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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Adequate Supervision for all the tasks perfomed
Working at heights
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Traditional step and single ladders used appropriately as a means of access or exit from a work area
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Platform ladders Platform ladders available on-site and used appropriately and secure
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Fall arrest/restraints system applied and including harnesses, lanyard and anchorage implemented ?
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Rescue / Retrieval procedure/kit readily available ?
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Exclusion zones implemented for workers and general public ?
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Outdoor works without overhead shelter have suitable scaffolding or netting installed to protect workers and public when overhead works conducted ?
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SWMS and Present capture essential need for simultaneous works with overhead works while works carried out within exclusion zones
Elevated Work Platform (EWP)
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EWP SWMS acceptable for work being carried out ?
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Vehicle maintenance log valid ?
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Barricades / Cones / Temp fencing and signage in place to prevent public access ?
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Ground or foundations appear to be stable/solid for any outriggers?
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Any comments further to support ?
Crane and other Mobile Plant
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Crane/Plant SW<S acceptable for works being carried out?
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Maintenance record for vehicle valid?
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Is the operator fit for duty ?
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Barricades / Cone/Temp fencing in place with signage to prevent public access ?
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Lift Plan has been implemented and followed ?
Traffic and pedestrian Management
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Vehicles separate from public ?
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Delivery and laydown area defined as required ?
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Traffic and Pedestrian Management in place where required and plan on site ?
Personnel Amenities
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Toilet facilities identified locally
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Water available on site
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Rest area/rib available and identified ?
First Aid and Emergencies
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First aid kits readily available and access able and stoked?
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Fire Extinguishers available at work location?
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Emergency response plan in place with local medical center details
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Assembly area defined ?
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Emergency contact details displayed and available
Personal Protective Equipment (PPE)
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Appropriate clothes being worn ie Long and Long
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Hard hats worn on site
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Adequate safety footwear for the task in hand
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Respirators available on site if required
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Safety Glasses worn as required
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Hearing protection available as required
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Sun Protection available if required
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Appropriate Gloves work for handling material and electrical works conducted?
Manual handling
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Safe work practices adopted ?
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Correct posture used for the task ?
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Correct tools and lifting devises adopted for the task?
Tools and Equipement
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All personnel on site feel they have been allocated adequate recourses for the work to be done safely
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Tool lanyards fitted /available for overhead works?
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Tools tested and tagged
Electrical
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Power supply adequate?
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Tools and equipment tagged, tested and current
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RCD 's in use
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Leads on stands etc. protected from damage and ft for purpose
Hot Works / Protection
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Area clear of flammables / combustibles ?
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Fire extinguishers available on work area and appropriate for use
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Screens applied and used as required ?
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Hot works permit applied and approved
Wastes Management
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House keeping acceptable ( eg free of litter/clearance of rubbish/hazards) ?
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Appropriate waste disposal in place
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Is regular removal of waste carried out in a timely manner
Confined and Restricted Spaces
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Entry permit used where required
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Confined space signage in place ?
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Stand by Person at entrance ?
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Air monitor in place
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Respirators available if appropriate
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Rescue procedure in place and equipment available
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Communications and method agreed and in use during task
Asbestos
Opportunity for Improvement
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Corrective Actions
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Inspection carried out by
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Signature of person involved