Title Page

  • Conducted

  • Prepared by

  • Location
  • Todays weather is

  • Does all workers PPE meet the relevant compliance standard

  • Todays traffic management plan ......

  • There is an Emergency Locator Beacon onsite

  • Where is emergency location point
  • Who is the COVID-19 on site rep today?

Employee details

  • Is anyone showing symptoms of COVID-19 (high temperature, dry cough, loss of smell, shortness of breath sore throat, sneezing, running nose)?

  • Has anyone been exposed to a person with a suspected or confirmed case of COVID-19?

  • STOP - This person (or persons) must immediately go home. They need to communicate with their GP or book themselves in for a COVID-19 testing. They need to remain at home in their isolation bubble until the results of the COVID-19 test have been released or until their doctor says they are fit and able to return to work. If someone in their bubble is a suspected or confirmed case of COVID-19 then they cannot come to work until all in the bubble have been medically cleared.

  • Are all workers free from injury ?

  • Name of injured worker?

  • What is the nature of their injury or illness?

  • Are they able to carry on with their normal workload

  • What other duties can they perform today

Hazard and Risk Identification

  • Are there any new hazards? Moving machines, slippery ground, standing trees ,steep terrain , heavy debris

  • Has the risk potential changed (think change of weather, terrain, type of work for the day etc)? Remember some of the highest risk areas are BO and manual falling!

Work Plan

  • What is today's work plan? (Discuss each workers task for the day and any issues that may be encountered. Document if someone is under training or supervision). TAILGATE MUST INCLUDE BO AND MANUAL FALLER PLAN (if they are in action today). REMEMBER 5 - 10 extra minutes spent discussing the plan for the day could save someones life!

  • What is the Mean Tree Height MTH

  • Faller Tailgate Check in today is with.....(THIS IS TO BE DONE EVERY 30MIN PLEASE RECORD CHECK IN. If no contact is made stop all operations and seek communication immediately)

  • Does Faller have Fully Charged RT and Range Finder

  • What is your 2x Tree Lengths Distance

  • (On the last day of work) Did the work plan run safely and to plan?

  • (On the last day of work) Did every worker work safely and to the conditions?

  • (On the last day of work) Were there any health and safety issued raised?

  • What are they?

  • How are going to resolve them?

  • (On the last day of work) No first aid equipment or fire gear used?

  • What was used?

  • (On the last day of work) Did changes have to be made throughout the day to make the working environment safer?

  • What changes needed to be made?

Attendance details (Crew manager/foreman on the day) WHILE IN COVID-19 LEVEL 3 THE MANAGER OR FOREMAN IS TO SIGN ON EVERYONE'S BEHALF. BY SIGNING THIS THE MANAGER OR FOREMAN DECLARES THE ABOVE IS TRUE AND THAT ALL WORKERS ON SITE HAVE BEEN A PART OF THE TAILGATE.

  • Crew manager (or foreman on the day)

  • Attendance details (Other works and any other contractors/PCBU at the tailgate meeting)
  • Worker (name and sign)

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.