Title Page

  • Site conducted

  • Department

  • Conducted on

  • Presented By & Position

  • Location
  • ******Disclaimer ****** The assessors believe the information contained within this risk assessment report to be
    correct at the time of printing. The assessors do not accept responsibility for any
    consequences arising from the use of the information herein. The report is based on
    matters which were observed or came to the attention of the assessors during the day
    of the assessment and should not be relied upon as an exhaustive record of all possible
    risks or hazards that may exist or potential improvements that can be made.
    Information on the latest workers compensation and OHS / WHS laws can be found at
    the relevant State WorkCover / WorkSafe Authority.

  • *******Confidentiality Statement****** In order to maintain the integrity and credibility of the risk assessment processes and to
    protect the parties involved, it is understood that the assessors will not divulge to
    unauthorized persons any information obtained during this risk assessment unless
    legally obligated to do so.

Ventia Anglo American Contract Pre-Start

  • Safety Share

  • Any Incidents and/ or Hazards to be Reported

  • Enviormental issues/ Hazards

SWI/ Slam Review

  • Task

  • Hazards

  • Controls

Toolbox/ Food Safety Review/ PPE Requirements

  • Topic of Review

  • Discussion Notes

General Business/ Handover/ Things to Know

  • Discussion Notes

Signoff Page

  • By Signing this document you agree that
    the content and intent of this document
    has been explained, submitted, understood
    and received.

  • Employee Name

  • I am Fit For Work

  • Bac Testing Completed & Witnesses & 0.000 Result Returned

  • Signature Required

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