Title Page

  • CCS Group

  • Cleshar Contract Services Limited.

  • Prepared by

  • Site (Station/Location)

  • Shift (Day/Night)

  • Select date

  • General notes.

  • Noteworthy events.

Site personnel (Cleshar and Subcontractors staff) & Plant on site.

  • Company Name.

  • Trade.

  • Number of men.

  • Company Name.

  • Trade.

  • Number of men.

  • Company Name.

  • Trade.

  • Number of men.

  • Company Name.

  • Trade.

  • Number of men.

Plant Description on site.

  • Type of plant.

  • Company.

  • Number.

  • Type of plant.

  • Company.

  • Number.

  • Type of plant.

  • Company.

  • Number.

  • Type of plant.

  • Company.

  • Number.

Briefings given.

  • SPC/PM Briefing

  • Given by.

  • Given to.

  • Site Induction.

  • Given by.

  • Given to.

  • RAMS Briefing.

  • Given by.

  • Given to.

  • Specific RAWI Briefing.

  • Given by.

  • Given to.

  • Tool Box Talk.

  • Given by.

  • Given to.

  • Safety Alert.

  • Given by.

  • Given to.

Permits issued.

  • Permit to dig.

  • Given by.

  • Given to.

  • Hot work Permit.

  • Given by.

  • Given to.

  • Confined space Permit

  • Given by.

  • Given to.

Visitors.

  • Name/company.

  • Name/company.

  • Name/company.

  • Weather conditions AM

  • Weather conditions PM

  • Accidents / Incidents.

  • Audits / Inspections

Engineering / Traffic / Possession Hours.

Published times.

  • Shift start time.

  • On track.

  • Off Track.

Actual times.

  • On track.

  • Off Track.

  • Call back time.

  • Shift end time.

  • Lost time.

  • Frustrated access

  • Photo section.

  • SPC NAME.

  • HANDBACK NAME.

  • Completed for Cleshar by.

  • Client approval (as applicable) by.

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