Title Page
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
Loss of production
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Lost time start (1)
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Reason for lost time
- Wind
- Rain
- Heat
- Client delay
- Not allocated crane time
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Lost time end
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Total lost time
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Additional information for lost time
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Work area effected
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Add any relevant images
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Lost time start (2)
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Reason for lost time
- Wind
- Rain
- Heat
- Client delay
- Not allocated crane time
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Lost time end
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Total lost time
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Additional information for lost time
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Work area effected
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Add any relevant images
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Lost time start (3)
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Reason for lost time
- Wind
- Rain
- Heat
- Client delay
- Not allocated crane time
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Lost time end
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Total lost time
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Additional information for lost time
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Work area effected
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Add any relevant images
Production Activities
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(1) Activities conducted
- Installation of formwork
- Excavations
- Concrete
- Remedial work
- De-watering
- Installation of stairs
- Forklift/Telehandler
- Stripping
- Handrail installation
- Safety
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Location and description of activities
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Workers conducting activity
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
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Man hours (eg. 5 men, 3 hours)
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Relevant images
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(2) Activities conducted
- Installation of formwork
- Excavations
- Concrete
- Remedial work
- De-watering
- Installation of stairs
- Forklift/Telehandler
- Stripping
- Handrail installation
- Safety
-
Location and description of activities
-
Workers conducting activity
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
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Man hours (eg. 5 men, 3 hours)
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Relevant images
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(3) Activities conducted
- Installation of formwork
- Excavations
- Concrete
- Remedial work
- De-watering
- Installation of stairs
- Forklift/Telehandler
- Stripping
- Handrail installation
- Safety
-
Location and description of activities
-
Workers conducting activity
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
-
Man hours (eg. 5 men, 3 hours)
-
Relevant images
-
(4) Activities conducted
- Installation of formwork
- Excavations
- Concrete
- Remedial work
- De-watering
- Installation of stairs
- Forklift/Telehandler
- Stripping
- Handrail installation
- Safety
-
Location and description of activities
-
Workers conducting activity
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
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Man hours (eg. 5 men, 3 hours)
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Relevant images
Sub-contractor activites
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Sub-contractors on site
- Steelfixers
- Post tension
- Concrete
- Precast
- Concrete pump
- Scaffolders
- Welder
- Crane
- Surveyor
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Location of sub-contractor activities
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Add relevant images
Deliveries
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Supplier
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Image of delivery docket
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Supplier
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Image of delivery docket
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Supplier
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Image of delivery docket
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Supplier
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Image of delivery docket
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Supplier
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Image of delivery docket
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Supplier
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Image of delivery docket
Incident notification
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Type of incident
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Brief description of incident
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Immediate action
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Date and time of incident
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Add relevant images
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Type of incident
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Brief description of incident
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Immediate action
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Date and time of incident
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Add relevant images
Personnel on site
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Personnel on site
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
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Start time
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Finish time
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Personnel on site
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
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Start time
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Finish time
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Personnel on site
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
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Start time
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Finish time
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Personnel on site
- Chris
- Ian
- Brian
- Craig
- Paul
- Shane
- Steve
- Damien
- Tim
- Greg
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Start time
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Finish time
Site Meeting and Correspondence
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Date and time
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Type of correspondence
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Brief description of correspondence
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Add relevant images
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Date and time
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Type of correspondence
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Brief description of correspondence
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Add relevant images
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Date and time
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Type of correspondence
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Brief description of correspondence
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Add relevant images
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Date and time
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Type of correspondence
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Brief description of correspondence
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Add relevant images
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Date and time
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Type of correspondence
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Add relevant images
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Brief description of correspondence
