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
Tool Box Talk
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Type of work to be undertaken?
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Do the team understand their individual roles?
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Have all team members read and understood the risk and method statement?
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Have all the hazards been identified and documented?
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Pre-use checks on all equipment?
Hazards Identified
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Slips, trips or falls
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Falls from height (result of hazard)
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Dropped Objects
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Hot edges
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Abrasive edges
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Sharp Edges
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Chemicals
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Hot works/fire/explosion
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Members of public
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Asbestos
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Entanglement
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Stationary Objects
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Manual Handling
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Insecure Load
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Pinch points
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Moving vehicles
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Working in confined spaces
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Dust/Fumes/Gas
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Noise
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Vibration
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Electric shock
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Radiation
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Guano
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Entrapment
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Contamination
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Poor lighting
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Temperature
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Adverse weather
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Uncertified equipment
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Fragile surfaces
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Working near/over water
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What control measures are in place to eliminate/mitigate or minimise the hazard?
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Other
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What control measures are in place to eliminate/mitigate or minimise the hazard?
Team declaration that you have received a pre start briefing. All team members to sign.
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I, the team lead/supervisor, have communicated the above to all team members
Technician declaration that you have received pre start briefing - name/date
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Add signature