Title Page
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DOCS-50-109 V: 1.0
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UGL Leadership Safety Conversation
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Conducted on
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Leader Nane
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Leader Position
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Project Site/Visited
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Project Manager/Site Supervisor
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Site Escort
What Critical Risks are associated with the works? (Please tick )
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What Critical Risks Are Associated With The Works? (Please Tick )
- Working at Heights
- Mobile Plant
- Confined Spaces
- Excavation & Trenching
- Cranes & Lifting Operations
- Energy Isolation
- Working with Electricity
- Managing Traffic
- Hazardous Chemicals
- Asbestos (ACM)
- In/Around Rail Corridor
- Movement of Rolling Stock
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Critical Risk Focussed HSSE Conversations
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Enquire about recent incidents and Critical Risks present on Site
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Observe a task involving Critical Risks and confirm Critical Controls are identified and implemented
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Review SWMS/JHA for work task. Confirm all Critical Risks and Critical Controls are identified and the workgroup have reviewed and understand the SWMS/JHA
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Observations (describe what you saw/discussed with a focus on Critical Risk and Critical Controls)
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Actions (describe what you did to promote positive HSSE behaviors and address ‘at risk’ behaviors)
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Photo
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UTrac Record Number
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Leaders Signature
