Information
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Client / Site
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Conducted on
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Prepared by
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Project details:
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Level:
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Reason for assessment?
- Pre-start
- Post contract
- Complaint
- Random Check
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The assessment included
- Physical inspection
- Hazard control review
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Has contractor induction been completed?
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Did contractor sign in?
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Is site tidy?
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Is contractor working safely?
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Is appropriate safety equipment being used?
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Is appropriate PPE being used?
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Are hazards being managed/controlled appropriately?
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Enter hazards encountered on site
Hazards
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Has Contractor been notified of hazard and actions required?
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When do actions need to be completed by?
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When will the site be reinspected?
