Information
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Job Number
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Project Name
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Work description
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Date and Time
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Prepared by
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Location
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Weather
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Any issues from the previous day? (If yes provide details)
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Planned daily activities?
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Site Specific Work Method Statements (SWMS) for the above listed activities have been developed, reviewed, understood and signed.
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DO NOT PROCEED WORK. REFER TO MANAGER.
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Plant required to conduct activities:
- Crane
- Scissor lift
- EWP
- Scaffolding
- Mobile Scaffolding
- Other (Details below)
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Other (Provide details below)
PLANNED DAILY CHECKLIST
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Ground and supporting surface is suitable for mobile plant?
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Permit to work (for activity)
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Confined Space (observer / gas test) ?
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Lifting equipment inspection
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Scaffolding - Scafftag fitted and current on access. (If over 4 meters or unusual shape or size. E.g. Stairwells)
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IMPORTANT DO NOT COMMENCE WORK ON A SCAFFOLD WITHOUT A SCAFF TAG OR IF IT IS NOT FIT FOR PURPOSE. Call the project manager.
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Work Platforms / Mobile plant fit for purpose
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PPE Requirements ( Site and SWMS requirements)
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Eye protection ( Full face shield when grinding)
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Overhead power lines identified
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Underground services identified
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Emergency Preparedness and Response Plan in place e.g. Rescue Plan
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Harnesses, lanyards & other lifting devices in test, tagged and fitted for use.
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RCD's in place
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Ladders inspected, tied off and fit for use.
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Electrical equipment in test, tagged & fit for use.
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Protruding objects covered
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Open penetrations covered
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Fire Extinguishers available & tested.
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Housekeeping ( Area tidy and free of rubbish etc.)
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Barricades & signage required in work area
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Traffic Control Plan required
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Other Hazards Identified and Discussed / Employee Feedback: Working from height off scaffold, there is potential of dropping objects between the scaffold and slab, so need to be weary of workers below
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DO NOT START WORK IF THE ABOVE DO NOT MEET REQUIREMENTS. CALL THE PROJECT MANAGER!
Any issues raised during the pre-start meeting that require action?
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Action Item
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Feedback
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Date Raised
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Who raised the action?
Other Permits to complete
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Does the work require workers to work at heights? (2m for Commercial buildings or 3m for residential buildings)
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PLEASE COMPLETE THE WORKING AT HEIGHTS PERMIT
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Does the work involve cutting, welding, or grinding?
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PLEASE COMPLETE THE HOT WORKS PERMIT
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Are crane operations involved in the works?
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DO NOT PROCEED WITHOUT THE FOLLOWING:
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SWMS for crane operations
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Lift Plan
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Sequence of Erection
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A photo of the lift plan and Crane SWMS signature page must be included.
Attendance List
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Name and Signature
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Name and Signature
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Name and Signature
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Name and Signature
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Name and Signature
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Name and Signature