Information
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Client / Site
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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Prepared by
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Conducted on
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Document No.
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SHIFT TYPE
ASSESSMENT OF SCORING 0 - No evidence of applied system meeting BGC Standards or Legislative requirements. 1 - There is evidence that an attempt to meet requirements has been made. 2 - There is evidence that the requirements are mostly met. 3 - All requirements are met to BGC and legislative requirements.
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1.1 General housekeeping (including floors, benches, etc.)
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.2 PPE available and used
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.3 Isolation and tagging (including tagging station)
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.4 Risk assessments being used (START, JHA)
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.5 Lighting
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.6 Wheel chocks
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.7 Electrical hand tools
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.8 Hand tools and cage tools
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.9 Jacks, stands, blocks and work platforms
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.10 Slings, chains, shackles and cumalongs
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.11 Hot work, gas bottles chained, stored correctly
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.12 Air lines and fittings
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.13 Hydraulics (porta-power, hose-press)
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.14 Service bay, bunds clean, oil spillage
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.15 Stores
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.16 Compressor shed/tyre storage
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.17 Fuel farm
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.18 Washdown pad
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.19 Lay-down areas, pods in correct bunded area
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.20 Oil spills cleaned, spill kits stocked
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.21 Collect all pre-starts from workshop LV's etc
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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1.22 Drain water out of workshop compressor
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Comments/Corrective Action Required/Proposed
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Person Responsible
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Cintellate Action No
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ADDITIONAL COMMENTS
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Inspected by (name and signature)
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Superintendent/Manager signature