WORKPLACE INSPECTION NO 44: JobSTART CHECKSHEET

• Inspector:

• Supervisor:

• Company:

• Location:
  Address

• Date:

  Date

INSPECTION

• Is the JobSTART dated?

  Yes

  No

  N/A

• Site control information is complete? (Job location, nearest medical facility, TC provider, etc)

  Yes

  No

  N/A

• Evacuation point has been identified?

  Yes

  No

  N/A

• JobSTART Checklist is complete?

  Yes

  No

  N/A

• Hazards are listed and includes Reversing?

  Yes

  No

  N/A

• Each hazard has been assessed for Risk (VH, H, M, L, VL)?

  Yes

  No

  N/A

• Controls clearly identified?

  Yes

  No

  N/A

• Revised risk rating once controls are in place is Medium or lower? (Stop work and contact your manager if risk remains H or VH)

  Yes

  No

  N/A

• The JobSTART has been signed by all crew members?

  Yes

  No

  N/A

• Have new activities or tasks that are not part of a routine day been assessed and included on the JobSTART?

  Yes

  No

  N/A

• Has the date of last toolbox meeting held been noted?

  Yes

  No

  N/A

Inspection Team

• Signature:

  Sign

• Signature:

  Sign

• Signature:

  Sign