Supervisor Day Worksheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site information

• Project name

• Stage name or number

• Date and time

  Date

• Supervisor name

  Select Adam Loller - 0418 318 043 Jon Murphy - 0428 597 594 Trevor Prescott - 0430 242 965 Mick Sinclair - 0427 713 902

  • Adam Loller - 0418 318 043
  • Jon Murphy - 0428 597 594
  • Trevor Prescott - 0430 242 965
  • Mick Sinclair - 0427 713 902

• Supervisor Signature

  Sign

Reilly job scope, including surrounding site works. Eg, Crew 1 - Locating existing services alongside Road 1.

• Crew 1 Personnel -

• Target

• Actual

• Crew 2 Personnel -

• Target

• Actual

• Crew 3 Personnel -

• Target

• Actual

• Crew 4 Personnel -

• Target

• Actual

• Crew 5 - Personnel -

• Target

• Actual

• Crew 6 Personnel -

• Target

• Actual

WHS Requirements Should any question below be answered with a "NO", please address this before proceeding with any site works.

• All employees signed onto task relevant JHA's and understand the risks associated with their specific roles for the day?

  Yes

  No

  N/A

• Have personnel been briefed on tasks to be achieved for the day and are theses works in-line with current JHA's? If no, has the JHA been updated before works proceed?

  Yes

  No

  N/A

• Are team members qualified, competent and fit for work?

  Yes

  No

  N/A

• Do all personnel have the required materials for the day

  Yes

  No

  N/A

• Are all workers Reilly Contractors inducted? This includes ALL Sub-contractors, Labour Hire staff and direct employees.

  Yes

  No

  N/A

• Is a fire extinguisher and First Aid Kit available to Site - Personnel at all times?

  Yes

  No

  N/A

• Are emergency procedures understood by all employees?

  Yes

  No

  N/A

• Do employees have PPE required to complete job task?

  Yes

  No

  N/A

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