Workplace Safety Check

the correct answer to each question sections relevant to the job. Ring the office if any answer is NO.

SITE EVACUATION

Checked with Client

YesNo

Located First Aid

YesNo

VENTILATION

Indicate if

Good - No action requiredFair - Fan requiredPoor Contact office

SCAFFOLD

Required

YesNo

Under 3 metres

YesNo

Over 3 metres client's scaffolder to erect

YesNo

SERVICES


Shoring in place

YesNo

SAFETY EQUIPMENT

Functional. Clean. Safe

YesNo

DRILLING

Earth Leakage install

YesNo

Drill rig securely fastened

YesNo

Core drop area secured

YesNo

Signs display

YesNo

FLOOR / WALL / WIRE SAWING

Area safe

YesNo

PUBLIC SAFETY/TRAFFIC CONTROL

Barricades in position

YesNoN/A

Warning Signs displayed

YesNoN/A

Lighting in place

YesNoN/A

Traffic control

YesNoN/A

EQUIPMENT SAFETY CHECK

Before starting work check each point, for the equipment to be used on job. Contact the office, for instructions, if you are unable to answer YES to all safety questions.


YesNo


Belt & blade guards are secured in place


YesNo

Belts tensioned and checked for damage

Flange locking nuts are tight

Guards are in place

Adequate adequate1 and waterways are clear


YesNo


YesNo

Pulleys fastened securely

Correct hydraulic pressure


YesNo


YesNo



YesNo



Enviromental Check:
Could slurry enter storm water drains as a result of this sawcutting or core drilling: YesNo
Does the client request VICSAWING to control and clean up the slurry: YesNo
Work Performed
Wet Vac YesNo


Signature

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