USI Transit Pre-Work Assessment - 2022

• Person conducting Assessment

• Document No.

• Conducted on

  Date

• By signing this document the above employees agree to having taken part in the Toolbox talk and agree that the checklist items have been completed as indicated

COVID-19 Declaration

• Do any workers feel unwell?

  Yes

  No

  N/A

• Please notify your USI coordinators

• Do any workers have any cold & flu symptoms?

Pre-Work Information

• Does the work party have all SWMS required for the shift?

• Have the site SWMS been read and understood by all workers on site?

• Does the work party have all COVID Safe plans required and has been read and understood by all workers on site?

  Yes

  No

  N/A

• Are all workers Depot inducted to the sites they will be working on during the shift?

  Yes

  No

  N/A

• Are all required SDS's and a hazardous substances register present?

• Is there at least one functioning mobile phone in the team?

  Yes

  No

  N/A

• Are all power tools and electrical leads tested and tagged and in date?

• Are all required permits to work with the team?

• Is there a fully stocked first aid kit with the team?

  Select Yes No N/A

  • Yes
  • No
  • N/A

Toolbox talk topics of discussion

• 
  (Thought points to consider - weather conditions, workers notes, safety issues, aspects specific to job being performed during the day)

• Have you discussed the following:

• Toolbox topic 1: Preventing Falls

  Yes

  No

  N/A

• Toolbox topic 2: Site PPE

  Yes

  No

  N/A

• Toolbox topic 4: Access Points - roofs, ladder brackets

  Yes

  No

  N/A

• Toolbox topic 5: Depot Covid protocols

  Yes

  No

  N/A

• Toolbox Topic 6: Reporting Incidents, Near miss or verbal altercations

  Yes

  No

  N/A

Equipment Checks

• Do all workers have access to Hand Sanitiser?

  Yes

  No

  N/A

• Please ask management for hand sanitiser

• Which ladders are you using?

  Select Fibreglass Extension 22ft Fibreglass Extension 30ft Aluminium Extension 22ft Aluminium Extension 30ft Aluminium Extension 40ft Fibgreglass Step ladder Aluminium Step ladder N/A

  • Fibreglass Extension 22ft
  • Fibreglass Extension 30ft
  • Aluminium Extension 22ft
  • Aluminium Extension 30ft
  • Aluminium Extension 40ft
  • Fibgreglass Step ladder
  • Aluminium Step ladder
  • N/A

• Are all ladders free from major dents and crack?

• Are all ladders safe to use?

  Yes

  No

  N/A

PPE - all workers must check they have the following items present with them and that they are in serviceable condition

• Do all staff have a hi-vis vest in an approved colour and style?

  Yes

  No

  N/A

• Are all staff wearing steel capped boots?

  Yes

  No

  N/A

• Is sunscreen available?

• All staff wearing face masks when required with the NSW Health Laws?

  Yes

  No

  N/A

Sign off

• Team Leader

  Sign

• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Insert photo of my issues

  Media