Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Section 2: To be completed by the IBRA Representative with the Contractor prior to starting work at site and attached to work pack or Contract/Project file
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Instructions for Contractors: The Authority to Mobilise (ATM) Section 2 will be completed on site with the IBRA Representative prior to the commencement of work. If you have any questions, you should contact your IBRA Representative for clarification
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Scope of Work Pre-start Checklist
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Verify all workers have completed relevant site induction?
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Verify all workers have relevant licenses to complete the work scope?
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Where required, are necessary Permits in place for contractor to undertake work?
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Have all known hazards and risks associated with the work scope been communicated to the contractor?
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Has the contractor identified all hazards and controls for the scope of work to be performed?
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Have communication methods or requirements been established between IBRA Contract Representative and Contractor?
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Verify that contractors acknowledge that all incidents, near misses, and hazards are to be reported immediately (including electric shock/Immediate Notification Reports)?
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Are emergency response protocols communicated and clearly understood?
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Has all plant & equipment been inspected and in accordance with supplied register of plant and equipment?
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Is regulatory environmental approval in place to undertake this work, where required?
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Have all chemicals / dangerous goods been approved for use on site and is a current SDS available?
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Is the JSEA / SWMS appropriate for task and do all workers clearly understand the hazards and controls?
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Additional IBRA Representative Instructions:
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Details:
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IBRA Contract Representative/Contractor Sign off
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Contracting Company Supervisor
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This form has been completed with an IBRA Contractor Representative and I confirm that the information provided is true and correct
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Name:
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Sign:
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Mob
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Date:
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IBRA Representative
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I am satisfied that the contractor has fulfilled the requirements as detailed in this form. I will monitor the scheduled works to ensure it is conducted in accordance with the controls listed in this document and associated supportive documents
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Name:
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Sign:
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Mob
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Date:
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Note: This form MUST be attached to the work pack prior to the start of work
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Contractor Worker Register. Provide names of workers who will be working on the scope of works. Attach a separate list if required
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First Name / last name : Trade /Role
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First Name / last name : Trade /Role
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First Name / last name : Trade /Role
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First Name / last name : Trade /Role
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First Name / last name : Trade /Role
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First Name / last name : Trade /Role
