Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Relief Supervisors Name:

  • Relief Supervisors Company:

  • Is the Relief supervisor aware and willing to take on the roles and responsibilities out lined in the PSP 19.02 Chapter 4.5?

  • Does the Relief Supervisor, understand the PRA & understand the works involved on site during their supervision?

  • Does the Relief supervisor have a current senior First Aid ticket? & competent with JLL:<br>First Aid Injury register 19.13<br>First Aid Injury record 19.14<br>Incident Investigation 19.15

  • Is the Relief supervisor competent with JLL induction procedure & Capable to induct workers? Covering;<br>Induction record 19.09<br>Induction register 19.08<br>Site Rules 19.05<br>HS Statement 19.19 <br>Evacuation Plan 19.11<br>Emergency Response Procedure 19.12

  • Is the supervisor competent how to use JLL safety folder & forms Including;<br>Electrical Register 19.23<br>Plant & Equipment Register 19.24<br>Hazardous Substances Register 19.26<br>Hot works Permit 19.33<br>Non conformance report 19.28<br>Non conformance register 19.29<br>

  • Is the Relief supervisor competent to co-ordinate emergency response procedure 19.02 & Lead and evacuation in accordance with the Evacuation Plan 19.11

  • Does the Relief Supervisor understand the Incident escalation process?

  • Is the Relief Supervisor competent to identify hazards and report any in Hazard Log 19.07 ?

  • Does the Relief Supervisor Know how to fill in the Daily Site Diary 6.17?

  • Is the Relief Supervisor competent to run Tool Box Talks 19.20?

  • Is the Relief Supervisor competent with WMS Monitoring Record 19.37 3 per week?

  • Does the Relief Supervisor understand the EMP 18.11 & ERA 18.12?

  • Is the the Relief Supervisor competent to coordinate other trades and maintain program?

  • Is the Relief Supervisor proficient in understanding and reading service, shop and architectural drawaings?

  • Is the relief supervisor competent to communicate with building management, facilities management, government and regulatory authorities?

  • Does the Relief Supervisor have the ability to send & receive emails & phone calls?

  • Does the Relief Supervisor have industry experience & communication skills?

  • Does the Relief Supervisor understand the extent of the job size, where site boundary is and over how many floors?

  • Does the Relief Supervisor have keys to un-lock and lock the site?

  • JLL supervisors signature

  • Relief supervisors Signature

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