Title Page
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Conducted on
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Job Number
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Prepared by
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Site Address
General Documentation
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Approved and signed SWMS available for work?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Select date
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SWMS have been signed by those undertaking the works?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Emergency/First Aid contact details displayed on site
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Work at the site is undertaken in accordance with the SWMS?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Are SDS's attached to SWMS and at place of works?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Emergency Evacuation point identified on site?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Inductions
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General Construction Induction card carried by workforce
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
PPE
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Is mandatory PPE worn by the workers?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Eye Protection (especially for welding/grinding and other activities with flying debris)?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Hearing protection as required?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Sun protection
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Respiratory protection
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Other PPE as required in SWMS or SDS
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Work Areas
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Work areas clean and tidy, clear trip and slip hazards and exits clear from obstruction
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Waste containers provided and used. Regular disposal of waste.
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Sharp objects covered/protected i.e. reo bar
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Hazardous Materials
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SDS dated within 5 years are available for all substances
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Lighting
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Adequate task lighting?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Electrical
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Portable distribution boards are tested monthly
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Fixed distribution boards are tested 3-monthly
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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RCDs (earth leakage protection) are in use for all leads and electrical works?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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All leads and portable electrical tools are in good condition
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Are power leads are limited to 30 m between source and power tool?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Are power leads on stands, keep insulated from steel structures and out of water?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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All electrical leads are double insulated and construction rated?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Hand Tools
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Are tools are fit for purpose?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Tools have not been modified
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Guards and handles provided where required?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Manual Handling
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Hazardous Manual Task risk assessments have been undertaken for tasks that involve manual handling
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Ladders
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Ladders comply with Australian Standards
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Extension ladders are not being used as a work platform and are only being used for access
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Ladders are secure both top and bottom in access
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Extension Ladder extends at least 1 m above landings
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Extension Ladders have an angle of 1:4
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Work platforms and platform ladders are used for work not requiring scaffold?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Scaffolding
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Scaffold tag (SCAFFTAG) is located at the access point dated and signed off by authorised licenced scaffolder?
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Asbestos
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Suspected asbestos material/Asbestos covered and exclusion zone around works in place
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Asbestos material removed by qualified personnel only (Approved licensed asbestos specialist)
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Asbestos workers qualified
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Asbestos removal plans on site
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Asbestos register completed as required
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Environmental
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Noise minimised, where possible
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Dust and other particles contained
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Waste disposed of in accordance with regulations/local authority requirements
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Excess water from cleaning tools and equipment and waste is contained – not washed into drains or waterways
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Excess materials recycled where possible
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Trees protected during site works
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
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Site vehicles parked where they will not unduly impact local use of street or grounds
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What action need to be taken to correct non-conformance
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Who is Responsible to ensure action is taken?
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By what date should the action be completed?
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Provide Photo Evidence
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Were you able to complete the action during the inspection?
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Attached photo as evidence of closed action
Inspection Sign Off
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Name
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Signature
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Select date
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Name
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Signature
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Select date
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Name
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Signature
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Select date
