Remediation Site Daily Diary

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Weather Details

• AM (0800-1200)

• Physical Description

  Select Bright and Dry Bright with occasional Showers Overcast but Dry Overcast with occasional Showers Overcast with Heavy Downpours Torrential Rain

  • Bright and Dry
  • Bright with occasional Showers
  • Overcast but Dry
  • Overcast with occasional Showers
  • Overcast with Heavy Downpours
  • Torrential Rain

• Wind Strength

  No Wind

  Mild Wind

  Occasional Strong Wind

  Strong Wind

  Gale Force Wind

• Temperature

  Select -0' - 2' (Freezing) 3' - 6' (Very Cold) 7' - 12' (Cold) 13' - 18 (Mild) 19' - 23' (Warm) 24' - 27' (Very Warm) 28' - 32' (Hot),33' - 35' (Very Hot),36' + (Extremely Hot!)

  • -0' - 2' (Freezing)
  • 3' - 6' (Very Cold)
  • 7' - 12' (Cold)
  • 13' - 18 (Mild)
  • 19' - 23' (Warm)
  • 24' - 27' (Very Warm)
  • 28' - 32' (Hot),33' - 35' (Very Hot),36' + (Extremely Hot!)

• PM (1201 - 1700)

• Physical Description

  Select Bright and Dry Bright with occasional Showers Overcast but Dry Overcast with occasional Showers Overcast with Heavy Downpours Torrential Rain

  • Bright and Dry
  • Bright with occasional Showers
  • Overcast but Dry
  • Overcast with occasional Showers
  • Overcast with Heavy Downpours
  • Torrential Rain

• Wind Strength

  No Wind

  Mild Wind

  Occasional Strong Wind

  Strong Wind

  Gale Force Wind

• Temperature

  Select -0' - 2' (Freezing) 3' - 6' (Very Cold) 7' - 12' (Cold) 13' - 18 (Mild) 19' - 23' (Warm) 24' - 27' (Very Warm) 28' - 32' (Hot),33' - 35' (Very Hot),36' + (Extremely Hot!)

  • -0' - 2' (Freezing)
  • 3' - 6' (Very Cold)
  • 7' - 12' (Cold)
  • 13' - 18 (Mild)
  • 19' - 23' (Warm)
  • 24' - 27' (Very Warm)
  • 28' - 32' (Hot),33' - 35' (Very Hot),36' + (Extremely Hot!)

Site Visitors (other than site team)

• Site Visitor 1 (Name, company and reason for visit)

  Yes

  No

  N/A

• Site Visitor 2 (Name, company and reason for visit)

  Yes

  No

  N/A

• Site Visitor 3 (Name, company and reason for visit)

  Yes

  No

  N/A

• Site Visitor 4 (Name, company and reason for visit)

  Yes

  No

  N/A

• Site Visitor 5 (Name, company and reason for visit)

  Yes

  No

  N/A

• Photo of visitors log (to be taken at end of day)

  Media

Main Site Activities

• Activity 1 Description:

• Picture of activity

  Media

• Resources involved in Activity (no. of persons, plant involved and time spent)

• Activity 2 Description:

• Picture of Activity

  Media

• Resources involved in Activity (no. of persons, plant involved and time spent)

• Activity 3 Description:

• Picture of Activity

  Media

• Resources involved in Activity (no. of persons, plant involved and time spent)

• Activity 4 Description:

• Picture of Activity

  Media

• Resources involved in Activity (no. of persons, plant involved and time spent)

• Activity 5 Description:

• Picture of Activity

  Media

• Resources involved in Activity (no. of persons, plant involved and time spent)

• Activity 6 Description:

• Picture of Activity

  Media

• Resources involved in Activity (no. of persons, plant involved and time spent)

Open Permits

• Permit 1

• Permit Type

  Select Permit to Dig Hot Works Working at Height Confined Spaces Lifting Plan PTW (WWU)

  • Permit to Dig
  • Hot Works
  • Working at Height
  • Confined Spaces
  • Lifting Plan
  • PTW (WWU)

• Expiry date and time of permit

  Date

• Evidence of Permit

  Media

• Permit 2

• Permit Type

  Select Permit to Dig Hot Works Working at Height Confined Spaces Lifting Plan PTW (WWU)

  • Permit to Dig
  • Hot Works
  • Working at Height
  • Confined Spaces
  • Lifting Plan
  • PTW (WWU)

• Expiry date and time of permit

  Date

• Evidence of Permit

  Media

• Permit 3

• Permit Type

  Select Permit to Dig Hot Works Working at Height Confined Spaces Lifting Plan PTW (WWU)

  • Permit to Dig
  • Hot Works
  • Working at Height
  • Confined Spaces
  • Lifting Plan
  • PTW (WWU)

• Evidence of Permit

  Media

• Expiry date and time of permit

  Date

Variations

• Variation 1

• Work other than originally planned requested?

  Yes

  No

  N/A

• Instruction received?

  Yes

  No

  N/A

• Costs for extra work supplied to client?

  Yes

  No

  N/A

• Variation 2

• Work other than originally planned requested?

  Yes

  No

  N/A

• Instruction Received?

  Yes

  No

  N/A

• Costs for extra work supplied to client?

  Yes

  No

  N/A

Early Warning Notice Required?

• Early Warning Required?

  Yes

  No

  N/A

Multiple Hazards / Near Misses

• Any multiple hazards or near misses to report?

  Yes

  No

  N/A

• MH/NM 1

• Description of MH/NM 1:

• Relevant photo for MH/NM 1

  Media

• MH/NM 2

• Description of MH/NM 2:

• Relevant photo for MH/NM 2

  Media

• MH/NM 3

• Description of MH/NM 3

• Relevant photo for MH/NM 3

  Media

• Signed by Site Manager / Supervisor

  Sign