Title Page
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Conducted on
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Prepared by
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Location
Site assessment and procedures.
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First notable site specific hazard and control measures. Please note powerlines including GST are high priority to assess.
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Second notable site specific hazard and control measures.
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Third notable site specific hazard and control measures.
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Are there any additional site Hazards and controls you would like to add.
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What hazards and risks are needing to be added.
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Are there any environmental risks to assess for.
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What other site specific hazards and controls would you like to add.
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Does this work require ticketed training. Please list below.
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Will felling be taking place.
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Is this tree lacking integrity or dead.
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What control measures will be implemented.
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Chainsaw usage. Checking Saw is sharp and operationally safe with working chain break. If not place it out of service.
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Tree climbing. Has all gear been inspected in 6 month intervals and will be checked before and throughout works.
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Rigging. Inspection of lowering ropes and gear. Place out of service if needed.
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Chipper operations-PPE implementation and crew trained for the task.
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What other tools will be used and are there extra controls needed.
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What additional control measures will crew put in place.
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Mini loader or tracked plant. Keep clear and have spotter in vicinity with moving plant. Discuss work plan and adress with communication.
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With all of the above listed risks and hazards do all crew feel it is safe to do this task.
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Call Sam Lofts 0456044602
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Crew Member Sign on 1
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Crew Member Sign on 2
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Crew Member 3 Sign on
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Crew member 4 Sign on
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Crew member 5 sign on
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Crew Member 6 sign on
