Title Page

  • Site conducted

  • Work Area / Job

  • Conducted on

  • Conducted by Stanwell Employee

  • Conducted by UGL Employee

  • undefined

Do the works being executed align with details of the corresponding service scope - Refer Scope

  • Is waste managed appropriately? Bins empty & waste in appropriate bins/waste collection areas?

  • Is the area clean of leaks, spills, and /or degrease floor surfaces? Includes oil, coal, ash, and dust spills?

  • Are BA sets & Respirators cleaned and filled?

  • Are pool vehicles clean?

  • If No - Details

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  • Is the work area safe and/or works being conducted safely?

  • Has risk to plant and production been minimised through effective cleaning processes? Eg: encroachment to conveyors, build-up on screens, etc.

  • Does the cleaning align with the Job instructions on the area MST?

  • Is equipment required to complete these works well maintained and appropriate Personal Protective Equipment (PPE) and Safety Data Sheets (SDS) provided?

  • Are work orders relating to this service scope being completed on time and closed out with adequate commentary

  • Is the outcome of work area and/or works audited to an acceptable standard?

  • Are there any audit actions requiring follow up or rectification?

  • All identified issues must provide evidence of compliance by agreed date

  • Stanwell Employee

  • UGL Employee

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.