Site Diary Record

Diary Record Details

• Document No.

• Site Name

• Contract No.

• Contract Type

  Developer Funded

  Improvements Works

  Maintenance

  Major Works

  Alliance Works

• Contractor Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Time arrived on site (Optional)

  Date

• Time departing site (Optional)

  Date

Photos & Documents

• Add media

  Media

Site Conditions

• Get current weather, temperature and forecast here.
  http://www.weatherzone.com.au/vic/east-gippsland

• What are the current site conditions?

  Select Cold Cool Drizzle Dry Fine Foggy Hot Overcast Overnight Rain Poor Rain Showers Showers Overnight Sunny Warm Weekend Rain Wet Windy No Work Too Wet

  • Cold
  • Cool
  • Drizzle
  • Dry
  • Fine
  • Foggy
  • Hot
  • Overcast
  • Overnight Rain
  • Poor
  • Rain
  • Showers
  • Showers Overnight
  • Sunny
  • Warm
  • Weekend Rain
  • Wet
  • Windy
  • No Work Too Wet

• What are the forecast site conditions?

  Select Cold Cool Drizzle Dry Fine Foggy Hot Overcast Overnight Rain Poor Rain Showers Showers Overnight Sunny Warm Weekend Rain Wet Windy No Work Too Wet

  • Cold
  • Cool
  • Drizzle
  • Dry
  • Fine
  • Foggy
  • Hot
  • Overcast
  • Overnight Rain
  • Poor
  • Rain
  • Showers
  • Showers Overnight
  • Sunny
  • Warm
  • Weekend Rain
  • Wet
  • Windy
  • No Work Too Wet

Temperature

• What is the temperature from the car read out / thermometer / website?

• What is the forecast temperature?

Rainfall

• What is the rainfall since 9:00am in mm?

Photos & Documents

• Add media

  Media

• Are there staff / subcontractors on site and are you checking them?

  Yes

  No

Staff on Site

• What staff are on site?

** ROLE ON SITE

• Staff Role

  Select Engineer Foreman Crew Leader Labourer Traffic Management Surveyor Geotechnical Plant Operator OH&S Administration Technical Specialist Chief Executive Manager

  • Engineer
  • Foreman
  • Crew Leader
  • Labourer
  • Traffic Management
  • Surveyor
  • Geotechnical
  • Plant Operator
  • OH&S
  • Administration
  • Technical Specialist
  • Chief Executive
  • Manager

• How many staff in this role?

• Are they signed onto the SWMS?

  Yes

  No

  N/A

• Have they been inducted to site?

  Yes

  No

  N/A

• Do they have an OH&S induction card?

  Yes

  No

  Exempt

• You can work for 28 consecutive days without training if:
  - you are new to the industry or have not done any construction work in the past two years; and
  - your employer has arranged and paid for you to do construction induction training.
  This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

• Have they worked in the construction industry in the last 2 years?

  Yes

  No

  Exempt

• If the induction card is older than 2 years and the staff member has been out of the industry for 2 years it is no longer valid and must be re-completed.
  You can work for 28 consecutive days without training if:
  - you are new to the industry or have not done any construction work in the past two years; and
  - your employer has arranged and paid for you to do construction induction training.
  This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

Sub-contractors on Site

• Are there sub-contractors on site?

  Yes

  No

• What sub-contractors are on site?

** ROLE ON SITE

Company Details

• What is the company name?

• Are they using their own SWMS?

  Yes

  No

  N/A

• Staff working for this sub-contractor

** ROLE ON SITE

• Staff Role

  Select Engineer Foreman Crew Leader Labourer Traffic Management Surveyor Geotechnical Plant Operator OH&S Administration Technical Specialist Chief Executive Manager

  • Engineer
  • Foreman
  • Crew Leader
  • Labourer
  • Traffic Management
  • Surveyor
  • Geotechnical
  • Plant Operator
  • OH&S
  • Administration
  • Technical Specialist
  • Chief Executive
  • Manager

• How many staff in this role?

• Are they signed onto the SWMS?

  Yes

  No

  N/A

• Have they been inducted to site?

  Yes

  No

  N/A

• Do they have an OH&S induction card?

  Yes

  No

  Exempt

• You can work for 28 consecutive days without training if:
  - you are new to the industry or have not done any construction work in the past two years; and
  - your employer has arranged and paid for you to do construction induction training.
  This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

• Have they worked in the construction industry in the last 2 years?

  Yes

  No

  Exempt

• If the induction card is older than 2 years and the staff member has been out of the industry for 2 years it is no longer valid and must be re-completed.
  You can work for 28 consecutive days without training if:
  - you are new to the industry or have not done any construction work in the past two years; and
  - your employer has arranged and paid for you to do construction induction training.
  This 28-day exemption enables you to work while awaiting a training opportunity. However you must be directly supervised at all times and given the required information and instruction to work safely. If this is not the case you must stop work and request immediate rectification.

Photos & Documents

• Add media

  Media

• Are there staff / subcontractors on site and are you checking PPE, OH&S?

  Yes

  No

Personal Protective Clothing & Safety

• Is Hi-Visibility clothing being worn on site? Complies with Australian Standard 1742.3

  Yes

  No

  N/A

• Are red vests done up?

  Yes

  No

  N/A

• Are steel cap boots being worn on site?

  Yes

  No

  N/A

• Are long pants / sleeves being worn?

  Yes

  No

  N/A

• Are broad rimmed hats being worn when required?

  Yes

  No

  N/A

• Are hard hats being worn where required?

  Yes

  No

  N/A

• Are the hard hats within date? (3 years from issue)

  Yes

  No

  N/A

• Are the hard hats in good condition?

  Yes

  No

  N/A

• Are safety glasses being worn where required?

  Yes

  No

  N/A

• Are ear muffs / ear plugs being worn where needed?

  Yes

  No

  N/A

• Is sun screen available where required?

  Yes

  No

  N/A

Other Staff OH&S

• Is drinking water available?

  Yes

  No

  N/A

• Is there a communication system for reversing plant?

  Yes

  No

  N/A

• What is the system? UHF Ch39

• Are no go zones around plant being enforced?

  Yes

  No

  N/A

• Are training records available on site?

  Yes

  No

  N/A

• Have dial before you dig / cable location been done prior to excavation?

  Yes - DBYD Only

  YES - Both

  No

  N/A

• Comments

• Are toolbox meetings being held and documented?

  Yes

  No

  N/A

Photos & Documents

• Add media

  Media

• Are you checking environmental controls / Monitoring?

  Yes

  No

Environmental

• Are environmental no go zones being adhered to?

  Yes

  No

  N/A

• Is there dust monitoring in place if required?

  Yes

  No

  N/A

• Is there noise monitoring in place?

  Yes

  No

  N/A

• Is there erosion control in place?

  Yes

  No

  N/A

• Comments / results:

Photos & Documents

• Add media

  Media

• Are you checking SWMS?

  Yes

  No

Safe Work Method Statement

• Safe Work Method Statement In Use:

SWMS

• What is the SWMS number? abc123

• What is the SWMS description? earthworks

• What is the revision number? Rev 1.0

• What is the revision date?

  Date

• Has the SWMS been signed off by Management / OH&S?

  Yes

  No

  N/A

• Have changes to SWMS been documented, dated and signed off?

  Yes

  No

  N/A

• Have all applicable employees / sub contractors signed on to SWMS?

  Yes

  No

  N/A

• Does the SWMS cover mobile plant?

  Yes

  No

  N/A

• Does the SWMS cover working around drop off's / plant roll over?

  Yes

  No

  N/A

• Does the SWMS cover underground / overhead services?

  Yes

  No

  N/A

Photos & Documents

• Add media

  Media

• Are you checking any of the following? (Please select)

  Select Site Hut First Aid Dangerous Goods Fire Extinguisher Amenities

  • Site Hut
  • First Aid
  • Dangerous Goods
  • Fire Extinguisher
  • Amenities

Site Hut

• Is there a site hut available on site?

  Yes

  No

  N/A

• Is the area around and inside the hut tidy?

  Yes

  No

  N/A

• Is there water available in the hut?

  Yes

  No

  N/A

• Are the emergency contact details on display in the hut? First aid, Emergency Officers, OH&S Rep...

  Yes

  No

  N/A

• Is there power available in the hut?

  Yes

  No

  N/A

• Has the generator been tested and tagged?

  Yes

  No

  N/A

• Is there a earth leakage system on the power supply?

  Yes

  No

  N/A

• Are all power leads up off the ground?

  Yes

  No

  N/A

• Are all electrical items tested and tagged?

  Yes

  No

  N/A

• Can the exhaust fumes from the generator enter the site hut? through air conditioner, window

  Yes

  No

  N/A

Fire Extinguishers

• Is there a fire extinguisher?

  Yes

  No

  N/A

• Fire extinguishers being used on site:

** FIRE EXTINGUISHER

• What type of extinguisher is it?

  Select Water Foam Dry Powder Carbon Dioxide Vaporising Liquid Wet Chemical

  • Water
  • Foam
  • Dry Powder
  • Carbon Dioxide
  • Vaporising Liquid
  • Wet Chemical

• What size extinguisher is it?

• Does it have a test tag?

  Yes

  No

  N/A

• Is it in date?

  Yes

  No

  N/A

• Is the gauge showing a full charge?

  Yes

  No

  N/A

• Is the extinguisher securely mounted on a bracket?

  Yes

  No

  N/A

• Is there an extinguisher sign above the extinguisher?

  Yes

  No

  N/A

• Is the area around the extinguisher clear of obstruction?

  Yes

  No

  N/A

Other Amenities & OH&S

• Is there a site sign in sheet for staff, visitors & contractors?

  Yes

  No

  N/A

• Is there a toilet on site?

  Yes

  No

  N/A

• Is there an emergency evacuation point identified?

  Yes

  No

  N/A

• Does it have a sign and is it easily identified?

  Yes

  No

  N/A

First Aid

• Is there a designated first aid officer for the site?

  Yes

  No

  N/A

• Have they got a current first aid certificate? If so enter the details.

• Is there a first aid kit suitable for the number of staff on site?

  Yes

  No

  N/A

• Is it tidy and updated?

  Yes

  No

  N/A

• Is the first aid kit affixed to the wall if inside a building / hut?

  Yes

  No

  N/A

• Is there a record of supplies dispensed inside the kit?

  Yes

  No

  N/A

• Does the kit cater for snake bite or is there a separate snake bite kit?

  Yes

  No

  N/A

• Is there a first aid sticker on the vehicle / office?

  Yes

  No

  N/A

Dangerous Goods

• Is there a dangerous goods register?

  Yes

  No

  N/A

• Are there current MSDS for each chemical? Under 5 years old.

  Yes

  No

  N/A

• Are storage areas identified with a plackard / sign?

  Yes

  No

  N/A

• Are all the chemicals clearly labelled and in the original containers?

  Yes

  No

  N/A

• Are storage areas secure?

  Yes

  No

  N/A

• Comments

Photos & Documents

• Add media

  Media

• Are you checking Traffic Management?

  Yes

  No

Traffic Management Details

• Is there traffic management in place?

  Yes

  No

  N/A

• What is the normal speed through the worksite?

  Select 110 100 90 80 70 60 50 40 30 20 Road Closed

  • 110
  • 100
  • 90
  • 80
  • 70
  • 60
  • 50
  • 40
  • 30
  • 20
  • Road Closed

• What is the speed with traffic management in place?

  Select 110 100 90 80 70 60 50 40 30 20 Road Closed

  • 110
  • 100
  • 90
  • 80
  • 70
  • 60
  • 50
  • 40
  • 30
  • 20
  • Road Closed

• What is the clearance to workers? 1.2m

• Do the traffic management staff hold traffic management competencies?

  Yes

  No

  N/A

• Has a traffic management plan been selected and is it on site?

  Yes

  No

  N/A

• Are site setup details documented and changes noted? signs up, signs down & plan numbers

  Yes

  No

  N/A

• What is the plan number, revision number and date? TMP111 Rev1 21/06/2016

• Is it the correct plan for the type of works being undertaken?

  Yes

  No

  N/A

• Is there a valid approval document?

  Yes

  No

  N/A

• What is the number, date of issue and expiry date?

• Are the signs installed as per the plan?

  Yes

  No

  N/A

• Have existing signs been covered up?

  Yes

  No

  N/A

• Are the signs suitably placed, level and weighted? 2 legs, sandbags, 500mm from edge line.

  Yes

  No

  N/A

• Are all areas of the multi message frames filled up?

  Yes

  No

  N/A

• Are sign frames duplicated on each side of the road? (not repeaters)

  Yes

  No

  N/A

• Are the speed signs closest to the road?

  Yes

  No

  N/A

• Has each change of speed sign got 2 orange flags?

  Yes

  No

  N/A

• Are the signs clean and legible? (Correct class for low light conditions)

  Yes

  No

  N/A

• Are the contractor names and phone numbers clearly displayed?

  Yes

  No

  N/A

• Are flashing arrow boards being used where required?

  Yes

  No

  N/A

• Are VMS boards being used correctly where required?

  Yes

  No

  N/A

• Are temporary safety barriers installed correctly if required?

  Yes

  No

  N/A

• Are traffic queue lengths being monitored and allowed for?

  Yes

  No

  N/A

• How often and who by?

• Are clear pathways being maintained for cyclists & pedestrians?

  Yes

  No

  N/A

• Are side road access and property access being maintained / monitored?

  Yes

  No

  N/A

• Are no go fences installed and in good condition where required?

  Yes

  No

  N/A

Photos & Documents

• Add media

  Media

• Are you checking materials used?

  Yes

  No

Materials

• Materials being used on site:

** MATERIAL TYPE

• What materials are being used?

  Select Crushed Rock Clay Stabilized Crushed Rock Lime Bedding Sand Asphalt Topsoil Concrete Bitumen Emulsion No Fines Concrete Gravel Aggregate Other

  • Crushed Rock
  • Clay
  • Stabilized Crushed Rock
  • Lime
  • Bedding Sand
  • Asphalt
  • Topsoil
  • Concrete
  • Bitumen
  • Emulsion
  • No Fines Concrete
  • Gravel
  • Aggregate
  • Other

• What class of rock is it?

  Class 1

  Class 2

  Class 3

  Class 4

  Not Defined

• Has the material been tested to comply with the standard? (Copy of test result received)

  Yes

  No

  N/A

• What class of material is it?

  Type A

  Type B

  Type C

  Not Defined

• Has the material been tested to comply with the standard? (Copy of test result received)

  Yes

  No

  N/A

• What percentage of cement was added? 2%

• What percentage of lime was used? 3%

• What type of asphalt is being used? Type N

• What size stone was used in the asphalt? 14mm

• What thickness asphalt is being placed? 150mm

• What is the MPA rating of the concrete? 25mpa

• Has a slump test been conducted?

  Yes

  No

  N/A

• Has a strength test been conducted (samples taken)?

  Yes

  No

  N/A

• What type of bitumen product is being used? Emulsion, SAM

• What is the treatment being applied? Prime, Primerseal...

• Have we got a design document for the treatment?

  Yes

  No

  N/A

• What is the application rate?

• What size stone is being used? 14mm, 14/7mm

• Has the stone been pre-coated?

  Yes

  No

  N/A

• Is the stone clean?

  Yes

  No

  N/A

• What size stone is being used? 14mm

• Are there any comments / concerns about the material?

• Who is the supplier?

Photos & Documents

• Photos & Documents

  Media

• Are you checking plant on site?

  Yes

  No

Plant Details

• Are there plant hygiene rules / procedures in place?

  Yes

  No

  N/A

• Plant Items on site:

** PLANT ITEM

• What type of plant is being used?

  Select Grader Excavator Backhoe Bobcat Double Drum Roller Vibrating Flat Roller Vibrating Padfoot Roller Multiwheel Roller 3 Wheel Roller Stabiliser Rotary Broom Kerb Machine Scraper Profiller Paver Dozer Water Cart Dump Truck Tip Truck Truck & Trailer Street Sweeper Tender Truck Cement Truck Chipper Stump Grinder Tower / Platform Ute Bitumen Tanker Bitumen Sprayer Aggy Loader Flocon Other

  • Grader
  • Excavator
  • Backhoe
  • Bobcat
  • Double Drum Roller
  • Vibrating Flat Roller
  • Vibrating Padfoot Roller
  • Multiwheel Roller
  • 3 Wheel Roller
  • Stabiliser
  • Rotary Broom
  • Kerb Machine
  • Scraper
  • Profiller
  • Paver
  • Dozer
  • Water Cart
  • Dump Truck
  • Tip Truck
  • Truck & Trailer
  • Street Sweeper
  • Tender Truck
  • Cement Truck
  • Chipper
  • Stump Grinder
  • Tower / Platform
  • Ute
  • Bitumen Tanker
  • Bitumen Sprayer
  • Aggy Loader
  • Flocon
  • Other

• Does the vehicle have a valid calibration certificate?

  Yes

  No

  N/A

• Calibration Date

  Date

• Does the vehicle have a spill kit?

  Yes

  No

  N/A

• Does the vehicle have a bitumen burns instruction card?

  Yes

  No

  N/A

• What is the size of the plant item?

  Attachment

  Small

  Medium

  Large

  Very Large

• Are the flashing lights working

  Yes

  No

  N/A

• Is the reversing beeper working?

  Yes

  No

  N/A

• Is the reversing camera working (if fitted)?

  Yes

  No

  N/A

• Is the machine fitted with a working UHF radio?

  Yes

  No

  N/A

• Are all the stickers / warning label's attached and legible?

  Yes

  No

  N/A

• Does the vehicle have a first aid kit?

  Yes

  No

  N/A

• Is the pre start checklist being filled out?

  Yes

  No

  N/A

• Are any items to be repaired / rectified being closed out?

  Yes

  No

  N/A

• Are items to be repaired being repaired in a timely manner?

  Yes

  No

  N/A

• Is there a copy of the plant risk assessment in the machine?

  Yes

  No

  N/A

• Has the plant risk assessment been signed by the Manager / Owner?

  Yes

  No

  N/A

• Has the plant risk assessment been signed by the operator?

  Yes

  No

  N/A

• Have any issues marked for rectification been completed, closed out and signed?

  Yes

  No

  N/A

• Is the seat belt being used?

  Yes

  No

  N/A

• Is a spotter required?

  Yes

  No

  N/A

• What are the details of the spotter? Name, Ticket, Qualifications.

• Is there an operators manual for this machine / attachment with it?

  Yes

  No

  N/A

• Does the operator hold the correct licence / competancy?

  Yes

  No

  N/A

• Is it registered or on a permit?

  Yes - Registered

  Yes - Permit

  No

  N/A

• (Visual Check) Is the plant item safe? good tyre's, working mirrors, no broken glass...

  Yes

  No

  N/A

Photos & Documents

• Add media

  Media

• Do you want to record plant on site but not check them?

  Yes

  No

Other Plant & Accessories

• Other Plant not being used but on site

PLANT ITEM (NOT USED)

• Other plant on site not being used.

  Select Grader Excavator Backhoe Bobcat Double Drum Roller Vibrating Flat Roller Vibrating Padfoot Roller Multiwheel Roller 3 Wheel Roller Stabiliser Rotary Broom Kerb Machine Scraper Profiller Paver Dozer Water Cart Dump Truck Tip Truck Truck & Trailer Street Sweeper Tender Truck Cement Truck Chipper Stump Grinder Tower / Platform Ute Bitumen Tanker Bitumen Sprayer Aggy Loader Flocon Other

  • Grader
  • Excavator
  • Backhoe
  • Bobcat
  • Double Drum Roller
  • Vibrating Flat Roller
  • Vibrating Padfoot Roller
  • Multiwheel Roller
  • 3 Wheel Roller
  • Stabiliser
  • Rotary Broom
  • Kerb Machine
  • Scraper
  • Profiller
  • Paver
  • Dozer
  • Water Cart
  • Dump Truck
  • Tip Truck
  • Truck & Trailer
  • Street Sweeper
  • Tender Truck
  • Cement Truck
  • Chipper
  • Stump Grinder
  • Tower / Platform
  • Ute
  • Bitumen Tanker
  • Bitumen Sprayer
  • Aggy Loader
  • Flocon
  • Other

• Other plant item description? Tree Harvester C32L

• Model Number? Cat 9H

• What is the size of the plant item?

  Attachment

  Small

  Medium

  Large

  Very Large

• Other Plant being used but not checked

OTHER PLANT (NOT CHECKED)

• Other plant on site not checked

  Select Grader Excavator Backhoe Bobcat Double Drum Roller Vibrating Flat Roller Vibrating Padfoot Roller Multiwheel Roller 3 Wheel Roller Stabiliser Rotary Broom Kerb Machine Scraper Profiller Paver Dozer Water Cart Dump Truck Tip Truck Truck & Trailer Street Sweeper Tender Truck Cement Truck Chipper Stump Grinder Tower / Platform Ute Bitumen Tanker Bitumen Sprayer Aggy Loader Flocon Other

  • Grader
  • Excavator
  • Backhoe
  • Bobcat
  • Double Drum Roller
  • Vibrating Flat Roller
  • Vibrating Padfoot Roller
  • Multiwheel Roller
  • 3 Wheel Roller
  • Stabiliser
  • Rotary Broom
  • Kerb Machine
  • Scraper
  • Profiller
  • Paver
  • Dozer
  • Water Cart
  • Dump Truck
  • Tip Truck
  • Truck & Trailer
  • Street Sweeper
  • Tender Truck
  • Cement Truck
  • Chipper
  • Stump Grinder
  • Tower / Platform
  • Ute
  • Bitumen Tanker
  • Bitumen Sprayer
  • Aggy Loader
  • Flocon
  • Other

• Other plant item description? Tree Harvester C32L

• Model Number? Cat 9H

• What is the size of the plant item?

  Attachment

  Small

  Medium

  Large

  Very Large

• Accessories / Equipment being used

  Select Site Hut Shipping Container Portable Toilet VMS Boards Portable Traffic Lights Generator

  • Site Hut
  • Shipping Container
  • Portable Toilet
  • VMS Boards
  • Portable Traffic Lights
  • Generator

Photos & Documents

• Add media

  Media

• Is there any work being undertaken on site?

  Yes

  No

Activity Information

• Activities being undertaken on site:

** ACTIVITY

• What is the activity being performed?

• Does the activity comply with the specification and drawings?

  Yes

  No

  N/A

• Add media

  Media

Photos & Documents

• Add media

  Media

• Was a proof roll conducted?

  Yes

  No

Proof Rolling

• Is there a proof rolling SWMS available and in place?

  Yes

  No

  N/A

• What was proof rolled?

• What was the depth below finished surface level? 400mm or 100mm or subgrade

Chainages

• Proof Rolling Locations

** LOCATION

• What was the start chainage? 345.60km

• What was the end chaninage? 345.65km

• Result?

  Pass

  Fail

Photos & Documents

• Add media

  Media

• Was there a hold point to be signed off?

  Yes

  No

Hold Point Sign Off

• Result?

  HP Released

  HP Released with Conditions

  HP Not Released

• What are the hold point details?

Photos & Documents

• Add media

  Media

• Has a works Instruction been issued?

  Yes

  No

Works Instructions

• What is the works instruction number?

• What are the details of the instruction?

Photos & Documents

• Add media

  Media

• Has a surveillance advice been issued?

  Yes

  No

Surveillance Advices

• What is the surveillance advice number?

• What are the details of the instruction?

• Is it an observation or a non-compliance?

  Observation

  Non-compliance

• Was there a stop work order given?

  Yes

  No

• What is the response date? normally 2 working days from date of issue.

  Date

Photos & Documents

• Add media

  Media

Final Comments & Reccommendations

• Final comments / findings / notes

• Sketch's & Drawings:

  Drawing

Photos & Documents

• Add media

  Media

Signed

• You can sign this document off if you want.

  Sign