Site Details
Site Address


Name Of Assessor

Date Assessed
Vehicle/pedestrian Access

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Road Types and Traffic Management Requirments



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Types of Vehicles Around Site - other contractors/flow of traffic rates etc

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Ground- Level/Slope, Dangerous Areas etc

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Fixed assets - washing Lines, fixed pipes etc

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Tasks to be undertaken on site

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Other Hazards

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Prior to commencement of work at new site, the operations manager goes through the new site assessment with the team leader and puts suitable controls in place.
Employees and contractors are inducted to the plan.

Sign Off

I have been trained in, and understand this Safe Work Practice

Assessor Name
Operations Manager Name

Insert title of Related SWMS

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.