UTAS Contractor WHS Inspection

ELF2B - 2CER

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel in Attendance

1) Access, Egress & Housekeeping

• - Access and egress to work area is clear of obstruction and easily defined
  - Work areas are orderly and free from trip hazards (e.g. tools and rubbish)
  - Materials are stored in a neat and orderly state
  - General work area is clear of trip hazards and any rubbish or off-cuts
  - Waste bins are available for use and not overflowing, correctly used
  - Entry signs (if required) are located at appropriate locations to work area

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

2) Behaviour & Work Habits

• - Workers and assisting persons are wearing mandatory PPE
  - Workers are wearing task specific PPE as required
  - Worker are not taking any obvious risks
  - Workers are using the right tools for the task at hand

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

3) SQE Risk Management

• - All workers have been inducted
  - Take 5 assessment has been appropriately completed
  - SWMS documentation available for high risk tasks
  

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

4) Excavation & Trenching

• - The CSD Contact Officer has approved any Excavation/ Trenching/ Ground breaking / Penetrating work activities
  - Trench walls are appropriate battered, benched or shored
  - Spoil Stock piles are placed appropriate distance from edge
  - Barricades, fencing securing excavation adequate to prevent people from entering the immediate work area
  -Underground services identified, positively marked and isolated where possible
  -Safe means of access and egress maintained (ladders, stairs or ramps for excavations greater than 1.5m in depth.
  -Daily inspections carried out for all excavations over 1.5 metres in depth
  

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

5) Mobile Powered Plant

• - Daily Inspection completed and any faults recorded
  - SWMS documentation completed and available
  - Beacons and motion alarms are operational
  - Plant operations are appropriately isolated or separated from adjacent work activities
  - Spotter is in place for plant operations where plant operation can not be controlled by barricades or fencing
  - Plant operators are not operating when using a mobile phone
  - Operator holds applicable license / competency andcompetency has been verified
  - Plant has fire extinguisher
  - Appropriate traffic control signage in place
  -Overhead services and structures identified with appropriate control measures implemented to prevent collision by plant and vehicles
  -Pedestrian / vehicle crossing points clearly identified and controlled
  -Loading/unloading zones clearly delineated with controls to prevent unauthorised access
  -Effective communication between plant operators and ground controllers
  -Keys removed from plant when not in use

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Corrective / Remedial Action

6) Tools & Equipment

• - Tools and Equipment are appropriate for the task being undertaken and free from obvious damage
  - Oxy / acetylene sets have flash back arresters fitted
  - Fixed / retractable blade knives are not being used (Stanley Knives)
  - Plant Fire Extinguishers have been tested tested in previous 6 months

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

7) Lifting Equipment & Operations

• - Lifting Equipment is appropriate to the task and ready to use
  - Lifting device is tagged / identified with SWL / WLL
  - Dogman / Rigger holds the relevant competency and has been verified
  -Cranes/lifting appliances regularly inspected, certified, tested and maintained.
  -Pre-start inspection and/or function test completed
  -Physical barriers and/or other suitable controls in place to exclude unauthorised persons from lifting operations.
  -No loads lifted or suspended over people or walkways
  -Ground conditions assessed with controls in place to stabilise equipment
  -Tag lines used on loads which are liable to swing whilst being hoisted
  -All rigging equipment kept in good order and condition and defective gear replaced or tagged and marked for repair.

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

8) Electrical & Lighting

• - Equipment is tagged and in test date
  - RCD is fitted to mains supply or portable generators in use
  - Leads are run out correctly off the ground and supported on insulated stands or hooks
  - No lead extends > 35 meters and are fitted with clear shrouded plugs with LED indicator
  - Access and / or task lighting is adequate and work lights have protective cage or diffuser
  -Electrical supply panels fixed and secured to prevent unauthorised access. RCD and circuit breakers locked
  -No piggybacking or double adapters

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
  • Quality
  • Environment

• Observation / Hazard / Issue

  Observe

  Hazard

  Issue

• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
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  Select Safety Quality Environment

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  Select Safety Quality Environment

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  Select Safety Quality Environment

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• Are there further issues with this category

  Yes

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9) Hot Works & Welding

• - Hot Works Permit is current and available
  - Suitable fuel reduction and fire fighting provisions in place
  - Oxy and other bottles stored up right and secured
  - Oxy / Act bottles on trolley with flash back arrestors at bottle & torch + extinguisher
  - Welding signs are set out in appropriate locations

• Are there issues with this category

  Yes

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  Select Safety Quality Environment

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  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Close-out Time Frame

  Immediately

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• Signature once item fixed / closed

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  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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  Select Safety Quality Environment

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  Select Safety Quality Environment

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  Select Safety Quality Environment

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• Discipline (SQE)

  Select Safety Quality Environment

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  Select Safety Quality Environment

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• Are there further issues with this category

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10) Working Platforms & Fall Protection

• -Incomplete scaffold sign posted
  -Scaffold tied in at regular intervals or mobile assembled correctly using check sheet
  -Toe boards fitted when > 2m high
  -Scaffold have base-plate or screw jacks
  -Scaffolds adequately braced
  - No gaps > 225mm between perimeter edge and scaffold. <6m metres from rail (fibre glass)
  - Edges are appropriately delineated and barricaded
  - Edge protection in place is appropriate for the protection required
  - Penetrations are covered, secured and handrailed with applicable signage
  - Platform ladders in good condition, Industrial rated (120kg) and set up correctly

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

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  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Signature once item fixed / closed

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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  Immediately

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• Discipline (SQE)

  Select Safety Quality Environment

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  Immediately

  24hrs

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• Are there further issues with this category

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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• Discipline (SQE)

  Select Safety Quality Environment

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  Immediately

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• Are there further issues with this category

  Yes

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11) Work at Heights

• - Personnel working at height are using the correct fall prevention equipment
  - Fall restraint / arrest equipment is certified and in date
  - Method of working at height follows the Hierarchy of Controls for working at height
  - Work at Height Permit has been issued and is in date
  - Work at Height / EWP Rescue Plan has been developed for the works
  - Personnel conducting work at height have been trained (within previous 2 years)
  -Penetrations, shafts and risers protected to prevent the fall of people and material. Covers must be robust, securely fastened and identified (signage)
  -Grid mesh or flooring material installed as per design requirements, secured at all stages of installation, and regularly inspected.
  -Roof mesh is not used as a primary means of fall protection.

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

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  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

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  Immediately

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

  No

12) Chemical & Dangerous Goods

• - MSDS documentation available on site
  - Hazardous Substances are stored correctly
  - Flammable substances stored in bundled area
  - Spill Kit is available at the work location
  - No evidence of spills

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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  Immediately

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• Are there further issues with this category

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• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

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• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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  Immediately

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• Are there further issues with this category

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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  Immediately

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

  No

13) Environmental Management

• - Controls in place where there is a risk of pollution of waterways
  - Erosion and sedimentation controls in good working order
  - No evidence of polluted water or other substances leaving the work area

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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  Immediately

  24hrs

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

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• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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  Immediately

  24hrs

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• Are there further issues with this category

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• Discipline (SQE)

  Select Safety Quality Environment

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• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

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  Immediately

  24hrs

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• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

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  Immediately

  24hrs

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• Signature once item fixed / closed

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• Are there further issues with this category

  Yes

  No

13) Emergency Procedures

• - Workers aware of evacuation procedures
  - Workers aware of First Aid Kit locations
  - First aid kits accessible and checked and re- stocked regularly
  -First aid posters displayed and contact details listed
  -First aid areas kept clean and tidy
  -Eye wash facilities available if required

• Are there issues with this category

  Yes

  No

• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

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  Immediately

  24hrs

  7 days

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  Sign

• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
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• Observation / Hazard / Issue

  Observe

  Hazard

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

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• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

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• Corrective / Remedial Action

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  Immediately

  24hrs

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  Sign

• Are there further issues with this category

  Yes

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• Discipline (SQE)

  Select Safety Quality Environment

  • Safety
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• Observation / Hazard / Issue

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• Corrective / Remedial Action

• Contractor Responsible

• Close-out Time Frame

  Immediately

  24hrs

  7 days

• Signature once item fixed / closed

  Sign

• Are there further issues with this category

  Yes

  No