Peter Cations SWMS INSPECTION CHECKLIST

• SWMS Title/Number:

• Conducted on

  Date

General

• Client site: Barwon Water - Black Rock WRP 400 Black Road Connewarre

• Agfab project No: 22884

• Name of persons supervising works activity:

  Select Greg Grima John Toner Greg Oman Ian McCormack Joseph Frattin John Frattin Peter Cations George Lubczenko Graham Davis

  • Greg Grima
  • John Toner
  • Greg Oman
  • Ian McCormack
  • Joseph Frattin
  • John Frattin
  • Peter Cations
  • George Lubczenko
  • Graham Davis

• Select date

  Date

SWMS Content - Does the SWMS contain the following ?

• Principal Contractor/Subcontractor Name :

• Task specific information ( not generic)

  Yes

  No

  N/A

• Task Sequence appropriate to the activity:

  Yes

  No

  N/A

• Activity Hazards relevant to the Sequence of activities:

  Yes

  No

  N/A

• Activity controls relevant to Hazards identified:

  Yes

  No

  N/A

Personnel sign off

• Are all personnel involved in the activity signed onto the SWMS:

  Yes

  No

  N/A

• Do the employees have a depth of knowledge of the SWMS to be able to discuss the content demonstrating the required level of understanding:

  Yes

  No

  N/A

Pre start activities

• Are Start Cards completed for activity prior to the beginning of the day ( minimum number to be determined on site site relevant to the complexity of activity)

  Yes

  No

  N/A

• Is there evidence of pre start meetings where relevant Sequences of the SWMS have been discussed in order to safely commence the days activities:

  Yes

  No

  N/A

SWMS Field Compliance

• Is the SWMS Sequence being followed:

  Yes

  No

  N/A

• Are Controls being fully implemented:

  Yes

  No

  N/A

• Does the SWMS effectively address the SEQ Hazards on site:

  Yes

  No

  N/A

SWMS Review

• Is there evidence that the contractor undertakes regular reviews of the SWMS to ensure they represent the tasks/ hazards/controls on site at that time:

  Yes

  No

  N/A

• Is there evidence that the SWMS have been reviewed and updated if required in the past week:

  Yes

  No

  N/A

Inspection completion

• At the time this inspection was completed the SWMS documentation and controls implemented complied with the Regulatory and Contractual minimum requirements:

  Yes

  No

  N/A

• Name of the person completing the checklist:

  Select Greg Grima John Toner Greg Oman Ian McCormack Joseph Frattin John Frattin Peter Cations George Lubczenko Graham Davis

  • Greg Grima
  • John Toner
  • Greg Oman
  • Ian McCormack
  • Joseph Frattin
  • John Frattin
  • Peter Cations
  • George Lubczenko
  • Graham Davis

• Signature of the person completing the checklist:

  Sign

• Name of the Workplace Manager:

  Select Greg Grima John Toner Greg Oman Ian McCormack Joseph Frattin John Frattin Peter Cations George Lubczenko Graham Davis

  • Greg Grima
  • John Toner
  • Greg Oman
  • Ian McCormack
  • Joseph Frattin
  • John Frattin
  • Peter Cations
  • George Lubczenko
  • Graham Davis

• Signature of the Workplace Manager:

  Sign