Title Page
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Conducted on
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Prepared by
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Location
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Location
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Date
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Name of Inspector
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Time
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Operation
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Staff on Site and responsibilities
Site Specific Risk Assessment
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Is the SSRA correctly filled in?
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Is there an emergency plan in place?
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Has a working at height justification been undertaken?
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Have Covid 19 arrangements and control measures been identified?
Manual Handling
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Are good manual handling techniques being undertaken?
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Reason?
Method Statement
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Is this correctly filled in?
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Have Covid-19 / Infectious disease arrangement and control measures been considered?
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What should be considered?
Site Organisation
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Fuelling Station - 4m away from work zone?
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Reason?
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Drip tray / plant nappy being used?
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Reason?
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PPE – available, used correctly etc.
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Reason?
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PPE - related to Covid-19 / Infectious Disease available, used correctly etc.
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Reason?
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Correct cordoning
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Reason?
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Traffic Management
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Reason?
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Chipper location/ conversion of debris – suitable & safely undertaken?
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Reason?
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General Organisation – ropes, tidiness, communication
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Reason?
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Climbing Techniques- good practice?
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Reason?
Aerial Rescue Provision
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Emergency Plan – who is responsible for what?
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-where is it on site? Rescue line? MEWP?
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Reason?
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W@H justification?
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First Aid Provision – correctly stocked and in date? Israeli dressing carried by all staff?
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PTO
Effective Communication
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Is effective communication being maintained throughout the operation?
Tools and Equipment
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Chainsaws comply with FIS 301
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Chippers FISA 604 handbook available
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Grinders FISA 606 handbook available
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Climbing kit checked and serviceable. Would it pass a LOLER examination?
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Rigging kit checked and serviceable
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Vehicles checked and serviceable
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Vehicles loaded and secured correctly
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Is the MEWP set up properly and being used safely?
Environmental Considerations (EC’s)
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Has a Wildlife R/A been filled out?
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Have all EC’s been taken into account? – Fuels /oils stored correctly?
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Is there a spill kit on site and an environmental emergency plan?
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Biosecurity- has this been considered adequately, if applicable
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Certification
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Employees adequately qualified for tasks being undertaken?
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Driver correctly licensed for vehicle combination?
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General Comments
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Signed