Information
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Statin or Road Site Name
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Panels Covered
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Document No.
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Conducted on
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Prepared by
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A new form is to be completed with each new site or platform
Site Hazards
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Has everyone read and understood the SWMS?
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Stop work and read SWMS
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Is the site safe to post on, and is working on site safe for the public?
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Stop work and ring Coordinator
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Are there any environmental hazards for this site?
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Detail environmental hazards
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Are there any trip hazards?
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Detail trip hazards
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Where did you park your vehicle?
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Have you and your team signed in with the station master?
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Is a Protection Officer required for this site?
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Add PO details below
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Do you cross an active track?
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Are all workers wearing correct PPE?
Electrical Hazards
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Are there any Overhead Power Lines (OHPL) near to work site?
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How far away are OHPL?
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Can any equipment foul live lines?
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What protection is in place?
Height Hazards
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Is a ladder required for this site?
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What type of ladder do you use?
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What is the maximum working height?
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Can the ladder be placed on even ground or secured?
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How do you secure the ladder?
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Do you require an EWP for this site?
Sign Off
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Are there any other hazards identified for this site?
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Detail hazards for review and controls put in place
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Team Leader name
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Offsiders Name
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In case of emergency, dial 000 and ensure an incident report form is completed
