Site Safety/Environmental/Quality Checklist - Local

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 DOCUMENTS

• 1.1 Is the safety management plan for this project or Project WHS Management Plan available on site.<br>Regulation 309

  Yes

  No

  N/A

• Comment and actons:

• 1.2 Are there Safe Work Method Statements on site for all high risk construction work?<br>Regulations 291,299

  Yes

  No

  N/A

• Comment and actions:

• 1.3 have The management plan & safe work method statements been reviewed/signed off.<br>Regulations 302 & 311

  Yes

  No

  N/A

• Comment & Actions:

• 1.4 Is an emergency/serious accident procedure displayed on site? Do site workers understand the procedure?<br>Regulation 43

  Yes

  No

  N/A

• Comments & Actions:

• 1.5 Is there a accident/injury register on site

  Yes

  No

  N/A

• Comments & actions:

• 1.6 If an accident/incident has occurred was the Departmental representative informed and has an incident report been completed?<br>Procedure after an incident OPP-2101

  Yes

  No

  N/A

• Comments & actions:

• 1.7 Is the Construction Environmental Management Plan on site?

  Yes

  No

  N/A

• Comments & actions

• 1.8 Are there certificates of currency on site for Workers Compensation Insurance (or Personal Accident Insurance)?

  Yes

  No

  N/A

• Comments & actions:

2.0 INDUCTION AND TRAINING; HOUSEKEEPING; ACCESS AND EGRESS

• 2.1 Are there records of site inductions and training on site?<br>Regulation 316,317

  Yes

  No

  N/A

• Comments & action:

• 2.2 Have prohibited employment declarations been completed and included on induction register for all schools, TAFEs or other sites where children or vulnerable people are present?

  Yes

  No

  N/A

• Comments & actions:

• 2.3 Are there any persons on site that have not had an induction<br>Regulation 316

  Yes

  No

  N/A

• Comments & actions:

• 2.4 Is the site tidy with storage areas for materials and accessible and well maintained waste bins?

  Yes

  No

  N/A

• Comments & actions:

• 2.5 Is there access and egress, including emergency exits and clear passage to emergency assembly area?

  Yes

  No

  N/A

3.0 CONSULTATION

• 3.1 What consultation process is in place with employees?<br>WHS Act Part 5: Act 47

  Consultation Process Required

  No Consultation Process Required

• Select Safety committee Safety representative Toolbox talks Other agreed arrangements

  • Safety committee
  • Safety representative
  • Toolbox talks
  • Other agreed arrangements

4.0 IDENTIFYING SERVICES Reg 304 Work near underground assets guide 2007

• 4.1 Has dial before you dig (1100) been contacted

  Yes

  No

  N/A

• Comment & actions

• 4.2 Have asset owners "AS BUILT" drawings been consulted.

  Yes

  No

  N/A

• Comment & actions

• 4.3 Has a services locator been engaged to locate services?

  Yes

  No

  N/A

• Comment & actions

• 4.4 Are located services clearly identified on site?

  Yes

  No

  N/A

• Comment & actions

• 4.5 Have located services been documented on drawings?

  Yes

  No

  N/A

• Comment & actions

• 4.6 Have identified services been isolated?

  Yes

  No

  N/A

• Comment & actions

• 4.7 Is potholing/hand digging used to locate services?

  Yes

  No

  N/A

• Comment & actions

• 4.8 Is a safety observer/spotter used when excavating around underground services?

  Yes

  No

  N/A

• Comment & actions

5. WORK NEAR OVERHEAD POWER LINES WHS Reg Part 4.7. work near overhead power lines Code of Practice

• 5.1 Has network operator been consulted regarding work

  Yes

  No

  N/A

• 5.2 Has the supply been de-energised

  Yes

  No

  N/A

• Comments & actions

• 5.3 Has the location and voltage of the overhead power lines been determines

  Yes

  No

  N/A

• Are persons aware of approach distances (ordinary person)

  Up to 132k volts - 3m

  132k - 330k volts -6m

  Above 330k volts -8m

• Are persons aware of approach distances-Accredited Person

  Up to 132k volts - 1.8m

  132k - 220k volts - 2.4m

  330k volts - 3.7m

• 5.4 Are spotters being used when plant is operating near overhead power lines

  Yes

  No

  N/A

• Comments & actions

• 5.6 Is warning signage for overhead power lines located In The cab of the item of plant being used

  Yes

  No

  N/A

• Comments & actions

6. WORK NEAR PUBLIC PLACES

• 6.1 Is the site securely fenced<br>Regs 298

  Yes

  No

  N/A

• Comments & actions

• 6.2 Is the name & contact telephone numbers including an after hours emergency number of the principal contractor displayed!<br>Regs 308

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 6.3 Is appropriate construction and PPE signage displayed?<br>AS1319-Safety signs for occupied environments

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

7. AMENITIES

• 7.1 1 toilet per 20 workers?<br>Reg 40,41

  Yes

  No

  N/A

• Comments & actions

• 7.2 Are there washing facilites?

  Yes

  No

  N/A

• Comments & actions

• 7.3 Adequate fresh, cool drinking water?

  Yes

  No

  N/A

• Comments & actions

• 7.4 Are clean lunch and change rooms provided?

  Yes

  No

  N/A

• Comments & actions

• 7.5 Are rubbish bins provided?<br>Codes of practice-amenities for construction work & work place amenities

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

8. FIRST AID

• 8.1 Is there a register of injuries and first aid treatment?<br>First aid in the workplace guide

  Yes

  No

  N/A

• Comments & actions

• 8.2 Is a fully stocked first aid box on site?<br>Regs 42; first aid in the workplace guide 2001

  Class B 1-24 persons

  Class A 25-99 persons

  Occupational first aid room - over 100 persons

• Comments & actions

• 8.3 Is there a qualified first aid person on site<br>Regs 42

  Yes

  No

  N/A

• Comments & actions

9. ELECTRICAL WHS regs Part 4.7

• 9.1 Are all power supply outlets protected by earth leakage/RCD devices?<br>AS/NZ3012:2010, reg 164,165

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 9.2 Is there a lockable or non conductive material cover over circuit breakers & RCDs associated with outgoing circuits but which does not prevent access to isolating switches?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 9.3 Do the machines/tools on site have guards fitted?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 9.4 Are the leads and plugs in good condition?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 9.5 Are double adapters being used?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 9.6 Are the extension leads elevated and not extended more than 5m without support?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 9.7 Are plugs in wet areas?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 9.8 Are extension leads no more than 30m in length?

  Yes

  No

  N/A

• Comments & actions

• 9.10 Is there any electrical equipment overdue foe inspection!.

  Yes

  No

  N/A

• Comments & actions

• 9.11 Is there a record of inspections?<br>Regs 150, AS/NZ3012:2010

  Yes

  No

  N/A

• Comments & actions

10. WORKING AT HEIGHTS WHS Regs Part 4.4

• 10.1 Is safety mesh being used & certificate provided?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 10.2 Are gloves being worn?

  Yes

  No

  N/A

• Comments & actions

• 10.3 Is there safe access to roof area?

  Yes

  No

  N/A

• Comments & actions

• 10.4 Prevention of falls if work area is above 2m and within 2m of the edge are guard rails or scaffolding or harness being used?<br>Regs 299,303 (SWMS required) CoP Managing the risk of falls I. Workplaces

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 10.5 Are tools secured by lanyards?

  Yes

  No

  N/A

• Comments & actions

• 10.6 Are floor and roof penetrations covered?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 10.7 Are the ladders extended at least 1m above the top of the work platform?<br>CoP Managing the risk of falls at workplaces

  Yes

  No

  N/A

• Comments & actions

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  Media

• 10.8 Are the ladders at least 4.6m fro. Live conductors?

  Yes

  No

  N/A

• Comments & actions

• 10.9 Are only timber or fibreglass ladders used for work near electrical equipment?

  Yes

  No

  N/A

• Comments & actions

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  Media

• 10.10 Are ladders in good order - No damaged stiles or rungs, rubber buffers on feet?

  Yes

  No

  N/A

• Comments & actions

11 SCAFFOLDING -STATIC

• 11.1 Are the scaffolds secured against tipping (bracing in all directions tied to bulking every 3.6m)<br>coP Managing risk of falls at workplaces Reg 225

  Yes

  No

  N/A

• Comments & actions

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  Media

• 11.2 Are handrails, mid rails and toe boards in place along the fill length of the scaffold (platforms over 2.0m in height)

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 11.3 Are the planks secure - platforms fully decked?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 11.4 Is proper ladder access provided to the scaffold working decks? (Fixed top & 1:4 slope)AS4576: clause 89

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 11.5 Has the risk of falling objects on the external face of the scaffold been prevented?

  Yes

  No

  N/A

• Comment & actions

• 11.6 Has the risk of falling objects on the internal face of the scaffold been prevented?

  Yes

  No

  N/A

• Comment & actions

• 11.7 If the scaffold is under erection, has a safety barrier been set up near the scaffolding base, is signage used?<br>AS 4576

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 11.8 Are there so,I'd foundations under scaffolding?

  Yes

  No

  N/A

• Comment & actions

• 11.9 Are there base plates and sole plates for the standards?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 11.10 Has a sign off for licensed scaffolder been received for scaffolding of 4m or more in height confirming compliance with AS1576?<br>Reg 225, AS4576 Scaffolding

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

12. MOBILE SCAFFOLDS

• 12.1 Do mobile scaffolds have lockable wheels

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 12.2 Are the wheels locked

  Yes

  No

  N/A

• Comments & actions

• 12.3 Is safe internal ladder access available?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 12.4 Are handrails, mid rails and toe boards in place along the full length of the scaffold? (Platforms over 2.0m in height)

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 12.5 Is the height less than 3 times the width of the base?

  Yes

  No

  N/A

• Comments & actions

• 12.6 Do outriggers have to be used?

  Yes

  No

  N/A

• Comments & actions

• 12.7 Have overhead electrical hazards been considered?<br>AS 4576 clause 5.4

  Yes

  No

  N/A

• Comments & actions

13 FORMWORK

• 13.1 Are exposed ends of concrete reinforcing protected? <br>Code of Practice - Formwork

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 13.2 Are floor and roof penetrations covered?<br>Code of Practice -formwork

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 13.3 Has the formwork been inspected by an independent qualified engineer?<br>Formwork CoP - prelims clause independent certification of formwork

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 13.4 Is there edge protection eg handrails on decks above 2m?<br>Reg 78,79

  Yes

  No

  N/A

• Comments & actions

• 13.5 Are all temporary work platforms at least 450mm (2 planks) wide?

  Yes

  No

  N/A

• Comments & actions

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  Media

• 13.6 Are timbers de-nailed as it is removed?

  Yes

  No

  N/A

• Comments & actions

• 13.7 Are barriers/signs erected to warn others that formwork erection/stripping are taking place

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

14 PLANT AND EQUIPMENT WHS regs chapter 5

• 14.1 Is there a register of plant and equipment on site?

  Yes

  No

  N/A

• Comments & actions

• 14.2 Do plant operators have appropriate licenses, are copies retained on Site?<br>Part 4.5 high risk works division 1 license<br>Nosing of high risk work, Regs 3&4 fact sheet load shifting machines.

  Yes

  No

  N/A

• Comments & actions

• 14.3 All machinery has registration/permits?<br>Regs 227

  Yes

  No

  N/A

• Comments & actions

• 14.4 Are the safety check log books for machinery completed and signed?

  Yes

  No

  N/A

• Comments & actions

• 14.5 Do backhoes/excavators have "beware of electrical hazards" signs?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 14.6 Is the work close to power lines & are workers aware of regulations?<br>AS 2550.1 cranes safe use general requirements

  Yes

  No

  N/A

• Comments & actions

• 14.7 Is plant in good order? (Visual inspection - no oil leaks - hydraulic hoses OK)

  Yes

  No

  N/A

• Comments & actions

• 14.8 Is the safe working load (SWL) indicated on the boom of all cranes?<br>Regs 219

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 14.9 Do vehicles/earth moving plant have reverse alarms and rotating orange lights where necessary?<br>Regs 215, CoP moving plant on construction sites

  Yes

  No

  N/A

• Comments & actions

• 14.10 Are site workers wearing high visibility vests?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 14.11 re operators of elevated work platforms (EWP) that exceed 11m ticketed. Part 4.5 high risk works division 1 licensing of high risk work, regs schedule 3&4, fact sheer load shifting machines.

  Yes

  No

  N/A

• Comments & actions

• 14.12 Has training been provided to operators of all EWP?

  Yes

  No

  N/A

• Comments & actions

15 CONFINED SPACES WHS regs part 4.3 SWMS required

• 15.1 Any work in confined space? <br>Reg part 4.3 confined spaces

  Yes

  No

  N/A

• Comments & actions

• 15.2 Are crews trained and equipped for confined space work?

  Yes

  No

  N/A

• Comments & actions

• 15.3 Is there a confined space permit signed off for the work?

  Yes

  No

  N/A

• Comments & actions

• 15.4 Are rescue, first aid and emergency arrangements in place eg tripod over hole, harnesses are being worn?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 15.5 No equipment capable of generating noxious gas in the work area (generators, etc)?

  Yes

  No

  N/A

• Comments & actions

• 15.6 Is there suitable ventilation of the confined space?

  Yes

  No

  N/A

• Comments & actions

• 15.7 Are barricades and signs erected?

  Yes

  No

  N/A

• Comments & actions

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  Media

• 15.8 Are confined spaces secured after work is completed?

  Yes

  No

  N/A

• Comments & actions

16 WORK NEAR or OVER WATER SWMS required

• 16.1 Are there safe work plat forms over water?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 16.2 Is there adequate safety line/fall arrest system in place?

  Yes

  No

  N/A

• Comments & actions

• 16.3 Is there an adequate safety line eg life buoy, life lines, safety boats?

  Yes

  No

  N/A

• Comments & actions

17 DEMOLITION

• 17.1 Have gas, electricity and other services been located disconnected and verified by sign offs by competent persons?

  Yes

  No

  N/A

• 17.2 Is a licensed demolition contractor being used?

  Yes

  No

  N/A

• Comments & actions

18 EXCAVATION

• 18.1 Are barricades/fences/signage along/around trenches and work areas<br>Regs Division 3 excavation work

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 18.2 Are excavations correctly shored, benched or battered? (More then 1.5m in depth) and access ladders provided?<br>Regs 306: excavation code of practice

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 18.3 Are materials placed or stacked within 1m of the edge of the excavation?<br>Excavation code of Preactice

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 18.4 Have existing services been verified (dial before you dig), have existing services been de-energised (electrical, gas, etc)?<br>Reg 304

  Yes

  No

  N/A

• Comments & actions

19 ASBESTOS REMOVAL

• 19.1 Has asbestos been identified within the work site?

  Yes

  No

  N/A

• Comments & actions

• 19.2 Is there and asbestos register on site?<br>Regs 425

  Yes

  No

  N/A

• Comments & actions

• 19.3 Have warning signs or labels been affixed to areas asbestos is located on site?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 19.4 Is a licensed asbestos removal isn't engaged to carry out the work?<br>Rags 458

  Yes

  No

  N/A

• Comments & actions

20 MANUAL/MATERIALS HANDLING

• 20.1 Are areas where loading and unloading occurs secured to prevent unauthorised entry whilst task is auctioned?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 20.1 Have all personnel been trained in safe manual handling processes?

  Yes

  No

  N/A

• Comments & actions

• 20.3 Are all operators of plant engaged in loading/unloading licensed?

  Yes

  No

  N/A

• Comments & actions

21 PERSONAL PROTECTIVE EQUIPMENT

• 21.1 Are site safety rules displayed around the site?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 21.2 Are safety helmets being worn by all?<br>Regs chapter 3 part 3.1 & 3.2, including Reg 44, 45

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 21.3 Are safety boots being worn?<br>Regs clause 44,45

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 21.4 Are workers wearing hearing protection whilst doing/ or working near noisy work?<br>Regs 44,45, Regs part 4.1 noise

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 21.5 Are warning signs displayed?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 21.6 When working in dusty conditions, are masks being worn and was the dust suppressed?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 21.7 Are workers exposed to ultra violet rays adequately protected:

  is sun block cream available? Reg 44,45

  is appropriate PPE provided? Regs 44

• Comments & actions

22 HOT WORK

• 22.1 Are suitable fire extinguishers on site?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 22.2 Are barricades or screens and warning signs used in areas where work is being done?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

23 ENVIRONMENTAL MANAGEMENT

• 23.1 Is this site in a sensitive area?<br>Eg heritage, heavily vegetated contaminated, creeks or water ways, if so seek advice from Environmental Representative.

  Yes

  No

  N/A

• Comments & actions

• 23.2 Is there documentary evidence of compliance with any previously issued comments and actions?

  Yes

  No

  N/A

• Comments & actions

• 23.3 Are there any obvious sings of construction related disturbance out side the construction zone?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 23.4 Is there a copy of signed off environmental management plan on site?

  Yes

  No

  N/A

• Comments & actions

• 24.5 Have required erosion control measures been correctly installed nd are hey functional?<br><br>Check that there are/is:

  no gaps in silt fences/barriers

  no material lying across filter material or build up of silt

  no obvious signs of significant seepage through fences

• Comments & actions

• 23.6 Is there a spill kit readily accessible?

  Yes

  No

  N/A

• Comments & actions

• 23.7 Is dust suppression equipment readily available eg water cart or hose?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 23.8 Are there any obvious signs of dust deposition outside of construction areas?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 23.9 Is spoil being prevented from being tracked onto public roads (eg rattle Gris, wash down area).

  Yes

  No

  N/A

• Comments & actions

• 23.10 Do trucks removing spoil from site have their loads covered?

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 23.11 Archaeology/heritage - Are protection measures in place and functional? (If applicable)

  Yes

  No

  N/A

• Comments & actions

• 23.12 Are any construction vehicles obstructing the passage of local traffic (including pedestrians)

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 23.13 Is the complaints register complete and have actions detailed been implemented?

  Yes

  No

  N/A

• Comments & actions

• 23.14 Are all required vegetation protection measures in place and functional? (Eg parra web fencing, tree guards)

  Yes

  No

  N/A

• Comments & actions

• Add media

  Media

• 23.15 Any other issues if so seek advice from Environmental Representative?

  Yes

  No

  N/A

• Comments & actions

24 HAZARDOUS CHEMICALS/SUBSTANCES WHS regs chapter 7

• 24.1 Documentation?

  is there a register and manifest of hazardous chemicals/substances on site (reg 346)

  are copies of safety data sheets (SDS) available on site for all registered substances (regs 344)

• Comments & actions

• 24.2 Labelling<br>Are containers of chemicals adequately labelled (including decanted ones)?<br>Regs 357,360

  Yes

  No

  N/A

• Comments & actions

• 24.3 Training<br>Have site workers been trained in how to use the chemicals/spill kits safely?<br>Regs 357,360

  Yes

  No

  N/A

• Comments & actions

• Comments & actions

• 24.4 Srorage<br>Are chemicals segregated and stored appropriately?

  Yes

  No

  N/A

• Comments & actions

• Add media

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• 24.5 Ventilation - Is adequate ventilation provided when chemicals are stored or in use?

  Yes

  No

  N/A

• Comments & actions

25 WORKCOVER, DEC (EPA) or Local Authority Visits

• 25.1 Have any WorkCover, DEC (EPA) or local Authority representatives attended the site since the last meeting?<br>If yes when did they attend?

  Yes

  No

  N/A

• Comments & actions

• 25.2 were there any Prohibition and Improvement Notices (PINs) issued?

  Yes

  No

  N/A

• Comments & actions

• 25.3 were there any on the spot fines issued to the contractor and/or sub-contractor and/or employee?

  Yes

  No

  N/A

• Comments & actions

26 QUALITY MANAGEMENT

• 26.1 Is there a copy of the signed off Project Quality Management Plan on site?

  Sighted

  Not Available

• Comments & actions

• 26.2 Is there a corrective action request (CAR) register in use on site?

  Sighted

  Not Available

• Comments & actions

• 26.3 Is there any evidence of a representative of the Principal of the Contract signing off a witness on the contractors ITPs?

  Sighted

  Not Available

• Comments & actions

• 26.4 Are there any hold points on the contractor's ITPs that have not been endorsed by the Principal or the Principals Authorised Representative?

  Yes

  No

  N/A

• Comments & actions

• 26.5 Are sub contractors using the latest drawings according to the Drawing Register?

  Yes

  No

  N/A

• Comments & actions

27 OVERALL COMMENTS

• 27.1 What is the best area of safety management and what needs most improvement?

  Safe

  At Risk

  N/A

• Comments & actions

• 27.2 General comments about this site (including follow up action recommended)?

  Safe

  At Risk

  N/A

• Comments & actions

SIGN OFF

• Principals Authorised Person

  Sign

• Select date

  Date

• Contractor site manager

  Sign

• Select date

  Date