Title Page

  • Site conducted

  • Document No.

Daily Work Summary

  • Team Leader:

  • Worksite Location
  • Date

  • Which TCP you are using?

  • Do I have clear instructions for the task?

  • What part of the instructions for the task are unclear?

  • Is the task safe to continue with unclear instructions?

  • Do I have the correct PPE, Tools and equipment for the task

  • Are all members of the team trained and competent for the tasks they are to perform

Risks

  • Hit by road traffic

  • Detailed Explanation?

  • Silica dust/cutting

  • Detailed Explanation?

  • Hit by moving plant

  • Detailed Explanation?

  • Pedestrian safety

  • Detailed Explanation?

  • Manual Handling

  • Detailed Explanation?

  • Excavations - DBYD

  • Detailed Explaination?

  • Hearing and eye protection

  • Detailed Explanation?

  • Fall from height

  • Detailed Explanation?

  • Electric Shock

  • Detailed Explanation?

  • High risk plant - Machinary

  • Detailed Explanation?

  • Other risks
  • Add risk

Crew Sign Off

  • Each present team member to sign name and signature acknowledging the above tasks, hazards and controls.

  • Team Member
  • Name & Signature

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