Valmec field leadership site visit

• Contract Name & Number:

• Conducted on

  Date

• Prepared by

• Add location
  Address

• Personnel attending

GENERAL

• A. Daily Pre-Start completed with all staff signed onto including visitors and sub-Contractors?

  Safe

  At Risk

  N/A

• B. Site Inductions

  Yes

  No

  N/A

• C. Permits carried out for significant works - Notifiable works?

  Safe

  At Risk

  N/A

SELECT A WORK AREA

• A. General Housekeeping

  Safe

  At Risk

  N/A

• B. Walking - Working Surfaces

  Safe

  At Risk

  N/A

• C. JHA specific to task

  Safe

  At Risk

  N/A

• D. Material Storage/Lay Down

  Yes

  No

  N/A

• E. General public and motorists

  Safe

  At Risk

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• A. Safety Glasses

  Safe

  At Risk

  N/A

• B. Hard hat

  Safe

  At Risk

  N/A

• C. Clothing - long sleeves and trousers

  Safe

  At Risk

  N/A

• D. Gloves

  Safe

  At Risk

  N/A

TOOLS AND EQUIPMENT

• A. In Good Condition

  Safe

  At Risk

  N/A

• B. Inspected as required

  Safe

  At Risk

  N/A

PLANT/EQUIPMENT

• A. Daily Plant Checklists carried out?

  Safe

  At Risk

  N/A

• B. Operator Qualified

  Safe

  At Risk

  N/A

• C. Correct setup and use

  Safe

  At Risk

  N/A

Comments/Recommendations

• Enter any corrective actions that will be undertaken

Sign Off

• Managment Representative

  Sign

• Site Supervisor

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