Information
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Document No.
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Client
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Project No.
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Project Name
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Conducted on
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Prepared by
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Location
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Site Supervisor
SITE MANAGEMENT
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Is there an OH&S Plan on site?
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Have site inductions been completed? (i.e. register filled out?)
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Are Subcontractor SWMS in place and signed off?
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Are emergency procedures (Evacuation Plan) in place and visible?
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Is there Fire Fighting Equipment in place?
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Are First Aid facilities in place?
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Is there safe access & egress to site?
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Is the site secure? (Have measures been taken to prevent break-in and theft?)
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Additional Site Establishment Comments
HOUSEKEEPING
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Are walkways and work areas clear and free of trip hazards and rubbish?
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Are unfixed materials stored safely and securely?
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Are safety signs in place and located in the appropriate positions?
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Are electric leads suspended?
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Additional Housekeeping Comments
FALL PROTECTION
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Is there perimeter protection/handrails in place?
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Are penetrations covered?
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Have all falls greater than 2m been protected?
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Additional Fall Risk Comments
PPE & INCIDENT MANAGEMENT
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Is PPE worn and used correctly?
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Additional Incident Management Comments
PLANT & EQUIPMENT
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Is plant & equipment maintained and used correctly and records maintained? (Pre-starts, maintenance records etc)
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Additional Powered Mobile Plant Comments
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Is electrical equipment tested and tagged?
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Additional Electrical Safety Comments
ENVIRONMENT
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Are hazardous substances being stored safely & securely according to their MSDS?
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Is there adequate placement of bins and is rubbish being disposed of correctly?
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Is there a spill kit on site?
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Additional Chemical Safety Comments
GENERAL
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OVERALL SITE SAFETY
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Note any improvements you consider necessary. Use this space for additional comments.
Sign off
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AUDITOR
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SUPERVISOR