Step 7
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Site
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Sub-Location
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Date / Time
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Activity being observed
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Other Veolia attendees
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Name
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External people involved
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Type
- Contractor
- Client
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Name
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Position
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Discuss what aspects of the task can hurt the staff member.
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Have all Life Saving Rules been applied?
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Details of Life saving rules not applied
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Is a High Risk Management Standard applicable?
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Type
- Asbestos
- Confined Space
- Electrical safety
- Excavation and trenching
- Gas Safety
- Hazardous materials and chemicals
- High pressure water jetting
- Hot work
- Lifting
- Lock out Tagout
- Traffic management
- Working at heights
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Type of risk assessment used
- JSEA
- None
- Other
- SWMS
- Take 5 / step 7
- Work instruction
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Reason for no risk assessment
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Is the risk assessment document complete and current for the date of the interaction
Provide a summary of the safety interaction
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Plan - What is the plan? Who's doing what? What can hurt us?
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Communicate - Who else needs to know? How will we maintain coms? What do we need to check?
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Check equipment - What checks need to be completed? What are the correct tools for the job? Calibrations/inspections due? SDS review? correct PPE?
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Prepare area - What other work is around? What do we need in place? Where is the emergency equipment? Escape routes clear?
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Control energy - What are the sources of energy? How do we verify isolation's? Who verified them? How will we avoid line of fire?
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Final Check - Have we completed all the above checks? what is in place to fail safely and is it enough?
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Record feedback received from staff
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Assign corrective actions