Information
General Safety Review and Audit to be Completed by All Field Crews Prior to Commencing the Day's Work Program --------- Checklists are Guides to help ensure 1) Equipment is in Sound Working Order and; 2) Personnel are Properly Equipped -------- Attention to Safety Is Everyone's Responsibility
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Document No. [document no.]
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Prepared by
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Conducted on
Daily Pre-start Review
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Enter your Daily Objective
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Can the Map be easily located in the Camp Office / Caravan in case of emergency?
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Has your proposed Work Location for the Day been recorded on a Map?
CG Related Personnel on Site - Fitness for Work
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A Ronk
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B Rogers
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B Thomas
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B Underwood
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C Tuffley
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D Compston
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D LeMadec
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G Kennedy
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G Croom
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I Forbes
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J Sharp
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N Milford
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N Provins
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O Kiddie
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R Scott
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Enter Name
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Enter Name
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Enter Name
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Enter Name
Contractor Groups on Site - Fitness for Work
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Enter Name of Contractor
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Enter Number of Employees on Site
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Enter Name of Contractor
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Enter Number of Employees on Site
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Have all Inductions been completed?
PPE Equipment Check: 1) Water, 1st Aid Kit, Basic Survival Supply 2) Map, Compass, GPS 3) Communication Gear, SPOT/EPIRB. 3) Sun Screen, Appropriate Clothing. 4) PPE Appropriate for Job - Hearing Protection, Hard Hat, Safety Glasses, Safety Boots
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Are All Personnel Properly Oufitted?
CG Related Vehicles in use - Pre-Checks Completed 1) tyres, wheel nuts, bearings, repair kit, compressor 2) fluids and lubricants - fuel, oil, grease, coolants 3) tools, ties, recovery gear - load checked for security 4) indicators and lights 5) Fire Suppression Equipment
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Are Licensed Motor Vehicles Fit For Use?
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Are All Bikes (unlicensed) Fit Or Use?
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Are All Caravans/Trailers fit For Use?
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Damaged or in Need of Repair or Replacement? Remember to Tag!
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Insert Photo if Applicable
CG Plant and Equipment in use - Pre-Checks Completed 1) tyres, wheel nuts, bearings, repair kit 2) fluids and lubricants - fuel, oil, grease, coolants 3) load secure, tools 4) indicators and lights 5) Fire Suppression Equipment
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Generators
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Auger Units
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Other - Specify
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Damaged or in Need of Repair or Replacement? Remember to Tag!
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Insert Photo if Applicable
General Safety Requirements
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SPOT Messages Sent
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Communication Devices Working
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Work Duties Understood
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Emergency Procedures Known
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Muster Point Known
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Noteworthy Observations from Previous Day
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If Incidents / Accidents Have Occurred was a Report Completed and Forwarded?
Authority to Proceed
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Supervisor's Sign-off - Insert Name and Sign
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Has the form been completed with the input from all field personnel?
