Information
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STW Contractor H&S Audit
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Conducted on
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Prepared by
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Site Name / Location
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Description of work
Audit Details
Auditor
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Auditor
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Other Auditors
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Lead Auditor's Team
Contractor
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Main/Principle Contractor
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Sub Contractors
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Name of Operatives
Site Access
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This section is mandatory
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Was the job authorised as Low, Medium or High Risk?
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Is the MCS Standard being correctly applied for this level of risk (Permits, audits etc)
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Is the risk level 'appropriate', 'too high' (risk averse) or 'too low' (more controls req)
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Have you seen STW Induction DVD/have card
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Actions
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Action owner
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Due by
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Do you have a valid copy of STW Authorisation to Enter
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Actions
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Action owner
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Due by
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Do you have a copy of the STW Safety Rules Handbook
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Actions
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Action owner
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Due by
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Are you aware of the STW closed gate policy
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Actions
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Action owner
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Due by
Risk Assessments/Method Statements
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This section is mandatory
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Site hazard checklist
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Actions
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Action owner
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Due by
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Activity risk assessments available/in-date
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Actions
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Action owner
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Due by
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Are control measures identified in Risk Assessment satisfactory
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Actions
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Action owner
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Due by
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Does the Risk Assessment cover all hazards where you are working
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Actions
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Action owner
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Due by
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Field Risk Assessment (FIS, SR3) Recycling only
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Actions
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Action owner
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Due by
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Field STW Pass Sheet (SR 5) Recycling only
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Actions
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Action owner
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Due by
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Is Method Statement available/in-date/being followed
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Actions
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Action owner
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Due by
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Do sub-contractors follow your method statements
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Actions
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Action owner
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Due by
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Are emergency arrangements in place/understood
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Actions
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Action owner
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Due by
PPE
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This section is mandatory
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Do you know the STW PPE Mandatory requirements
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Actions
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Action owner
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Due by
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Wearing Hi Vis jacket/vest and in good condition (class 3 for highway use)
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Actions
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Action owner
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Due by
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Wearing hard hat/bump cap and in good condition/inspected/in-date
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Actions
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Action owner
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Due by
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Wearing appropriate safety footwear and in good condition
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Actions
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Action owner
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Due by
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Wearing appropriate gloves suitable for task/in good condition
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Actions
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Action owner
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Due by
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Wearing wet weather gear and in good condition (where required)
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Actions
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Action owner
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Due by
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Is hearing protection immediately available
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Actions
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Action owner
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Due by
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Is eye protection immediately available
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Actions
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Action owner
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Due by
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Is respiratory protection available (where required)
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Actions
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Action owner
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Due by
Hygiene
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This section is mandatory
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Do you have leptospirosis (pink card) / clean water (blue card)
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Actions
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Action owner
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Due by
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Is good personal hygiene practices being followed - handwork/anti bacterial gel
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Actions
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Action owner
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Due by
First Aid
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This section is mandatory
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Is First Aid kit available/in-date/inspected/complete
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Actions
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Action owner
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Due by
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Are you/anyone else trained in First Aid procedures
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Actions
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Action owner
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Due by
Isolation and LOTO
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Is this section applicable to this audit?
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Are the team trained in isolation and aware of STW's LOTO procedures?
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Actions
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Action owner
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Due date
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Are all points of isolation locked / tagged (electrical, mechanical etc)?
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Actions
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Action owner
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Due date
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Have the isolations been tested and proved reliable?
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Actions
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Action owner
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Due date
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Has any stored energy been safely released in a controlled manner?
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Actions
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Action owner
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Due date
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Have all parties used a personal lock?
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Actions
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Action owner
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Due date
Vehicle and Plant
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Is this section applicable to this audit
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Do you have appropriate licence/plant training certificates available
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Actions
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Action owner
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Due by
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Do you have a completed vehicle/plant inspection log
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Actions
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Action owner
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Due by
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Is vehicle/plant in good condition/operation/defects logged
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Actions
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Action owner
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Due by
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Are there plant test certificates available
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Actions
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Action owner
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Due by
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Has the working area been considered for the vehicle/plant to be used
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Actions
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Action owner
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Due by
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e.g ground conditions, turning area, delivery points, etc.
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Has demarcation been considered for pedestrians
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Actions
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Action owner
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Due by
Lifting Equipment
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Is this section applicable to this audit
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Is lifting equipment tagged/certificates available
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Actions
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Action owner
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Due by
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Is lifting equipment inspected/in-date/good condition
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Actions
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Action owner
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Due by
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Is there a suitable and sufficient lift plan available
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Actions
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Action owner
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Due by
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Can you provide evidence of competency
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Actions
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Action owner
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Due by
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Is a banksman required/trained for the task
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Actions
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Action owner
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Due by
Excavations
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Is this section applicable to this audit
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Do you have copies of service plans
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Actions
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Action owner
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Due by
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Are service plans for the correct area of work/readable
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Actions
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Action owner
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Due by
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Is cable scanning equipment being used/calibrated/in-date
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Actions
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Action owner
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Due by
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Can you provide evidence of competency of its use
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Actions
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Action owner
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Due by
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Are you adhering to 500mm rule (where required)
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Actions
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Action owner
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Due by
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Are trench trench inspections in place/undertaken/recorded
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Actions
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Action owner
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Due by
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Are appropriate barriers/signs in place
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Actions
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Action owner
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Due by
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Is there safe access/egress for the excavation
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Actions
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Action owner
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Due by
Overhead Power Lines
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Is this section applicable to this audit
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Have owners of OHPL been consulted (if applicable)
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Actions
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Action owner
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Due by
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Are you aware of vehicle/equipment height when working by OHPL
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Actions
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Action owner
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Due by
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Is there vehicle/plant restrictions around OHPL's
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Actions
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Action owner
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Due by
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Is stored equipment/materials/sludge stock piles 15m from OHPL's
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Are signs/barriers/goal posts being used for demarcation
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Actions
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Action owner
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Due by
Signage - Working in the highway
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Is this section applicable to this audit
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Have correct TMA Notifications been adhered to
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Action
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Action owner
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Due by
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Are suitable & sufficient NRSWA Chapter 8 signs/barriers available and used
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Action
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Action owner
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Due by
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Are barriers/signs in good condition/easily read
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Action
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Action owner
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Due by
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Are you wearing the correct PPE (class 3 high vis)
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Action
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Action owner
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Due by
Work at Height
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Is this section applicable to this audit
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Are you working at height
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Action
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Action owner
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Due by
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Is the WAH solution the best solution for the task
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Action
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Action owner
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Due by
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Have working area been adequately signed/protected
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Action
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Action owner
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Due by
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If using scaffold, has it been erected by STW approved supplier
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Action
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Action owner
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Due by
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Does the scaffold meet STW spec (tube & fittings)
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Action
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Action owner
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Due by
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Is the scaffold inspected/in-date
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Action
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Action owner
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Due by
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If ladders are being used, are ladders inspected/in-date/good condition/complete
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Action
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Action owner
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Due by
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Are 3 points of contact maintained during ladder use
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Action
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Action owner
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Due by
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Are fixed vertical ladders inspected/in good condition (where required)
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Action
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Action owner
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Due by
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Is fall arrest harness/equipment inspected/in-date
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Action
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Action owner
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Due by
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Can you demonstrate competency for fall arrest equipment use
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Action
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Action owner
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Due by
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Is a rescue plan in place/in-date/understood (where required)
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Action
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Action owner
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Due by
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Is mobile elevated work equipment certified/in-date
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Action
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Action owner
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Due by
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Can you demonstrate competency of its use
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Action
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Action owner
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Due by
Confined Spaces
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Is this section applicable to this audit
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Are you aware of STW confined spaces (if required)
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Action
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Action owner
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Due by
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Have confined spaces been assessed/signed correctly
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Action
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Action owner
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Due by
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Are gas monitors calibrated/tested/certified/in good condition/readily available for use
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Action
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Action owner
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Due by
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Can you demonstrate competency in gas monitor use
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Action
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Action owner
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Due by
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Is fixed ventilation inspected/in-date/good condition/working order
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Action
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Action owner
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Due by
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Is portable ventilation inspected/in-date/good condition/working order
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Action
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Action owner
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Due by
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Can you demonstrate competency in portable ventilation equipment use
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Action
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Action owner
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Due by
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Is breathing apparatus tested/in-date/good condition (if applicable)
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Action
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Action owner
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Due by
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Can you demonstrate competency in BA use
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Action
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Action owner
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Due by
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Are escape sets inspected/in-date/in good condition
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Action
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Action owner
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Due by
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Can you demonstrate competency in escape set use
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Action
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Action owner
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Due by
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Is all confined space equipment stored correctly
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Action
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Action owner
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Due by
Working with Electrical Equipment
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Is this section applicable to this audit
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Are electrical tools PA tested/in-date/in good condition
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Action
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Action owner
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Due by
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Do you use an electrical tester (if applicable)
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Action
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Action owner
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Due by
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Is the electrical tester calibrated/in-date/in good condition
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Action
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Action owner
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Due by
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Do you hold an electrical competence form
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Action
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Action owner
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Due by
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Do you have a copy of STW electrical safety rules
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Action
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Action owner
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Due by
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Are you following STW isolated procedures
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Action
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Action owner
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Due by
COSHH
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Is this section applicable to this audit
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Are COSHH risk assessments available/valid/in-date
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Action
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Action owner
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Due by
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Are containers correctly labelled
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Action
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Action owner
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Due by
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Are substances stored correctly
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Action
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Action owner
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Due by
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Are spill kits/containment available
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Action
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Action owner
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Due by
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Can you demonstrate competency in spill kit use
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Action
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Action owner
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Due by
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Do you have the correct PPE for the substances being used
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Action
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Action owner
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Due by
Reporting
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This section is mandatory
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Do you know how to report Undesired Circumstances
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Action
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Action owner
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Due by
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OneCall 0330 123 3351 or via Safety Net
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Do you know how to report near misses/accidents
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OneCall 0330 123 3351 or via Safety Net
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Action
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Action owner
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Due by
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OneCall 0330 123 3351 or via Safety Net
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Are you following a lone working procedure
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Action
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Action owner
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Due by
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Are you working to your working time policy
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Action
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Action owner
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Due by
Work Environment
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This section is mandatory
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Have you undertaken any Manual Handling training
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Action
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Action owner
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Due by
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Are walkways/working areas adequately demarked/in good condition
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Action
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Action owner
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Due by
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Is there a good standard of housekeeping <br>(Vehicle/working area/portacabins etc.)
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Action
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Action owner
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Due by
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Is lighting/ventilation adequate
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Action
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Action owner
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Due by
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Attach photograph of work area
Close
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Comments/recommendations
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Photos
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Sketch (optional)
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Signed STW
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Signed Contractor