Information
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Location
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Document No.
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Audit Title
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Project Name
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Conducted on
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Prepared by
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Location
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Personnel present during inspection
General Observations
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General Observations
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Hazard Categories
- Amenities require clean/Stock
- Chemical Storage Inadequate
- Electrical DB not compliant
- Electrical leads on ground
- Electrical Test Tag missing
- Fall Protection Inadequate
- Fence Panel missing
- First Aid Supply inadequate
- Formwork debris scattered
- Hard Hat - no compliance
- Housekeeping unacceptable
- Ladder not suitable
- Lift cage unsecured
- Material - Rubbish on scaffold
- Penetration not secured
- Penetration open
- Reo-Bar caps missing
- Scaffold 30 day Inspection due
- Scaffold requires modification
- Signage missing
- Slip - Trip Hazard
- Work at Heights unsafe
- Work permit not in place
- Fire Extinguisher Missing
- Nurse Call missing
- Light Not Working
- Light Missing
- Access way not Clear
- DB not Secured
- Scaffold lap board missing
- Scaffold plank missing
- Scaffold Handrail missing
- Penetration not highlighted
- Temp light lead not in mechanical protection
- Scaffold kick board missing
- Fence panel not secured
- Access delineation tape not in place
- Nurse call test
- Exclusion Zone missing
- Exclusion Zone damaged
- scaffold tie missing
- scaffold brace missing
- Temp light not mounted correctly
- lead damaged
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Location
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Building Levels
- External
- Basement 1
- Ground Floor
- Level 1
- Level 2
- Level 3
- Level 5
- Level 6
- Level 7
- Level 8
- Level 9
- Level 10
- Level 11
- Level 12
- Level 13
- Basement 2
- Basement 3
- North elevation
- South elevation
- East elevation
- West elevation
- north / East corner
- North / West corner
- South / East corner
- South /West corner
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Applicable Contractor/Trade
- A&T ELECTRICAL
- A1 BEST AIR
- AAMBIANZ
- ADRIATIC CERAMICS
- AUSTRALIAN AIR CONDITIONING SERVICES
- BATTAGLIA RENDERING
- CLASSIC LININGS
- CLASSIC PAINTING
- COMPLETE PLUMBING SOLUTIONS
- CRYSTAL POOLS
- ELEPHANTS FOOT
- ELITE SCAFFOLDING
- FORCE FIRE
- FUGEN
- GEOSEAL
- GRAYS PLUMBING SERVICES
- HANSON PRECAST
- KONE ELEVATORS
- MICOS
- NSW STEEL FIXING
- PLATINUM GLASS
- POLETTI FORMWORK
- PREMIUM DOORS
- PRESTIGE JOINERY
- STRUCTURAL SYSTEMS
- UNIQUE TILE & STONE
- WARD CIVIL
- DELUXE CLEANING
- DJD BRICKLAYING
- TOGA CONSTRUCTIONS
- SYDNEY WIDE RENDER
- CLASSIC TILING
- NORSKA
- AMA ALUMINIUM
- GENERAL CRANES
- BARTON PAINTING
- BRUCE BROS CARPET
- OSTA
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Rectification Required
- Clean & Re-stock ASAP
- Clean off scaffold
- CLEAN UP ASAP!
- Clean up hazard
- Comply with hard hat policy
- Cover & Secure Peno
- Electrical test tag required
- Establish exclusion zone
- Inspection / Test electrical DB
- Install appropriate Signage
- Install Bar Caps
- Install Fall Prevention measures
- Install Fence Panel
- Lead Stand- hooks required
- Obtain Work Permit
- Provide Suitable Access
- Remove Formwork Rubbish
- Remove from site
- Restock First Aid
- Scaffolder to inspect
- Scaffolder to Rectify
- Secure / Lock Cage
- Secure Peno / Bolt Down
- Store Chemicals Securely
- Install fire extinguisher ASAP
- Repair light
- Install Light ASAP
- Clean and clear accessway ASAP
- Bolt down and secure DB
- Install lap board
- Install scaffold plank
- Install scaffold handrail
- spray paint 'PENO' on top of penetration
- Install mechanical protection on lead
- Secure fence panel
- Install access delineation tape ASAP
- Test response positive
- not working address issue imediatley
- Install Exclusion zone
- Fix Damaged exclusion zone
- install scaffold tie
- install scaffold brace
- mount light securely off ground
- remove lead off site
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Close Out By
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Signed off by -<br><br>Signature -
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Additional Comments
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Add Media/Photos
Site Compound & Signage
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Site Identification signage- security, PPE and Toga branding in place? <br>
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial actions to be completed by.
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Site fencing secure and stable?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial actions to be completed by.
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Site office clearly marked and identified?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Controlled entry (e.g. 'Digi-pad' or swipe card/turnstile?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Overhead and public protection certified (e.g. Hoarding)?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Site entry register (Form 6) on-site and in use?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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First Aid location signposted and names of Toga First Aiders clearly displayed?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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First Aid kit clearly identified and adequately stocked?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Amenities adequate for the site and code compliant?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Drinking water - adequate fresh supply?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Are lighting levels acceptable throughout the site?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Is battery back up lighting installed on the site?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Access and Egress - clear designated pathways and signage?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Lasers- warning signage on site?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Designated smoking areas and signage indicating areas?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
Notice Board
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Site Notice Board tidy and in good order?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Toga Policies and Site Rules displayed?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Emergency Evacuation Plan/ Emergency Contact List displayed on the notice board?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Toolbox Talks posted on the notice board?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Site Consultation Statement displayed, signed?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
Safety
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Previous Site HSE Inspection displayed on the notice board and required actions closed-out?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Toga Safety Alerts displayed on the notice board?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
PPE
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Site Induction stickers visible on worker hard-hats?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Sunscreen/UV protection readily available?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Hard Hats, Boots, Gloves in use?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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High Vis Vests/Shirts worn by all workers?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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PPE compliance with Toga Site Rules?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
Electrical & Fire
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Fire Extinguishers or Hose Reel service identified and tagged as current?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Hot-work permit/ flashback arresters/ fire extinguisher/ clothing/ PPE?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Main Electrical Switchboard locked after hours?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Electrical sub-boards and equipment inspected, tagged as current and connected through an RCD?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Electrical extension leads tested and tagged?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Electrical lead stands isolated cables and maintain 2m minimum clearance? <br>
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
Materials
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Hazardous Goods/Chemicals stored in a secure ventilated area?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Tools and Materials secure/stored neatly on site and not against walls or fencing?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Safety Data Sheet (SDS) available for stored materials?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
Plant
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Plant/ Maintenance Logs/ WorkCover registration completed and inspected?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Plant has warning devices & registration where required?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Lifting Gear: Man-boxes, Cages, Bins, Chains, Slings... tagged and lifting gear register maintained?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Manual Handling, mechanical aids available for use?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Is Plant locked and secured after hours?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Is Plant & Equipment excessively loud?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
Excavations & Falls
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Are Excavations-Services identified/ depth/ barricades/ shoring/ restricted access?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Excavation - Access and escape from adequate?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Slip and Trip hazards identified and controlled?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Reinforcing- Starter Bars protected with bar caps?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Penetrations- identified, covered and secured?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Are lift penetrations caged/ bundled at openings?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Are Ladders Industrial rated, and in good condition? (platform type preferred)
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Formwork- Are catch decks installed and minimum two plank platforms?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Scaffold handover and 30 day inspections available and current?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Toga Scaffold Coordinator appointed and nominated at site inductions?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Toga Scaffold Coordinator conducting "Monitoring" periodically on the scaffold?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Scaffold and deck edge protection - hand and mid rails, toe boards, bracing in place?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Scaffolding - Mobile - complete with guardrails, bracing and safe ladder access?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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If harnesses are being used on site, are the workers trained in harness use?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Are Safety Lines, Anchor Points adequate and installed by competent persons?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
Environment
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Any DA/ client specific controls required and are they implemented?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Controls listed in EMP implemented?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Traffic Management Plan adequate and displayed?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Water use permit displayed where required?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Perimeter silt fencing in place and adequate?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Drains & Pits protected from potential contaminants and soil/ storm water run-off?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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External public roads and footpaths free from soil/ mud/ debris?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Dust- Water cart hosing in use to minimise dust on site?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Concrete trucks - no washout or dedicated wash out area with signage?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Paint - captive washout system and appropriate waste disposal in place?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Hazardous Chemicals stored to prevent spills- cabinets, cage, bundling?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Oil/ Fuel spills evident on site?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Toga Spill Kit & Fire Extinguishers located in appropriate areas and sign posted?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Flora- protected by Tree preservation Order identified? Street tree protection required?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Fauna- protection. If required, is this implemented?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Noise Disturbance- any noisy works/ monitoring/ complaints requiring follow-up?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
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Recycling and Waste bins adequate and properly transported?
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Please provide person responsible for remedial action.
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Please provide remedial action, if appropriate.
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Please provide date remedial action to be completed by.
10
People present during this inspection - list below
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HSE Manager
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Site Manager
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Project Manager
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Site Safety Officer
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Site Safety Committee
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Foreman
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Subcontractor 1
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Subcontractor 2