Information
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Document No.
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Site Location
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Conducted on
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Prepared by
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Accompanied by
Your Own Safety
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Have you read and are you able to comply with your Site Visit SWMS?
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Do you know what PPE you need? and do you have it available for your visit?
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Did you participate in a relevant Site Induction and Pre Work Brief (PWB) when you reached the Contractor's site?
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Do you have the local site contract persons contact details? Have they been informed?
Site Safety
All Work Places including Offices
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Knowledge of & access to PSMP (or relevant Contractors SSSMP)
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Emergency Evacuation Procedure posted and legible
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Fire Equipment available, signposted, good condition, tagged
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Emergency Egress clear
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Wardens appointed/ signposted
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Electrical leads checked/tagged (every 3 months on construction sites)
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Waste segregated
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Lighting adequate
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Amenities clean and hygienic (Toilets, lunchrooms etc)
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Hazardous substance register and MSDSs
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Safe Stacking and Storage
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Walkways, floors and aisles clear
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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General housekeeping and cleanliness
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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First Aid facilities available & First Aid officer signposted
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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If Manual handling - SWMS available and followed
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Fencing & Security adequate, good condition.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Community contact/ helpline available
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
Additional Checklist for Construction Sites
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Pre Work Brief recorded and signed by all workers.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Construction work SWMS available and being followed.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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PPE requirements signposted, and PPE compliance, PPE branded
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Plant movement on site safe and controlled
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Work Permits in use for Construction Speace, Hotwork, Excavation, Work at Height.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Plant operations. Licenses. Pre use checks recorded. Condition of plant.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Lifting equipment. Up to date Tagging; in good condition.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Scaffolding Inspected and Tagged. Condition, toe boards, mesh etc.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Ladders in good condition. Non metallic for electrical work.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)
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Work at Height SWMS, PPE harness appropriately attached.
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Closed (on=closed, off=open)
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Risk Level
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Actions to close out
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Traffic Management Plan in place and working.
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Risk Level
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Actions to close out
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Closed (on=closed, off=open)