Information
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Document No.
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Site Number and Suburb
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Conducted on
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Prepared by
Details
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Type of Inspection
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Contractor/Company
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Enter names of Workers on site
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Fusion number/Vehicle ID
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Size of Panel being Installed
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Location/Depot
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Task being carried out
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Weather Conditions? (Dry, Windy, Fine etc.)
Working at Heights
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Are harnesses and lanyards worn over 2 meters?
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Are there ladder stops (brackets) at the top of the billboard?
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Are ladders being used by one Worker only?
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Do gantries or walkways have edge protection in the form of handrails or similar?
Protection Equipment & Clothing
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Are gloves being worn if necessary for safe work?
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Are reflective Hi-Vis vests (PPE) or shirts being worn?
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Is sunscreen and long sleeve shirts available?
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Are safety boots being worn?
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Is a helmet being worn?
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If required, are safety glasses being worn?
Hazardous Material
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Are hazardous material used on site?
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Is there a hazardous substance register? Are MSDS's available?
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Is there a hazardous substance register? Are MSDS's available?
Work Environment
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Is floor or surface around installation site even?
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Ladder adjuster/leveller on ladder to adjust unevenness used?
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If raining, is wet weather clothing being worn?
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If applicable, is access gate locked if unattended?
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Are public areas clean and tidy,clear of trip and slip hazards and exits clear from obstruction?
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Are work areas clean and tidy,clear of trip and slip hazards and exits clear from obstruction?
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If working at night, is there suitable lighting to carry out work safely?
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Are emergency procedures displayed and understood by all Workers?
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Is there a fully stocked first aid kit on site?
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Is there a designated First Aider on site?
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Environment Control: are noise, dust, water run off, sedimentation adequately controlled?
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Have appropriate permits been issued (hot work, tools of trade, confined space etc.)?
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Has dial before you dig been completed for excavation work?
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TRANSIT: are bus warning signs in use on the front door?
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TRANSIT: has the worksite been cordoned off using witches hats?
Documentation
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Are all Workers carrying their APNO Photo ID?
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Are all Workers carrying their WorkCover card (White/Blue/Red)?
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Have all Workers bee inducted at this site/depot?
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SSMP Site Safety Management Plan (including Emergency Response Plan) on site?
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Pre-Work checklist completed?
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Is the SWMS on site?
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Was a site risk assessment carried out before work commenced?
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Has a toolbox talk been completed (to be detailed on the Pre-work)?
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Is there an Authorised Incident Report Form on site?
Personnel
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If required, did the work party sign in?
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Is there a minimum of 1 functioning mobile phone on site?
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At the job is 2 workers, have correct ladder footing procedures been completed?
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Any behaviour problems when instructed on WHS?
Vehicle
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Is the vehicle parked legally and safely?
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Have safety cones / hazard lights / PPE in vehicles been deployed appropriately?
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Insert photo of vehicle parking
Electrical & Tools
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Are there electrical hazards on site?
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Have Workers undertaken Electrical Safety Course?
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Are long metal objects used for this job (tracking, poles)?
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When removing lengthy metal tracking from skin, is there a 3m clearance from OHPL?
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Are electrical leads, power boxes & tools checked and tagged?
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is installers equipment in good and safe working order?
Post Assessment
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Any comments or notes?
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Discussion with work party
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Any non conformances?
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List non conformances
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Corrective actions required
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Inspectors name and mobile number