WH&S FIELD CHECKLIST VERSION 1.0

• FSE Name & Code

• Vehicle Make

• Model

• Vehicle Colour

• Registration

• Expiry Date

  Date

• Trailer Registration

• Expiry Date

  Date

• Field Visit Number.

• Conducted on

  Date
• Location
  Address

• Prepared by

SERVICE LISTED ON FMS

• Mowing (Including ride on)

  Yes

  No

  N/A

• Gardening(inc. landscaping,mulch,rubbish etc)

  Yes

  No

  N/A

• Chainsaw

  Yes

  No

  N/A

• Single Story Gutters

  Yes

  No

  N/A

• Double Story Gutters

  Yes

  No

  N/A

• Tree Pruning/Hedging

  Yes

  No

  N/A

GENERAL

• First Aid Kit

  Yes

  No

• OH&S/WHS Manual

  Yes

  No

• Completed SWMS for listed services

  Yes

  No

• Blank SWMS

  Yes

  No

• Blank Accident/Injury Report Forms

  Yes

  No

• Fire Extinguisher AS/NZS 1841.5

  Yes

  No

• Safety Cones MIN 300 mm

  Yes

  No

• Insect Repellant

  Yes

  No

• Awareness Signs

  Yes

  No

• Sunscreen 30+

  Yes

  No

UNIFORMS

• Hat

  Yes

  No

• Green Long Pants/Shorts and Chaps

  Yes

  No

• Green/Hi-Vis Long-Sleeved Shirt or Polo

  Yes

  No

LAWN MOWING/EDGING/BLOWING

• Hearing Protection Min 110db (A)

  Yes

  No

• Safety Glasses 99.9% UV Protection

  Yes

  No

• Steel-Capped Boots

  Yes

  No

• Guard on Whipper Snipper

  Yes

  No

GARDENING

• Sturdy Gloves (eg: Leather Rigger Gloves or Gardening Gloves)

  Yes

  No

FUELLING MACHINERY

• Heavy Duty Gloves

  Yes

  No

• Spill Tray

  Yes

  No

• Chemical Resistant Google

  Yes

  No

CHAINSAW/HEDGING/PRUNING

• Hard Hat with Solid Visor AS/NZS 1801

  Yes

  No

• Hearing Protection Min 110db (A)

  Yes

  No

• Safety Glasses 99.9% UV Protection

  Yes

  No

• Steel-Capped Boots

  Yes

  No

• Chaps: AS/NZS 4453.3:1997

  Yes

  No

• Sturdy Gloves (eg: Leather Rigger Gloves or Gardening Gloves)

  Yes

  No

GUTTERS

• INDUSTRIAL Rated Ladder Min 120 Kg

  Yes

  No

• Ladder Lock Device

  Yes

  No

• Harness And Qualification (Check for Expiry Date)

  Yes

  No

• Sturdy Gloves (eg: Leather Rigger Gloves or Gardening Gloves)

  Yes

  No

SPRAYING

• Respirator

  Yes

  No

• Chemical Resistant Goggles

  Yes

  No

• Sturdy Gloves (eg: Leather Rigger Gloves or Gardening Gloves)

  Yes

  No

EMPLOYEES

• Induction Training Record

  Yes

  No

• Record of Safety Meeting

  Yes

  No

• PPE for Employees

  Yes

  No

• Green / Hi-Vis Long-Sleeved Shirt or Polo or Jumper or Windcheater

  Yes

  No

EQUIPMENT

• Guards Fitted to Machinery

  Yes

  No

• CHAINSAW has Working Brake With Click

  Yes

  No

• MOWER: Check for Holes in Structural Shell or Guard

  Yes

  No

SPILL KIT

• SPILL Kit

  Yes

  No

SAFE WORK AT HIGHTS COURSE RIIOHS204A

• Certificate Number

  Yes

  No

• Date Qualified

  Date

ADDITIONAL COMMENTS

• Franchisee Signature

  Sign

• Select date

  Date

• Franchisor Signature

  Sign

• Select date

  Date