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Appendix No 5: Daily Site Safety Checklist<br />

Job: ____________________________________________________________Date:______________<br />

Activity Month _____________ Mon Tue Wed Thur Fri Sat Sun<br />

1 All employees and Sub-contractors have o o o o o o o<br />

received induction training.<br />

2 Check condition <strong>of</strong> equipment & that Safe<br />

Working Methods are being followed <strong>for</strong>:<br />

Manual Handling o o o o o o o<br />

Traffic <strong>Management</strong> o o o o o o o<br />

Earth Moving Machinery o o o o o o o<br />

Safety Barriers o o o o o o o<br />

Electric Power Tools o o o o o o o<br />

Explosive Power Tools o o o o o o o<br />

Mobile Scaffolds (including assembly) o o o o o o o<br />

Ladders o o o o o o o<br />

Working Adjacent to Edges o o o o o o o<br />

Ro<strong>of</strong> / Shaft / Penetration Work o o o o o o o<br />

Elevated Work Plat<strong>for</strong>ms o o o o o o o<br />

Oxy Acetylene / Arc Welding gear o o o o o o o<br />

Live Power / Overhead Power Lines o o o o o o o<br />

Compressors / Pneumatic Equipment o o o o o o o<br />

Equipment Maintenance o o o o o o o<br />

Dangerous Chemicals o o o o o o o<br />

3 <strong>Infection</strong> control daily compliance survey completed o o o o o o o<br />

4 All employees and Sub-contractors are wearing<br />

correct Safety / Protective gear. o o o o o o o<br />

5 Work areas are clean & free <strong>of</strong> debris etc.<br />

If considered unsafe report to Safety Rep. o o o o o o o<br />

6 Area clean ups have been conducted. o o o o o o o<br />

Unsafe Conditions Noted:____________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

Corrective Action Taken:______________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

__________________________________________________________________________________<br />

Conducted By:____________________________________ Period Ending: ______/______/______<br />

34

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