Title Page
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Job # / Site
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Conducted on
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Personnel
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Location
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Have you received induction training?
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STOP AND SEE YOUR SUPERVISOR
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Do you know the company’s health & safety rules?
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STOP AND SEE YOUR SUPERVISOR
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Are there emergency facilities and an evacuation procedure/route for the site?
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Do you have access to appropriate emergency and first aid equipment?
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STOP AND SEE YOUR SUPERVISOR
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Have you checked the hazard I.D. board for all relevant hazards on site?
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STOP AND SEE YOUR SUPERVISOR
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Are you treating this ans a 'tick and flick' exercise??
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Do you have the correct procedures and equipment to do the work safely?
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STOP AND SEE YOUR SUPERVISOR
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Is there appropriate separation of vehicles and people during the proposed work?
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STOP AND SEE YOUR SUPERVISOR
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Have you consulted with workers about the task and the safe way to do it?
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CONSULT WITH WORKERS ON THE STEPS OF THE TASK AND SAFE WAY TO DO IT.
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Do you have all necessary PPE?
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STOP AND SEE YOUR SUPERVISOR
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Have you got a safe way of getting in and out of your work area?
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STOP AND SEE YOUR SUPERVISOR
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Have any manual handling risks been identified and assessed?
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ASSESS ANY MANUAL HANDLING RISKS AND COME UP WITH CORRECT METHODOLOGY FOR LIFTING/ HANDLING HEAVY ITEMS
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Sign off
