Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Site Access & Conditions
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Chain/Lock system operational & maintained
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Adeequate site signage in place and readable
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Site maintained ( eg long no long grass )
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Has this been raised to the land lord or equivilent to address
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Adequate lighting/Ventilation to carry out works
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Access track structurally sound
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Airconditioning working at cool temperature
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Building entries sealed
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Site free from vermin damage/dropping/activities
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No hazards identified above (rooftops or towers)
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What actions are required to carry out works safely
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Site Clean
Induction and Access to Site
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Site visitors inducted and signage available on SWIMS/Vistor Induction
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Pre start carried out and available on site
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Emergencey Proceedures in Place?
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Barricades/cones/tape/temp fencing in place to prevent public or general access
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Warning Signs in Place?
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PPE signs in place
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Overhead work area secured from public access
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Management System
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Work Health and Safety Management Plan available on site
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SWIMS adequate and relevant tasks being carried out
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Personell on site working in compliance with the SWIMS
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If Not what actions/ recommendations are recommended
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Pre start meetings carried out and records available
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Permits/Approvals to work obtained (ie Hot works, Confined spaces, etc)
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Assessment checklist undertaken for high risk works
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Where has this been captured
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Assesement checklist undertaken for high risk works
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Opportunity for Improvement
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Corrective Actions
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signature of inspector
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Signature of person involved