Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Safety and Welfare Discussion
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What did we do well yesterday? Did anyone notice anything unsafe? Near Miss?
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Latest Safety Alert - Could that happen to us?
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Latest Weekly Safety Incidents email discussed?
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Welfare Facilities - Workers Consulted
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Changes Required?
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Complete Welfare Facilities Form
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Toolbox Talk Today?
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Toolbox Talk Delivered
What's Happening Today
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What's Happening Today?
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Expected Weather Conditions
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UHF Channel
Site Specific Activities
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First Aid Officer
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Spotter
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Traffic Control
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Enviromental Rep
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HSR
Plant or Equipment On Site
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Plant or Equipment On Site
Hazards and Risks
What High Risk Construction Activities Are We Undertaking Today?
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Asbestos - Removal or Disturbance of unsealed ACM
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Asbestos - Electrical / ITS Works (Near or with ACM)
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Working In A Confined Space
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Demolition Work
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Electrical Work Near Overhead Powerlines
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Electrical Work On or Near Energised Equipment
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Excavation Near Underground Services
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Working on or Near Pressurised Gas Distribution Mains
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Heights - Work On Steel Ladders Attached to LTMS
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Heights - Work over 2 Metres
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Night Works
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Powered Mobile Plant - Working Near Movement of PMP
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Rail Lines - Work On or Adjacent To
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Respirable Crystaline Silica - Construction Activites
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Roads - Work on or Near
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Structural Alterations to Support or Prevent Collapse
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Trenches - Work Over 1.5m Deep
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Water - Work Over, Adjacent to Or In
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Other
Risk Assessments
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Electrical Ducts & Pits ( Traffic)
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Installation of Traffic Signals, Road Lighting & ITS Footings
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Installation & Maintenance of Traffic Signals
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Installation & Maintenance of Road Lighting
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Installation & Maintenance of Switchboards & Cables
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Installation & Maintenance of ITS Equipment
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Working On Or Near Energised Electrical Equipment
Works Procedures
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Ducts & Pits
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Footings
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Traffic Signals
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Road Lighting
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Switchboards & Cables
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Intelligent Transport Systems
Traffic Management
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Is Signage as per Traffic Guidance Scheme?
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TGS No:
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Pedestrians - Clear Passage Provided for Pedestrians?
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Plant Movement/s - Detail Plant Movement Requirement:
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Plant & Equipment - Has all Plant on site had relevant operators check list completed?
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Overhead Powerlines / Underground Service Hazards?
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Exclusion Zones Details (If Required)
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Other:
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Provide any details:
What are The Hazards & Risks at This Site?
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Risks Identified From Site Inspection
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Controls Implemented To Reduce Risks
Energised Electrical Work - Risk Assessment
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If Energised Electrical Work is Necessary, State the reason for Performing Energised Work: (In interest of Health & Safety / Testing)
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To assess risk & select suitable control measures, refer to: Risk Assessment 'Work On / Near Energised Electrical Equipment' (RA WOONEEE)
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Risk Assessment result
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Required Arc Flash PPE rating:
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Comments:
RoadTek Pre-Start ITS & Electrical - PPE & Environmental
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PPE Checklist
- High Visibility Clothing
- Wide Brim Hat
- Insulated Rubber Mat
- Lockout Kit/LockBox
- LV Rescue Kit
- Disposable Coveralls Broad (Asbestos)
- Fit Test Respiratory Mask
- Respiratory hood
- Gumboots
- Insulated Gloves, Cotton inners, Leather Outers
- Insulated Protective Footwear
- Cat 2 Coveralls (Arc Flash Rated)
- Cat 2 Face Shield with Hardhat (Arc Flash Protection)
- Cat 2 Balaclava (Energised Work & Arc Flash Protection)
- Safety Glasses (Energised Work & Arc Flash Protection)
- Hard Hat (Overhead Protection)
- Hearing Protection (Noise & Arc Flash Protection)
- Specialist Cat 3 / Cat 4 PPE Protection
- Other
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Other Issues?
o Discuss hazards associated with design / scope change.
o Is there any work that requires use of ladders? Have alternative methods been investigated and risk
assessment carried out
o Daily plant movement and expected changes
o Safety requirements for the unloading of delivery trucks -
Are there any environmental or Quality Issues?
- Flora and Fauna
- Water quality, erosion and sediment
- Storage & handling of materials
- Noise &Vibration
- Declared Pest
- Removal of Asbestos Waste (By Contractor)
- Weeds & Pests
- Waste
- Social Impacts
- Cultural Heritage
- Dust
- Removal of Asbestos Waste (RoadTek staff to Depot)
- Removal of Respirable Crystaline Silica (Roadtek Staff to Depot)
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Sign On
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Important Numbers (to be read out/reinforced during each prestart)
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WHS Connect (7am-5pm Mon-Fri) - reporting incidents - 1800 867 947 (1800 TMR WHS)
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Roadworker Safety Hotline (24hrs) - reporting poor driving behaviour - 1800 501 509
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By signing below, I acknowledge that I am fit for work and understand all information presented in this pre-start
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