Title Page
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Site conducted
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Conducted on
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Prepared by
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Project No
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Project Title
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Supervisor / Project Manager:
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Attendees
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At least one corrective action shall be assigned to all non-satisfactory items. Once a selection of "NO" is made please ensure to select the action option and fill out. Corrective actions will be collated in the final report PDF.
HOUSEKEEPING / GENERAL
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Has a Pre-start been completed and signed onto
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Have workers completed CDO and site-specific induction
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Has a risk assessment been conducted for the works (SWMS/UTake5)
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Is there regular disposal of waste and trash
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Are materials stacked safely
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Is the correct type and amount of safety signage used
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Are openings in floors / ground protected and barricaded
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Is the floor area clear of trip hazards
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Are stairwells lit, free from waste and handrails in place
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Is temporary fencing secure, are hoardings maintained
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Have an adequate number of bins / skips been provided and are they being used
PPE
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Is the PPE appropriate for the task
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Is the PPE being used correctly
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Is there adequate sun screen available?
HYGIENE
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Are washing facilities adequate
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Are lunchrooms/toilets sufficient
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Are staff amenities kept clean
ELECTRICAL
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Are all electrical equipment and cords tagged and tested (In date)
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Are RCDs being used for all power tools
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Is there a certificate of electrical compliance for completed electrical works? (e.g. Lunch Rooms)
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Are temporary boards adequate and safe
PUBLIC SAFETY
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Is the site secure
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Is there sufficient public separation
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Is the project sign displayed at the entry gates
SCAFFOLDING
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Have appropriate SWMS been produced for the scaffold erection
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Is the perimeter protection sufficient
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Is sufficient PPE being worn while working at heights
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Are ladders secured/tied off, angle 4:1, 1m above the landing
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Are W@H exclusion drop zones in place and effective
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Is the ScaffTag in place and legible
CHEMICALS
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Are SDSs being supplied and filed on the project
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Is the general storage of chemicals sufficient (bunded) & adequately labelled
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Is chemical waste being appropriately disposed of
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Are fuel tanks and associated fittings in good condition and free from any leaks?
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Are spill kits available, appropriate and complete
TEMPORARY WORKS DESIGN
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Has a detailed design been developed, approved and issued by a suitably qualified engineer?
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Has the design been verified for the integrity of the detailed design
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Has an appropriate inspection and/or monitoring program been developed by the project to ensure the structure remains fit-for-use
MOBILE PLANT & EQUIPMENT
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Are Plant daily inspection checklists being performed
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Is plant appropriately maintained and fit for purpose
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Are operators trained and have they been verified as competent
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Are warning lights and reversing alarms operational
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Does plant have an operational UHF
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Does plant have a plant hazard assessment?
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Is the plant inducted (Damstra)
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Are there adequate traffic control measures in place
EXCAVATIONS
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Has Dial Before You Dig been performed & copies available
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Has an excavation permit been completed and being followed
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Are trenches braced and have adequate shoring or properly battered/benched
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Is the excavation barricaded (prefer hard type)
CRANAGE/LIFTING
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Lifting equipment has unique serial numbers/registers & are in date
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Mobile Crane Pre-Lift Check/ Pick and Carry Lift Plan/ Mobile Crane Pre-Lift Check been completed
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Is the safe distance from overhead power lines being maintained
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Has the ground condition been assessed for stability
TRAFFIC MANAGEMENT
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Is an approved traffic management plan in place?
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Are daily checks being completed and documented?
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Are the people performing the traffic management trained and competent?
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Is signage/delineation in good condition and easily readable
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Are truck movement records up to date and being recorded by drivers?
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Is there adequate LV/HV vehicle and pedestrian separation
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Are park up areas set up in such a way to prevent the uncontrolled movement of parked vehicles
EMERGENCY MANAGEMENT
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Is an evacuation plan in place and available
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Are emergency contact details detailed, available and correct
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Are there correct fire extinguishers provided?
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Are the fire extinguishers regularly tested / tagged and up to date?
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Emergency access and Egress paths free from obstruction?
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Are first aid kits fully equipped and content in date?
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Is there a first aid register of treatments given and first aid supplies used
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Is there a defibrillator and is it in date and easily accessible
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Is there a clearly defined Emergency Evacuation Point
CONFINED SPACE
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Has a confined space permit been completed and being followed
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Are workers trained
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Are there are means of rescue
HOT WORK
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Has a hot work permit been completed and being followed
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Is a flash back fitted to Oxy/acetylene equipment
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Area free from fire hazards (Debris/flammable liquids etc.)
WORKING NEAR WATER
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Has a SWMS been developed for the works
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Is the relevant PPE available and being used
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If vessels are being used are they in current survey
WORKING AT HEIGHTS
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Have appropriate SWMS been produced
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Has a working at heights permit been completed and complied by?
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PPE Equipment has unique serial numbers & register
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Are ladders secured/tied off, angle 4:1, and 1m above the landing
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Is perimeter protection sufficient
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W@H exclusion drop zones in place and effective
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Is there a secondary securing mechanism (Lanyard) affixed to hand tools or equipment?
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Has the ground conditions been assessed for EWP use
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SIGN OFF (WHEN COMPLETE)