available ? (online copy sufficient)
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Are all firearms and ammunition not in use stored in a secure location which cannot be accessed by unauthorised people?
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Have at least two members of the crew completed first aid level 2 within the last 4 years?
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Does the crew have access to a first aid kit (including snake bite first aid supplies and Trauma Kit) that has been serviced and re-stocked within the last 6 months within 20m of where they are working at all times?
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Do all vehicles have a fire extinguisher that has been tested within the last 6 months?
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Does the crew have access to in field hand washing facilities?
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Do all crew members have access to gloves for handling carcasses?
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Is the crew wearing correct PPE? - Cold weather gear, sturdy footwear.
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Do all crew members have drinking water?
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Slopes - are there slopes present
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Is there a danger of a vertical fall over 2m on this site?
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Fall protection must be used - either prevent access by webbing or other means or use ropes - SWMS must be developed!
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Is public access management required?
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Do not proceed without appropriate barriers / locked gates and signage.
Crew Sign Off
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Supervisor's Name & Signature