Information
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Project Site
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Date conducted
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Prepared by
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Personnel involved
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Document No.
First Aid
First Aid
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2.1) The First Aid cabinet is suitably stocked and contents are within expiry date range?
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2.2) Panadol / Aspirin is not stocked in First Aid cabinet<br>
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2.3) Has the First Aid cabinet been restocked? When? <br>
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Select date
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2.4) A portable first aid kit is available for use
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2.5) First Aid register is being completed correctly
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2.6) Does the site require additional first aid equipment?
Fire Extinguishers
Fire Extinguishers
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3.1) Extinguisher tags up-to-date? (6 mthly)
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3.2) Extinguisher last inspected?
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Select date
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3.3) Extinguisher in an accessible and safe location?
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3.4) Appropriate signage is installed where required?
Site Office
Site Office
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1.1) Site Establishment Plan – on display?
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1.2) Emergency Contact Details – on display?
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1.3 ) Emergency Evacuation Instructions – on display?
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1.4) Evacuation Siren – available and tested?
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1.6) Are all safety signs visible?
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1.7) Visitor Register – available and in use?
Lunchrooms
Lunchrooms
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4.1) Lunchroom clean and tidy?
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4.2) Clean drinking water is available?
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4.3) Emergency Evacuation Instructions – on display?
Safety Noticeboard
Safety Noticeboard
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5.1) OHS Policy - on display?
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5.2) Environmental Policy – on display?
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5.3)OSH Representative – name on display?
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5.4) Site Establishment Plan – on display?
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5.5) Emergency Evacuation Instructions – on display?
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5.6) Toolbox meeting minutes – on display?
Signage
Signage
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7.1) Entry Signage displayed at all entry points and is in good condition?
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7.2) Safety signage is appropriate for the site?
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7.3) Cooper & Oxley identification and registration number displayed?
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7.4) Emergency Muster Point sign has been installed?
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7.5) Site Office & First Aid locations are easily identifiable?
Toilets
Toilets
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6.1) Toilets in functioning order?
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6.2) Toilet paper, Soap & Hand towels stocked?
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6.3) Are any taps or fixtures leaking water?
Site Electrical Equipment
Site Electrical Equipment
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8.1) Random inspection of site electrical tools. Any untagged tools?
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Subcontractor, tool, tag number, tester?
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8.2) Power leads are suspended on hooks or properly insulated lead stands?
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8.3) Any power leads suspended from conductive structures? (scaffolding, edge protection etc.)
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8.4) Electrical leads are less than 30m in length?
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10.10)
Portable Powerboards
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8.5) Boards have ID number and danger signage
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8.6) Board RCD’s numbered<br>
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8.7) Test & tag current and completed in full
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8.8) Current power board details are entered into site Electrical Register
Excavations
Excavations
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9.1) Barricading is erected around excavation areas<br>
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9.2) Excavations with a potential to collapse inward are benched, battered or shored
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9.3) Plant and spoil are kept or placed at least 1meter from edge of excavation
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9.4) Spoil or stock piles kept away from drains, buildings, fences, trees
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9.5) Excavations have safe means of access / egress?
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9.6) Daily excavation checklists are completed when required?
Powered Plant & Equipment
Powered Plant & Equipment
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Subcontractor & Operator name
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Add media
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10.1) Plant operators hold current licence or competency?
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10.2) Plant specific SWMS has been signed?
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10.3) Plant pre-start has been completed<br>
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10.4) Seat restraint is being used correctly?
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10.5) Plant is free from obvious maintenance issues?
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10.6) Plant risk assessment has been submitted to site?
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10.7) Plant maintenance records have been submitted to site?
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10.8) Plant is logged into plant/equipment register?
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10.9) Maintenance identified in pre-start has been communicated to those responsible? Specify:
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10.10) Lifting slings, chains, harnesses, fire extinguishers etc. certified / tagged?
Working at Height
Working at Height
Traditional Scaffold
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11.1) Last scaffold inspection within 30 days?
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11.2) Scaf tags updated and legible with inspector name
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11.3) Scaf tags at all scaffold entry points?
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11.4) Feet centrally located on sole boards?
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11.5) Correct edge protection installed? (Guard rail, mid rail, toes boards, or guard rail and mesh panel)
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11.6) Working platform clean and free from obstructions?<br>
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11.7) Scaffold 4m and above, erected by licensed scaffolder?<br>
Mobile Scaffold
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11.8) Mobile scaffolds under maintenance tagged out of service?
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11.9) Access ladders on the inside of mobile scaffold?
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11.10) Mobile scaffolds being moved while personnel are in them?
Edge Protection
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11.11) Edge protection is installed where a person is at risk of falling from one level to another?
Fall Protection Equipment
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11.12) Harnesses in use are attached to an anchor point
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11.13) Equipment has inspection tags and on register?
Ladders
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11.13) Access ladders extend a minimum of 1m above connection point and are tied down
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11.14) Top step of step ladder being used as a working platform?
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11.15) Platform ladders in use?
Open Floor Penetrations
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11.16) Holes or openings in floors are barricaded or securely boarded?
Hazardous Substances
Hazardous Substances
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12.1) MSDS register and file is up-to-date?
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12.2) Hazardous substances assessed as High risk or above, have been approved by Site Management?
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12.3) Storage facility is labelled HAZCHEM or the like?
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12.4) Storage facility is well ventilated and away from potential ignition sources?
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12.5) All Hazardous substances appropriately labelled?
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12.6) Gas cylinders are secured<br>
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12.7) Gas cylinders have flashback arrestors installed?
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12.8) Chemicals correctly segregated?
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12.9) Spill bunds are used when required?
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12.10) Spill kit proportionate to size of project available?
Quarantine Area
Quarantine Area
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13.1) A quarantine area is established to house out-of-service equipment?
Management & Administration
Management & Administration
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14.1) Copies of Safety, Environment & Emergency Management Plans are maintained on site?
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14.2) Site Management Plans have been reviewed and signed at necessary timeframes? (start up, 30%, 60%)
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14.3) Site Risk Register has been reviewed and signed at necessary timeframes? (start up, 30%, 60%)<br>
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14.4) A copy of the OSH Act & Reg’s are available for personnel to view if requested
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14.6) Has the site conducted an emergency evacuation drill? When?
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Select date
Site Registers
Site Registers
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15.1) Plant register is up-to-date?
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15.2) Electrical register is up-to-date?
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15.3) Test/tagging records from electrician are on file?
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15.4) Hazardous substances register is up-to-date?
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15.5) Fall protection equipment register is up-to-date?
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15.6) Completed Fall protection inspection tests on file?
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15.7) CA register is available and up-to-date?
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15.8) Site Complaint register is available and up-to-date?
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15.9) Subcontractor registers are up-to-date?
Inductions
Inductions
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16.1) Induction records are completed correctly?
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16.2) White card / licenses are stapled to induction?
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16.3) Notification of competency documents are stapled to induction?
SWMS
Safe Work Method Statements
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17.1) SWMS review checklists are completed correctly?
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17.2) SWMS are approved by the Site Manager / Supervisor?
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17.3) SWMS reviews are filed away or attached to the SWMS?
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17.4) Subcontractor SWMS not on a C&O template meet the criteria outlined in the SWMS review checklist?
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17.5) Subcontractors review, update and resign SWMS every 30 days?
Permits to Work
Permits to Work
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18.1) Permits are issued for current works on site?
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18.2) Permits are completed correctly and approved by Site Management Team member?
Toolbox Meetings
Toolbox Meetings
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19.1 Who presents most toolbox meetings?
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19.2) Toolbox meetings are held every week?
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19.3) Toolbox meeting minutes are recorded correctly?
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19.4) Current safety alerts are raised in toolbox meetings and recorded in the minutes?
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19.5) CA issued to site by OHSE department are raised and documented in toolbox meeting minutes when required?
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19.6) Toolbox meeting topics are available on site?<br>
Safety Meetings
Safety Meetings
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20.1) Does the site hold safety committee meetings with subcontractors?
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20.2) Are these meetings documented?
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20.3) When was the last meeting held?<br>
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20.4) Are pre-start safety meetings held?
Formal Site Inspections
Formal Site Inspections
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21.1) Inspections conducted at required intervals?
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21.2) Site Management Team member involved in formal site inspections?
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21.3) Subcontractor involved in formal site inspections?
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21.4) SWMS compliance observations are conducted?
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21.5) Worker participation section of inspection is completed?
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21.6) Identified issues are entered into site CA register?
Subcontractor Management
Subcontractor Management
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22.1) Subcontractor safety performance review are undertaken and forwarded to OHSE Department?
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22.2) Subcontractor sheds are tidy with correct storage requirements?
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22.3) Subcontractor cars are parked in the defined area?
WorkSafe Wa
WorkSafe WA
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24.1) Has a WorkSafe WA inspector visited site since the last audit?
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24.2) If yes, were any notices issued?
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24.3) If no, did the inspector ask the site to correct any minor issues?
Non-Conformances
Non-Conformances
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23.1) Have any non-conformances been issued to subcontractors?
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23.2) Have non-conformance been entered into the site Non-Conformance register?
Environmental
Environmental
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27.1) A designated smoking area has been arranged?
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27.2) Site fencing shade cloth is secure and in good condition to minimise dust movement?
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27.3) Dust generated by vehicle movement is minimised? (sprinklers, road base, etc.)
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27.4) Dust generated by concrete/ brick cutting is minimized? (wet cut, vacuum, dustless cutters, etc)
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27.5) Water hoses turned off when not in use?
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27.6) Water hoses repaired/replaced when leaking?
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27.7) Refuelling of plant is conducted at the designated area or by using appropriate size bund?
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27.8) Designated concrete wash out is in use where practicable?
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27.9) Site is clear of significant spills?
Personal Protective Equipment
Personal Protective Equipment
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25.1) Mandatory PPE is worn by all personnel?
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25.2) Task specific PPE is in use?
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25.3) Hearing protection worn by personnel when in the vicinity of loud tasks (>85 dB)
Public Safety
Public Safety
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26.1) A traffic management plan has been developed when required?
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26.2) Pedestrian safety signage is erected as required?
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26.3) Public safety controls remain effective? (fencing, locks, signage)
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26.4) Public safety concerns are communicated to the OHSE Department?
Other Observations
Other Observations
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Other observations
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Worker Participation
Worker Participation
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Name of worker / Subcontracting company
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Picture of worker (if authorised by individual)
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Add media
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Question 1: Do you have any site health and safety concerns that you would like to raise?
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Question 2: Is there anything which Cooper & Oxley can do to make this site safer?
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Question 3: Do you have any general observations which you would like to raise to Cooper & Oxley OHSE department?
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