Information
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Client / Site
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Prepared by
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Comments
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Comments
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Conducted on
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Location
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Document No.
GENERAL
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Access/egress (clear and defined)
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Comments
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Appropriate signage
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Comments
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PPE is issued and worn for task
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Comments
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Leads and electrical used correctly
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Comments
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Electrical equipment tagged
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ELCB tested/used
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Noise and dust levels controlled
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Comments
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Spill kits
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Comments
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SDS
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Comments
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Fire extinguishers (available and serviceable)
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Comments
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Lighting (where appropriate)
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Comments
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Permits in place (hot work, GDP, etc.)
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Comments
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Manual handling - assessed and managed
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Comments
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Housekeeping (clean and tidy)
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Comments
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Ample supply of bins
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Waste in correct bins
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Comments
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Risk assessments conducted (STOP, START, JHA)
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Comments
PLANT
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Pre-start inspections completed
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Comments
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Logbooks are completed
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Comments
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Appropriate access and egress
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Comments
MATERIAL STORAGE
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Housekeeping (clean and tidy)
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Comments
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Accessible
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Comments
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Spill kits
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SDS
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Comments
EXCAVATIONS
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Permit in place
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Comments
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Safe access/egress
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Comments
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Edge protection (windrows, barriers)
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Comments
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Fauna egress provided
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Comments
STOCKPILES
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Edge protection (windrows, barriers)
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Comments
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Appropriate use of stockpiles
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Comments
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Dust levels controlled
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Comments
ROADS
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Traffic management (as per plan)
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Comments
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Two-way being appropriately
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Comments
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Dust levels controlled
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Comments
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Spillage controlled
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Comments
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GENERAL COMMENTS
As shift supervisor I have inspected all active work areas on the date and time stated. All hazards identified have been addressed to reduce the effect of the working environment.
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Inspected by (name and signature)
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Superintendent name and signature