Title Page

  • Conducted on

  • Prepared by

  • Add location
  • Select date

  • Team/engineer

PPE

  • When do you wear your safety glasses?

  • How and where are dust masks and BA stored?

  • When do you wear your head protection and is it in date?

INJURIES/RISK ASSESSMENT

  • Have you recorded the hazard?

  • Is your work area clear of hazards?

  • Do you minimise trips to and from your vehicle?

VEHICLES

  • Do you complete your 360 walk around?

  • Did you know that you need to inform your own insurer after a vehicle incident at work?

  • Is the rear of your vehicle tidy? (Back step/internal walkway)

CABLES

  • What are the internal risk areas for drilling?

  • When do you contact the supervisor when using Take Care?

  • Do you discuss site safety even when Take Care does not request contact?

  • What options are available to assist us in avoiding excavating near cables?

  • Did you know that we had two HV cable incidents in West last year?

  • Do you maintain electrical continuity, and escalate if this cannot be done?

HEALTH & WELLBEING

  • Do you have the correct details for support if required (EAP)

  • Did you know you can confidentially complete a stress management risk assessment?

ADDITIONAL INFORMATION

  • ESD Recorded in IMS

  • Hazard/Near Miss Recorded?

  • Add media

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.