Information
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Document No.
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Project
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Contractor
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Visit Date
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Inspection By
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Report Date
Housekeeping & Sanitation
Housekeeping & Sanitation
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Work area's suitable, neat and tidy
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Passages & walkways clear
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Lunchroom clean
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Toilets clean & serviced
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Adequate & secure water supply
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Waste bins on site and covered
Excavation
Excavation
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Excavation sides suitable
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Poles / structures / roads supported
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Barriers & signage in place
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Loads / spoil safe distance from excavation
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Access to excavation suitable
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JSA for excavation work developed & used
Barricades
Barricades
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Holes / openings covered & marked
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Roads / footpaths protected
Ladders
Ladders
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Ladders in good condition
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Ladders installed correctly
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Metal ladders not used near electricity
Scaffolding
Scaffolding
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Qualified scaffolder required & used
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Scaffold solid, braced, landing - ok
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Kickboards in place
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Scaff-tags in place
Traffic Management & Public Safety
Traffic Management & Public Safety
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Traffic management plan current & on site
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Competent traffic management personnel
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Daily diaries on site & current
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Fencing / signes for public signage in place
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Lights / warning signage in place
Mobile Plant, Cranes and Lifting Equipment
Mobile Plant, Cranes & Lifting Equipment
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Mobile plant checklists completed
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Slings, chains, hooks & eyes tagged
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Warning devices operative
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Safe use around powerlines
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Lifting plant used safely
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Signals understood & observed
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Quick hitch pìn use
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JSA for plant / cranage developed & used
Minor Plant
Minor Plant
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Machines maintained & suitable for task
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Operator competent & safe
Flammable Gases & Liquids
Flammable Gases & Liquids
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Correct storage
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Containers clearly identified
Hazardous Substances
Hazardous Substances
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Material safety data sheets on site
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Containers labelled & in good condition
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Substances stored safely
Fire Prevention
Fire Prevention
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Fire extinguishers serviced
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Fuel safety stored
Compressed Air
Compressed Air
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Equipment in good condition
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Equipment safely used
Motor Vehicles
Motor Vehicles
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Qualified operators
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Vehicles in safe condition
OSH Induction
OSH Induction
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Workers inducted
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Visitors inducted
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Visitors blue card details recorded
Metal / Plastic Welding & Cuttings
Metal / Plastic Welding & Cutting
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Hoses / equipment in good condition
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Fire extinguishers nearby
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Flammable materials protected
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Gas cylinders chained upright
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JSA / permit for hot works implemented
Personal & Protective Equipment (PPE)
Personal & Protective Equipment (PPE)
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Task specific PPE appropriate & in use
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PPE available on site
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PPE properly used
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PPE in good condition
Power Tools
Power Tools
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Tools in good condition
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Tools appropriate for use
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Mechanical guards fitted
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Electrical test tag current and fixed
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Electrical circuit breakers in use
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Extension cords in good condition
Non Powered Tools
Non Powered Tools
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Tools in good condition
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Tools appropriate for use
Explosive Power Tools
Explosive Power Tools
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Competent instruction & supervision
Electrical Installation
Electrical Installation
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Electrical work by licensed Electrician
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Wiring & connections insulated
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O/H wiring supported and protected
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U/G wiring buried and protected
Emergency Procedures
Emergency Procedures
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Adequate first aid facilities
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Emergency contacts displayed
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Emergency / rescue plans available on site
Other Improvements & Action Required from the Contractor
Other Improvements & Action Required from the Contractor
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