Title Page

  • Document RNMA:

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Add media

  • Personnel

Adminstration

  • Job sheet available with correct details

  • License and certificates of competency

  • Goods and inventory book , blank ATP and SOS forms available

  • Risk assessment conducted and signed off

  • Causal staff completed a site induction

First Aid

  • First aid kits available and identified

  • Sharp Kit

  • Sunblock

  • Hand Sanitizer

  • Fire extinguisher available and tagged for currency

Work Vehicle

  • Registration

  • Storage shelves in place and in good condition

  • All items restrained or confined

  • Chemicals stored securely

  • Full range of PPE available

Chemicals

  • SDS available (5yrs )

  • Suitable PPE as per SDS and SOP

  • Chemicals stored appropriately on site

  • Techs have considered how they will dispose of chemical waste (Environmentally compliant)

Safe Operating Procedures

  • Are SWMS available for all tasks

  • Are SOP Available (Hardcopy or electronic)

  • SOP / SWMS has been read and explained to casual staff<br>Have casual staff signed off on paperwork

Working at Heights

  • Appropriate SWMS available for working at heights

  • Ladder choice is correct for the task

  • Ladder being used in the safe manner

  • Scaffolding , EWP correctly setup and used <br>Scaff tags in place if required <br>Licenses available

Electrical equipment

  • All electrical equipment has a current test tag (6 mths)

  • All leads are tagged and in good condition (less than 25 mts long)

  • All RCD's tagged (1 mth)

  • Leads suspended and out of traffic areas

Bio Hazard (Mould , Sewage, Other)

  • Correct PPE used fir air borne contaminants (P2 mask)

  • Clean area has been identified<br>Non soiled items have been moved to the clean area

  • Project Manager has advised techs of Biohazards and correct PPE

Manual Handling

  • Stair trolley available

  • Multi person used for heavy awkward items

  • Ramp used to unload truck , van

  • Sliders used to move furniture

Uniform

  • Technicians dressed in the correct uniform

  • Technicians have high vis vest available

Facilities and Amenities

  • Facilities have been identified and communicated

  • Emergency exits have been identified and assembly area communicated

Additional comments

Signoff

  • Add signature

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.