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  • Conducted on

  • Prepared by

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  • Document No:

1. Work at Height - Leading edge protection / Fall protection in place

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2. Void Protection - Guardrails or securely covered

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3. Scaffolding - Designed, Inspected & Tagged

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4. Temporary Work - Design available & compliant with design drawing

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5. Ladder Use - Short duration work only, stable & footed, industrial type to EN131 Class 1 or equivalent

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6. Mobile Towers - Guardrails, toe boards & correctly braced

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7. Electricity - Condition, protected, life risk / fire risk

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8. Traffic Management - People & plant separated, demarked

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9. Plant & Equipment - In good working order & operated correctly

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10. Excavations - Inspected / shoring in place, gas level

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11. Permit Systems - Permit in place and being followed, competence person for Gas Tester, Excavation, Crane Operator, Shot Firer

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12. Fire Safety - Fire points with extinguishers & alarm available

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13. Safe Access & Egress

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14. Housekeeping - No waste build up, slip & trip hazards and unsafe condition

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15. Lifting Equipment - Crane & Pile Rig

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16. Confined Spaces

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17. Storage of Materials

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18. Signages

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20. Harmful Substances

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.