Sub-Contractor SSSP

• Site conducted

  Select

• Site Name

• Date

  Date

• Simpro Job Number

• Location
  Address

• Fantail Employee Name

• Fantail Employee Contact Number

• Fantail Employee Signature

  Sign

• Site Contact Person:

• Site Contact Number:

• Fantail H & S Representative: Erik Potgieter

• Fantail H & S Contact Number: 021 249 3563

• Document Number

Requirement

• Includes a process for identifying and controlling hazards

  Yes

  No

  N/A

• Clearly identifies plant or equipment that will be used for managing working at heights

  Yes

  No

  N/A

• Clearly identifies plant or equipment that will be used for managing working at heights

  Yes

  No

  N/A

• Includes a Site-Specific Risk Register outlining critical risk areas of work

  Yes

  No

  N/A

• Outlines how the subcontractor PCBU will consult with its workers and other PCBU’s with regards to H&S matters

• Outlines how the subcontractor PCBU will consult with its workers and other PCBU’s with regards to H&S matters

  Yes

  No

  N/A

• Outlines a process for recording, reporting and investigating incident

  Yes

  No

  N/A

• Detailed hazardous substances register and MSDS attached

  Yes

  No

  N/A

• Training and competency register included

  Yes

  No

  N/A

• Notifiable works involved? Is a copy of the notification included?

  Yes

  No

  N/A

Notifiable works involved? Is a copy of the notification included?

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Actions required

• Detail

• Complete

  Yes

  No

  N/A

• Position:

• Name:

• Signature:

  Sign