Visionstream SHE Shutdown Checklist - Dec 2015 Copy

• Visionstream SHE Shutdown Checklist

• Client / Site

• Conducted on

  Date

• Prepared by

Environment

• Have erosion, sediment controls and stock pile been removed from site

  Yes

  No

  N/A

• Has site equipment and machinery been removed from site?

  Yes

  No

  N/A

Safety

• Are All work areas are clear from debris and equipment removed off site? eg: fencing, barriers.

  Yes

  No

  N/A

• Are safety barriers secure (tied/fixed in place)

  Yes

  No

  N/A

• Where practicable, have all excavation been back filled? If not why, and explain how they have protected them. E.g. Plate, safety fences

  Yes

  No

  N/A

• Where excavation are unable to be filled. Are the excavation sites secure? (Barricades have been put in place). Is all temporary reinstatements compliant? E.g. Cold mix

  Yes

  No

  N/A

• Have all trip hazards been eliminated?

  Yes

  No

  N/A

• Are all signs removed from site? (Except sites with open/secured excavations).

  Yes

  No

  N/A

• Other Comments

• Signature of Site Manager Representative

  Sign

• Date

  Date

• Completed checklists should be emailed to Melanie.dawson@visionstream.co.nz