RCG Pre-Site Visit H&S Checklist

• Site Code

• Serco

  Select RCG CIP Downers Ventia Connect 8 Other/ Electrical Companies

  • RCG
  • CIP
  • Downers
  • Ventia
  • Connect 8
  • Other/ Electrical Companies

• Prepared by

• Phone number:

• Other personnel on site

• Date

  Date
• Location
  Address

• This information needs to be completed before accessing the site and shared with the Service Company and RCG.
  
  As a prerequisite please ensure you have read and understood SERCO and RCG H&S Policies

Site Management and Planning

• Scope of Works (What is planned for today?)

• undefined

• ***IMPORTANT***
  Please acknowledge you read and understood The RCG Health and Safety Policy

• I have read and understood The RCG Health and Safety Policy

• ***IMPORTANT***
  Please acknowledge you read and understood The RCG Lone Worker Standards

• I have read and understood The RCG Lone Worker Standard

• ***IMPORTANT***
  Please acknowledge you read and understood The RCG Off-Road Driving Standards

• I have read and understood The RCG Off-Road Driving Standard

• Please click on the link for the latest weather forecast.

• I confirm that we have read and understand the requirement and confirm , all drivers have the appropriate qualification/certificate

• I have taken weather conditions into account during my risk assessment.

• I will consider SAFE EGRESS, once on-site if conditions change!

Site Information

• Have you received site access information?

  Yes

  No

• Please stop work until you have read and understood site access information, hazards and have implemented relevant mitigations and controls!

• Does the Land Owner(LO) have specific H&S induction process or special requirements for safe access to site?

  Yes

  No

  N/A

• Has required process or induction been completed?

  Yes

  No

• Please provide details of induction or process.

• Stop work until LO requirements is fulfilled.

• If any additional Site hazards are identified on site I commit to updating NexysOne(4x4 access only, special key instructions, not suitable for MEWP or Crane, etc.).

  Yes

  No

• Please describe any additional hazards

• Do you have Site safety signage?

  Yes

  No

  Not applicable

• All contractors (including sub-contractors) have been provided with information relating to health and safety for the work they are undertaking?

  Yes

  No

  Not applicable

Safety Gear

• Personal Protective Equipment/Safety Gear appropriate to the task will be worn?

  Yes

  No

  Not applicable

• PPE inspected before use?

  Yes

  No

  Not applicable

Competency

• Are all persons going to the site competent and trained to undertake the tasks on-site?

  Yes

  No

  Not applicable

• Work should cease until persons competent to undertake the required tasks are on site. An incident report should also be sent to the relevant Principal Contractor

• Do workers have a copy of their current certificates on-site?

  Yes

  No

  Not applicable

Emergency planning and equipment

• Is the site able to call for emergency assistance - Fire, Police Ambulance?

  Yes

  No

• Stop work and refer back to lone worker standard. Please consider alternative communications.

• Are appropriate Fire Extinguishers and First Aid kits on site?

  Yes

  No

• Do not proceed until you have appropriate equipment with you.

• I'm prepared for emergencies(Spill Kit, Rescue kit, etc)

  Yes

  No

• Do not proceed until you have appropriate equipment with you.

Agreement

• Assessor signature:

  Sign

• Name:

Additional People:

• Add signature

  Sign