Information
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Document No.
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Name of Supervisor/Leading Hand
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Name of worker conducting assessment?
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Site Number and Location
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Conducted on
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Task Being Carried Out
- Copy Change
- Graffiti Clean
- Maintenance
- Vegetation
- Site Measure
- Site Inspection
- Private Job
- Site Clean Up
- Installation
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Have all workers on site read and understood the SWMS and Site Cards for this site?
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Read SWMS and Site Card immediately
Site/Access Hazards
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Are you working indoors?
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Are you working during trade hours?
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What control measures have been taken?
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Have you contacted security or a staff member?
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Are the weather conditions good to work in?
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Contact management.
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Are you using water with soap for this install
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Is there any chemicals being used?
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What type of chemicals are being used
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Is the surface suitable to work/ install over?
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What type of surface are you installing over?
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Take a photo and Contact management.
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How are you accessing this job?
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What type and size ladder are you using?
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What type of EWP are you using?
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Are the ground conditions good to work from?
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Take a photo and Contact management.
In case of emergency
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General comments?
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General comments?
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General comments?
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General comments?
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Address of shop where work is being carried out.
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Leading hand.
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Installer 1
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Installer 2
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Installer 3
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Installer 4
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Installer 5
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Before you leave site make sure all tools, materials and rubbish has been picked up and the site is clean and free of all water or soap.
